Comparative efficiency of continuous intensity trainings and interval loads in patients aftering myocardial infarct with a subsequent corrective coronary intervention

Abstract


Aim. The purpose of the study is to conduct a comparative analysis of the effectiveness of physical aerobic training in the mode of interval and constant loads in patients who have had a myocardial infarction with subsequent percutaneous coronary intervention. Materials and methods. 35 patients aged from 46 to 67 years old were examined in the process of passing a 3-week course of physical rehabilitation in a day hospital. Of these, 18 people (group 1) performed daily training on cardiovascular machines in the mode of interval loads, 17 people (group 2) - in the mode of moderate loads with constant intensity. Results. When conducting physical training in different training regimens, both groups of patients showed an improvement in exercise tolerance. At the same time, the interval training as compared to the constant intensity training provided a more pronounced training effect on the cardiorespiratory system due to high-intensity loading phases and at the same time a low level of hemodynamic load due to the presence of relatively low-intensity phases. Conclusion. Interval training is preferred in patients who have had a myocardial infarction followed by percutaneous coronary intervention, due to their high efficacy and safety.

Full Text

Restricted Access

About the authors

Yulia V. Chistyakova

Ivanovo State Medical Academy of the Ministry of Health of the Russian Federation

Email: chud.iv@mail.ru
8, Sheremetevskii dr., Ivanovo, 153000, Russian Federation
Cand. Sci. (Med.), Associate Professor of the Department of Hospital Therapy, Therapeutic Exercise Physician

Irina E. Mishina

Ivanovo State Medical Academy of the Ministry of Health of the Russian Federation

8, Sheremetevskii dr., Ivanovo, 153000, Russian Federation
D. Sci. (Med.), Professor, Head of the Department

Svetlana L. Arkhipova

Ivanovo State Medical Academy of the Ministry of Health of the Russian Federation

8, Sheremetevskii dr., Ivanovo, 153000, Russian Federation
Cand. Sci. (Med.), Associate Professor of the Department of Hospital Therapy, Chief of the Department of Somatic Rehabilitation

Yuri V. Dovgalyuk

Ivanovo State Medical Academy of the Ministry of Health of the Russian Federation

8, Sheremetevskii dr., Ivanovo, 153000, Russian Federation
Cand. Sci. (Med.), Associate professor of the Department of hospital therapy, cardiologist

Svetlana O. Fokicheva

Ivanovo State Medical Academy of the Ministry of Health of the Russian Federation

8, Sheremetevskii dr., Ivanovo, 153000, Russian Federation
Chief of the Department of Therapeutic Exercise and Physiotherapy o

Anna A. Zolotareva

Ivanovo State Medical Academy of the Ministry of Health of the Russian Federation

8, Sheremetevskii dr., Ivanovo, 153000, Russian Federation
Therapeutic Exercise Physician of the Department of Therapeutic Exercise and Physiotherapy

References

  1. Аронов Д.М., Бубнова М.Г., Барбараш О.Л. и др. Российские клинические рекомендации «Острый инфаркт миокарда с подъемом сегмента ST электрокардиограммы: реабилитация и вторичная профилактика». CardioСоматика. 2014. Прил. №1.
  2. Арутюнов Г.П., Крылова А.К., Колесникова Е.А. и др. Кардиореабилитация. Под ред. Г.П.Арутюнова. М.: МЕДпресс-информ, 2013.
  3. Бранд А.В. Безопасность и эффективность интервальных тренировок у больных хронической сердечной недостаточностью. Дис. … канд. мед. наук. М., 2011.
  4. Бубнова М.Г., Аронов Д.М. Иванова Г.Е. и др. Пилотный проект «Развитие системы реабилитации больных с сердечно-сосудистыми заболеваниями в лечебных учреждениях субъектов Российской Федерации». Результаты трехлетнего наблюдения. Вестн. восстановит. медицины. 2016; 74 (4): 2-11.
  5. Гальцева Н.В. Реабилитация в кардиологии и кардиохирургии. Клиницист. 2015; 2: 13-22.
  6. Иванова Г.Е., Аронов Д.М., Бубнова М.Г. и др. Пилотный проект «Развитие системы медицинской реабилитации в Российской Федерации». Системы контроля и мониторирования эффективности медицинской реабилитации при остром инфаркте миокарда. Вестн. Ивановской мед. академии. 2016; 21 (1): 15-8.
  7. Глоц Д.Д., Новак З. Влияние велотренировок в помещении на параметры гемодинамики левого желудочка мужчин с ишемической болезнью сердца и после инфаркта миокарда. Рос. кардиологич. журн. 2017; 143 (3): 46-53.
  8. Сумин А.Н. Актуальные вопросы физической реабилитации в кардиологии на рубеже десятилетий. Лечебное дело. 2011; 4: 45-7.
  9. Сыркин А.А., Полтавская М.Г., Свет А.В. и др. Интервальные тренировки у больных с хронической сердечной недостаточностью. Кардиология. 2008; 7: 65-70.
  10. Rognmo Q, Hetland E, Helgerud J et al. High intensity aerobic interval exercise in superior to moderate intensity exercise for increasing aerobic capacity in patients with coronary artery disease. Eur J Cardiovase Prev Retabil 2004; 11 (3): 216-22.
  11. Warburton D.E, McKenzie D.C, Haykowsky M.J et al. Effectiveness of highintensity interval training for the rehabilitation of patients with coronary artery disease. Am J Cardial 2005; 95 (9): 1080-4.

Statistics

Views

Abstract - 10

PDF (Russian) - 0

Cited-By


Article Metrics

Metrics Loading ...

PlumX

Dimensions

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies