This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Lee, A. P. Articles by Sanmarco, M. E. Search for Related Content PubMed PubMed Citation Articles by Lee, A. P. Articles by Sanmarco, M. E.

Circulation, Vol 60, 1519-1526, Copyright © 1979 by American Heart Association

ARTICLES

Long-term effects of physical training on coronary patients with impaired ventricular function

AP Lee, R Ice, R Blessey and ME Sanmarco

Eighteen patients with coronary heart disease and an ejection fraction of 0.40 or less were entered into an individualized exercise training program. Maximal symptom-limited exercise stress test and cardiac catheterization studies were performed initially and 12--42 months (average 18.5 months) after exercise training. At the time of the follow-up study, the mean functional aerobic impairment (FAI) improved from 32.1 to 23.4% (p less than or equal to 0.01); resting and submaximal heart rates were significantly lower (p less than 0.01 and 0.05, respectively). There was no significant change in the pulmonary artery or left ventricular end-diastolic pressure, cardiac index, stroke index, left ventricular end-diastolic volume or ejection fraction. Exercise training, therefore, can be beneficial even for patients with impaired ventricular function. Increase in physical work capacity was not correlated with improvement of ventricular function; on the other hand, exercise training did not cause deterioration of ventricular function.

This article has been cited by other articles:

				G. F. Fletcher, G. J. Balady, E. A. Amsterdam, B. Chaitman, R. Eckel, J. Fleg, V. F. Froelicher, A. S. Leon, I. L. Pina, R. Rodney, et al. Exercise Standards for Testing and Training: A Statement for Healthcare Professionals From the American Heart Association Circulation, October 2, 2001; 104(14): 1694 - 1740. [Full Text] [PDF]

				Recommendations for exercise training in chronic heart failure patients Eur. Heart J., January 2, 2001; 22(2): 125 - 135. [PDF]

				K. T. Spencer, K. Collins, C. Korcarz, R. Fentzke, R. M. Lang, and J. M. Leiden Effects of exercise training on LV performance and mortality in a murine model of dilated cardiomyopathy Am J Physiol Heart Circ Physiol, July 1, 2000; 279(1): H210 - H215. [Abstract] [Full Text] [PDF]

				R. J. Gibbons, K. Chatterjee, J. Daley, J. S. Douglas, S. D. Fihn, J. M. Gardin, M. A. Grunwald, D. Levy, B. W. Lytle, R. A. O'Rourke, et al. ACC/AHA/ACP-ASIM guidelines for the management of patients with chronic stable angina: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Patients With Chronic Stable Angina) J. Am. Coll. Cardiol., June 1, 1999; 33(7): 2092 - 2197. [Full Text] [PDF]

				A. J. S. Coats Exercise Training for Heart Failure : Coming of Age Circulation, March 9, 1999; 99(9): 1138 - 1140. [Full Text] [PDF]

				W. R. Hiatt, A. T. Hirsch, J. G. Regensteiner, and E. P. Brass Clinical Trials for Claudication : Assessment of Exercise Performance, Functional Status, and Clinical End Points Circulation, August 1, 1995; 92(3): 614 - 621. [Full Text]

				K. Dracup, D. W. Baker, S. B. Dunbar, R. A. Dacey, N. H. Brooks, J. C. Johnson, C. Oken, and B. M. Massie Management of Heart Failure: II. Counseling, Education, and Lifestyle Modifications JAMA, November 9, 1994; 272(18): 1442 - 1446. [Abstract] [PDF]