Cardiac hemodynamics phenotypes and individual responses to training in coronary heart disease patients.
cardiac rehabilitation
coronary artery disease
exercise training
hemodynamics
individual response
Journal
Scandinavian journal of medicine & science in sports
ISSN: 1600-0838
Titre abrégé: Scand J Med Sci Sports
Pays: Denmark
ID NLM: 9111504
Informations de publication
Date de publication:
Apr 2024
Apr 2024
Historique:
revised:
18
01
2024
received:
03
10
2023
accepted:
04
04
2024
medline:
23
4
2024
pubmed:
23
4
2024
entrez:
23
4
2024
Statut:
ppublish
Résumé
In patients with coronary heart disease (CHD), individualized exercise training (ET) programs are strongly recommended to optimize peak oxygen uptake ( A total of 72 CHD patients completed a 3-month ET program and were assessed by cycle ergometer cardiopulmonary exercise test (CPET: In the R group, Among CHD patients, the R group showed a better improvement in peak cardiac output via an increase in peak stroke volume and heart rate and a reduced systemic vascular resistance than the NR group. Different cardiac phenotype adaptations and clinical individual responses were identified in CHD patients according to the aerobic fitness responder's status.
Sections du résumé
BACKGROUND
BACKGROUND
In patients with coronary heart disease (CHD), individualized exercise training (ET) programs are strongly recommended to optimize peak oxygen uptake (
METHODS
METHODS
A total of 72 CHD patients completed a 3-month ET program and were assessed by cycle ergometer cardiopulmonary exercise test (CPET:
RESULTS
RESULTS
In the R group,
CONCLUSION
CONCLUSIONS
Among CHD patients, the R group showed a better improvement in peak cardiac output via an increase in peak stroke volume and heart rate and a reduced systemic vascular resistance than the NR group. Different cardiac phenotype adaptations and clinical individual responses were identified in CHD patients according to the aerobic fitness responder's status.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e14633Subventions
Organisme : Mirella and Lino Saputo Research Chair in Cardiovascular Diseases and the Prevention of Cognitive Decline from Université de Montréal at the Montreal Heart Institute
Organisme : The Montreal Heart Institute Foundation
Organisme : The EPIC Center Foundation
Organisme : Mitacs, Canada
Informations de copyright
© 2024 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Références
Dibben GO, Faulkner J, Oldridge N, et al. Exercise‐based cardiac rehabilitation for coronary heart disease: a meta‐analysis. Eur Heart J. 2023;44(6):452‐469. doi:10.1093/eurheartj/ehac747
Anderson LJ, Taylor RS. Cardiac rehabilitation for people with heart disease: an overview of cochrane systematic reviews. Int J Cardiol. 2014;177(2):348‐361. doi:10.1016/j.ijcard.2014.10.011
Kodama S, Saito K, Tanaka S, et al. Cardiorespiratory fitness as a quantitative predictor of all‐cause mortality and cardiovascular events in healthy men and women: a meta‐analysis. JAMA. 2009;301(19):2024‐2035. doi:10.1001/jama.2009.681
Myers J, Prakash M, Froelicher V, Do D, Partington S, Atwood JE. Exercise capacity and mortality among men referred for exercise testing. N Engl J Med. 2002;346(11):793‐801. doi:10.1056/NEJMoa011858
Kavanagh T, Mertens DJ, Hamm LF, et al. Prediction of long‐term prognosis in 12 169 men referred for cardiac rehabilitation. Circulation. 2002;106(6):666‐671. doi:10.1161/01.cir.0000024413.15949.ed
De Schutter A, Kachur S, Lavie CJ, et al. Cardiac rehabilitation fitness changes and subsequent survival. Eur Heart J Qual Care Clin Outcomes. 2018;4(3):173‐179. doi:10.1093/ehjqcco/qcy018
Trachsel LD, Nigam A, Fortier A, Lalongé J, Juneau M, Gayda M. Moderate‐intensity continuous exercise is superior to high‐intensity interval training in the proportion of VO2peak responders after ACS. Rev Esp Cardiol (Engl Ed). 2020;73(9):725‐733. doi:10.1016/j.rec.2019.09.013
Boidin M, Trachsel LD, Nigam A, Juneau M, Tremblay J, Gayda M. Non‐linear is not superior to linear aerobic training periodization in coronary heart disease patients. Eur J Prev Cardiol. 2020;27(16):1691‐1698. doi:10.1177/2047487319891778
Trachsel LD, Boidin M, Henri C, et al. Women and men with coronary heart disease respond similarly to different aerobic exercise training modalities: a pooled analysis of prospective randomized trials. Appl Physiol Nutr Metab. 2021;46(5):417‐425. doi:10.1139/apnm-2020-0650
Wang L, Ai D, Zhang N. Exercise benefits coronary heart disease. Adv Exp Med Biol. 2017;1000:3‐7. doi:10.1007/978-981-10-4304-8_1
Conraads VM, Pattyn N, De Maeyer C, et al. Aerobic interval training and continuous training equally improve aerobic exercise capacity in patients with coronary artery disease: the SAINTEX‐CAD study. Int J Cardiol. 2015;179:203‐210. doi:10.1016/j.ijcard.2014.10.155
Witvrouwen I, Pattyn N, Gevaert AB, et al. Predictors of response to exercise training in patients with coronary artery disease – a subanalysis of the SAINTEX‐CAD study. Eur J Prev Cardiol. 2019;26(11):1158‐1163. doi:10.1177/2047487319828478
Savage PD, Antkowiak M, Ades PA. Failure to improve cardiopulmonary fitness in cardiac rehabilitation. J Cardiopulm Rehabil Prev. 2009;29(5):284‐291; quiz 292‐293. doi:10.1097/HCR.0b013e3181b4c8bd
Mikkelsen N, Cadarso‐Suárez C, Lado‐Baleato O, et al. Improvement in VO2peak predicts readmissions for cardiovascular disease and mortality in patients undergoing cardiac rehabilitation. Eur J Prev Cardiol. 2020;27(8):811‐819. doi:10.1177/2047487319887835
Bouchard C, An P, Rice T, et al. Familial aggregation of VO(2max) response to exercise training: results from the HERITAGE Family Study. J Appl Physiol (1985). 1999;87(3):1003‐1008. doi:10.1152/jappl.1999.87.3.1003
Gomes‐Neto M, Durães AR, Reis HFCD, Neves VR, Martinez BP, Carvalho VO. High‐intensity interval training versus moderate‐intensity continuous training on exercise capacity and quality of life in patients with coronary artery disease: a systematic review and meta‐analysis. Eur J Prev Cardiol. 2017;24(16):1696‐1707. doi:10.1177/2047487317728370
Ehsani AA, Biello D, Seals DR, Austin MB, Schultz J. The effect of left ventricular systolic function on maximal aerobic exercise capacity in asymptomatic patients with coronary artery disease. Circulation. 1984;70(4):552‐560. doi:10.1161/01.cir.70.4.552
Schmid JP, Zurek M, Saner H. Chronotropic incompetence predicts impaired response to exercise training in heart failure patients with sinus rhythm. Eur J Prev Cardiol. 2013;20(4):585‐592. doi:10.1177/2047487312444368
Myers J, Wong M, Adhikarla C, et al. Cardiopulmonary and noninvasive hemodynamic responses to exercise predict outcomes in heart failure. J Card Fail. 2013;19(2):101‐107. doi:10.1016/j.cardfail.2012.11.010
Myers J, Christle JW, Tun A, et al. Cardiopulmonary exercise testing, impedance cardiography, and reclassification of risk in patients referred for heart failure evaluation. J Card Fail. 2019;25(12):961‐968. doi:10.1016/j.cardfail.2019.08.013
Krzesiński P, Gielerak G, Kowal J. Impedance cardiography – a modern tool for monitoring therapy of cardiovascular diseases. Kardiol Pol. 2009;67(1):65‐71.
Lasater M, Von Rueden KT. Outpatient cardiovascular management utilizing impedance cardiography. AACN Clin Issues. 2003;14(2):240‐250. doi:10.1097/00044067-200305000-00013
Welsman J, Bywater K, Farr C, Welford D, Armstrong N. Reliability of peak VO(2) and maximal cardiac output assessed using thoracic bioimpedance in children. Eur J Appl Physiol. 2005;94(3):228‐234. doi:10.1007/s00421-004-1300-5
Kemps HMC, Thijssen EJM, Schep G, et al. Evaluation of two methods for continuous cardiac output assessment during exercise in chronic heart failure patients. J Appl Physiol (1985). 2008;105(6):1822‐1829. doi:10.1152/japplphysiol.90430.2008
Belardinelli R, Ciampani N, Costantini C, Blandini A, Purcaro A. Comparison of impedance cardiography with thermodilution and direct Fick methods for noninvasive measurement of stroke volume and cardiac output during incremental exercise in patients with ischemic cardiomyopathy. Am J Cardiol. 1996;77(15):1293‐1301. doi:10.1016/s0002-9149(97)89153-9
Valcicak DS, Rodriguez LM, Saunders MJ, Womack CJ, Hargens TA. Physiological differences in cardiovascular hemodynamics across treadmill and cycle exercise as assessed through impedance cardiography. J Med Eng Technol. 2022;46(4):280‐287. doi:10.1080/03091902.2022.2040626
Legendre A, Moatemri F, Kovalska O, et al. Responses to exercise training in patients with heart failure. Analysis by oxygen transport steps. Int J Cardiol. 2021;330:120‐127. doi:10.1016/j.ijcard.2021.02.004
Lepretre PM, Poty A, Porcher T, et al. P6061Changes in exercise capactiy of frailest patients with heart failure treated with standard exercise recommandations versus stroke volume response to exercise: a pilot study. Eur Heart J. 2018;39(suppl_1):ehy566.P6061. doi:10.1093/eurheartj/ehy566.P6061
Packer M, Abraham WT, Mehra MR, et al. Utility of impedance cardiography for the identification of short‐term risk of clinical decompensation in stable patients with chronic heart failure. J Am Coll Cardiol. 2006;47(11):2245‐2252. doi:10.1016/j.jacc.2005.12.071
Adachi H, Itoh H, Sakurai S, et al. Short‐term physical training improves ventilatory response to exercise after coronary arterial bypass surgery. Jpn Circ J. 2001;65(5):419‐423. doi:10.1253/jcj.65.419
Smarz K, Jaxa‐Chamiec T, Zaborska B, Tysarowski M, Budaj A. Mechanisms of exercise capacity improvement after cardiac rehabilitation following myocardial infarction assessed with combined stress echocardiography and cardiopulmonary exercise testing. J Clin Med. 2021;10(18):4083. doi:10.3390/jcm10184083
Fletcher GF, Ades PA, Kligfield P, et al. Exercise standards for testing and training: a scientific statement from the American Heart Association. Circulation. 2013;128(8):873‐934. doi:10.1161/CIR.0b013e31829b5b44
Gayda M, Gremeaux V, Bherer L, et al. Cognitive function in patients with stable coronary heart disease: related cerebrovascular and cardiovascular responses. PLoS One. 2017;12(9):e0183791. doi:10.1371/journal.pone.0183791
Guiraud T, Nigam A, Juneau M, Meyer P, Gayda M, Bosquet L. Acute responses to high‐intensity intermittent exercise in CHD patients. Med Sci Sports Exerc. 2011;43(2):211‐217. doi:10.1249/MSS.0b013e3181ebc5de
Gayda M, Normandin E, Meyer P, Juneau M, Haykowsky M, Nigam A. Central hemodynamic responses during acute high‐intensity interval exercise and moderate continuous exercise in patients with heart failure. Appl Physiol Nutr Metab. 2012;37(6):1171‐1178. doi:10.1139/h2012-109
Northridge DB, Findlay IN, Wilson J, Henderson E, Dargie HJ. Non‐invasive determination of cardiac output by doppler echocardiography and electrical bioimpedance. Br Heart J. 1990;63(2):93‐97. doi:10.1136/hrt.63.2.93
Scherhag A, Pfleger S, Garbsch E, Buss J, Sueselbeck T, Borggrefe M. Automated impedance cardiography for detecting ischemic left ventricular dysfunction during exercise testing. Kidney Blood Press Res. 2005;28(2):77‐84. doi:10.1159/000083695
Ribeiro PAB, Boidin M, Juneau M, Nigam A, Gayda M. High‐intensity interval training in patients with coronary heart disease: prescription models and perspectives. Ann Phys Rehabil Med. 2017;60(1):50‐57. doi:10.1016/j.rehab.2016.04.004
Keteyian SJ, Brawner CA, Savage PD, et al. Peak aerobic capacity predicts prognosis in patients with coronary heart disease. Am Heart J. 2008;156(2):292‐300. doi:10.1016/j.ahj.2008.03.017
Pandey A, Swift DL, McGuire DK, et al. Metabolic effects of exercise training among fitness‐nonresponsive patients with type 2 diabetes: the HART‐D study. Diabetes Care. 2015;38(8):1494‐1501. doi:10.2337/dc14-2378
van Tol BAF, Huijsmans RJ, Kroon DW, Schothorst M, Kwakkel G. Effects of exercise training on cardiac performance, exercise capacity and quality of life in patients with heart failure: a meta‐analysis. Eur J Heart Fail. 2006;8(8):841‐850. doi:10.1016/j.ejheart.2006.02.013
Detry JM, Rousseau M, Vandenbroucke G, Kusumi F, Brasseur LA, Bruce RA. Increased arteriovenous oxygen difference after physical training in coronary heart disease. Circulation. 1971;44(1):109‐118. doi:10.1161/01.cir.44.1.109
Hagberg JM, Ehsani AA, Holloszy JO. Effect of 12 months of intense exercise training on stroke volume in patients with coronary artery disease. Circulation. 1983;67(6):1194‐1199. doi:10.1161/01.cir.67.6.1194
Kirsch M, Feriel M, Aurelia LT, et al. Impact of training on combined cardiopulmonary exercise test with stress echocardiography parameters in HFrEF patients. Int J Cardiol. 2023;371:252‐258. doi:10.1016/j.ijcard.2022.09.041
Coats AJ, Adamopoulos S, Radaelli A, et al. Controlled trial of physical training in chronic heart failure. Exercise performance, hemodynamics, ventilation, and autonomic function. Circulation. 1992;85(6):2119‐2131. doi:10.1161/01.cir.85.6.2119
Varnauskas E, Bergman H, Houk P, Björntorp P. Haemodynamic effects of physical training in coronary patients. Lancet Lond Engl. 1966;2(7453):8‐12. doi:10.1016/s0140-6736(66)91743-0
Ehsani AA. Mechanisms responsible for enhanced stroke volume after exercise training in coronary heart disease. Eur Heart J. 1987;8 Suppl G:9‐14. doi:10.1093/eurheartj/8.suppl_g.9
Dubach P, Myers J, Dziekan G, et al. Effect of high intensity exercise training on central hemodynamic responses to exercise in men with reduced left ventricular function. J Am Coll Cardiol. 1997;29(7):1591‐1598. doi:10.1016/s0735-1097(97)82540-5
Rinder MR, Miller TR, Ehsani AA. Effects of endurance exercise training on left ventricular systolic performance and ventriculoarterial coupling in patients with coronary artery disease. Am Heart J. 1999;138(1 Pt 1):169‐174. doi:10.1016/s0002-8703(99)70264-4