Home > Riviste > The Journal of Sports Medicine and Physical Fitness > Fascicoli precedenti > The Journal of Sports Medicine and Physical Fitness 2016 March;56(3) > The Journal of Sports Medicine and Physical Fitness 2016 March;56(3):311-18

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Estratti
Per citare questo articolo

THE JOURNAL OF SPORTS MEDICINE AND PHYSICAL FITNESS

Rivista di Medicina, Traumatologia e Psicologia dello Sport


Indexed/Abstracted in: Chemical Abstracts, CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,215


eTOC

 

ORIGINAL ARTICLES  SPORT CARDIOLOGY


The Journal of Sports Medicine and Physical Fitness 2016 March;56(3):311-18

Copyright © 2016 EDIZIONI MINERVA MEDICA

lingua: Inglese

Short-term results of a 5-week comprehensive cardiac rehabilitation program after first-time myocardial infarction

Luca FALLAVOLLITA, Bruno MARSILI, Sandro CASTELLI, Francesca CUCCHI, Elpidio SANTILLO, Luciano MARINI, Fabrizio BALESTRINI

Italian National Institute of Research on Aging, Fermo, Italy


PDF  


BACKGROUND: A prospective single-center interventional cohort study was conducted to evaluate the effects of a 5-week comprehensive cardiac rehabilitation program on terms exercise capacity, quality of life, echocardiographic findings and autonomic modulation after first-time myocardial infarction.
METHODS: We studied 37 consecutive post-myocardial infartion patients (mean age 66 years). All patients began a 5-week cardiac rehabilitation supervised training. The exercise program consisted of 40 minutes of training, three times a week, on a cycle ergometer at 60-80% of the maximal heart rate. At baseline and after training program we analyzed: the distance walked after the Six-Minutes Walking Test (6MWT); quality of life (QoL) assesed using the Psychological General Well-Being Inventory (PGWBI) questionnaire; echocardiographic finding and autonomic balance assesed heart rate variability (HRV).
RESULTS: We observed statistically significant improvement in exercise capacity (from 423±94 to 496±13 m; P<0.05). Also we observed statistically significant improvements in the many PGWBI dimensions; particularly, anxiety +5.8% (from 18.11±5.2 to 19.12±4.4); depression +6.0% (from 12.00±3.0 to 12.73±2.4); positive well-being +6% (from 11.55±3.5 to 12.23±4.0); general health +10.3% (from 9.48±3.5 to 10.46±2.87); vitality +6.8% (from 12.96±4.2 to 13.85±4.2). Finally, we observed changes in HRV indices after training program: RR (from 903±169 ms to 952±163 ms;P<0.05), pNN50% (from 4.74±4.89 to 6.23±5.53; P<0.05), in time-domain; LF (from 274±169 to 362±233 ms2; P<0,05); HF (from 214±154 to 314±194 ms2; P<0.05) and LF/HF (from 1.53±0.54 to 1.24±0.47; P<0.05) in frequency-domain.
CONCLUSIONS: The study suggest that a cardiac rehabilitation program in postmyocardial infarction improves exercise capacity, QoL and autonomic modulation.

inizio pagina

Publication History

Per citare questo articolo

Fallavollita L, Marsili B, Castelli S, Cucchi F, Santillo E, Marini L, et al. Short-term results of a 5-week comprehensive cardiac rehabilitation program after first-time myocardial infarction. J Sports Med Phys Fitness 2016 March;56(3):311-18. 

Corresponding author e-mail