Effect of Exercise Training on the Total Ischaemic Burden: an Assessment by 24 Hour Ambulatory Electrocardiographic Monitoring

Overview

Journal Br Heart J

Specialty Cardiology & Vascular Diseases

Date 1992 Dec 1

PMID 1467049

Citations 6

Authors

I C Todd

D Ballantyne

Affiliations

Soon will be listed here.

Abstract

Objective: To examine the effect of prolonged high intensity exercise training on total ischaemic burden in men with chronic stable angina pectoris.

Design: A randomised controlled trial based on 24 hour ambulatory electrocardiographic monitoring of patients on two occasions a year apart.

Setting: Cardiology department of a large general hospital.

Subjects: 40 men under 60 years of age with chronic stable angina pectoris and no previous myocardial infarction.

Results: After training the exercise group showed a 30% reduction in frequency of ST segment depression. There were significant reductions in painful episodes of ischaemia and those triggered by changes in heart rate. There was also a trend towards a reduction in silent ischaemia and episodes not triggered by changes in heart rate. The duration of ischaemic episodes was also reduced. No significant change in frequency or severity of dysrhythmia was shown.

Conclusions: Exercise training reduces total ischaemic burden in patients with angina pectoris by reducing the frequency and duration of all types of ischaemic episode.

Citing Articles

Cardiac rehabilitation and physical activity: systematic review and meta-analysis.

Dibben G, Dalal H, Taylor R, Doherty P, Tang L, Hillsdon M Heart. 2018; 104(17):1394-1402.

PMID: 29654095 PMC: 6109237. DOI: 10.1136/heartjnl-2017-312832.

Single risk factor interventions to promote physical activity among patients with chronic diseases: systematic review.

Hudon C, Fortin M, Soubhi H Can Fam Physician. 2008; 54(8):1130-7.

PMID: 18697975 PMC: 2515256.

Exercise in cardiac rehabilitation.

Bethell H Br J Sports Med. 1999; 33(2):79-86.

PMID: 10205687 PMC: 1756146. DOI: 10.1136/bjsm.33.2.79.

Cardiac rehabilitation in the United Kingdom: guidelines and audit standards. National Institute for Nursing, the British Cardiac Society and the Royal College of Physicians of London.

Thompson D, Bowman G, Kitson A, De Bono D, Hopkins A Heart. 1996; 75(1):89-93.

PMID: 8624882 PMC: 484231. DOI: 10.1136/hrt.75.1.89.

Cardiac rehabilitation.

Chua T, Lipkin D BMJ. 1993; 306(6880):731-2.

PMID: 8490331 PMC: 1677233. DOI: 10.1136/bmj.306.6880.731.

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