Influence of Dynamic Training on Hemodynamic, Neurohormonal Responses to Static Exercise and on Inflammatory Markers in Patients After Coronary Artery Bypass Grafting
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- Bilinska Maria
- Department of Cardiac Rehabilitation and Noninvasive Electrocardiology, Institute of Cardiology
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- Kosydar-Piechna Magdalena
- Department of Cardiac Rehabilitation and Noninvasive Electrocardiology, Institute of Cardiology
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- Gasiorowska Anna
- Department of Applied Physiology, Mossakowski Medical Research Centre, Polish Academy of Sciences
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- Mikulski Tomasz
- Department of Applied Physiology, Mossakowski Medical Research Centre, Polish Academy of Sciences
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- Piotrowski Walerian
- Department of Epidemiology, Cardiovascular Disease Prevention and Health Promotion, Institute of Cardiology
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- Nazar Krystyna
- Department of Applied Physiology, Mossakowski Medical Research Centre, Polish Academy of Sciences
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- Piotrowicz Ryszard
- Department of Cardiac Rehabilitation and Noninvasive Electrocardiology, Institute of Cardiology
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Background: Little is known about the influence of dynamic training on the hemodynamic and neurohormonal responses to static exercise and on inflammatory markers in optimally treated post-coronary artery bypass grafting (CABG) patients. Methods and Results: One hundred and twenty male patients, aged 55±6 years, 3 months after receiving CABG, were randomized to either 6 weeks of aerobic training on a cycloergometer, 3 times a week, at a 70-80% of the maximum tolerated heart rate (HR) (training group, n=60) or to a control group (n=60). At baseline and at the end of the study, all patients underwent: (1) a cardiopulmonary test; (2) handgrip at 30% of maximal voluntary contraction for 3min in a sitting position during in which HR, blood pressure (BP), stroke volume (SV, by impedance cardiography), cardiac output (CO) and total peripheral resistance (TPR) were monitored; and (3) plasma level assessment of catecholamines, nitric oxide and inflammatory markers. During the final tests, handgrip-induced increases in HR, BP, and TPR (14% vs 27%, P<0.01) were lower, whereas SV and CO were higher (by 13% and 15%, respectively, P<0.05) in trained patients compared with controls. Moreover, a higher increase in nitric oxide level (46% vs 14%, P<0.01) and a lower increase in noradrenaline (11% vs 20%, P<0.05) were observed in trained patients compared with controls. Accordingly, training caused significant improvement in peak oxygen uptake per kilogram body weight (peak VO2) and inflammatory markers. Conclusions: Short-term dynamic training caused significant improvement of hemodynamic and neurohormonal responses to handgrip, cardiovascular fitness and inflammatory state. (Circ J 2010; 74: 2598-2604)<br>
収録刊行物
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- Circulation Journal
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Circulation Journal 74 (12), 2598-2604, 2010
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詳細情報 詳細情報について
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- CRID
- 1390282680081510912
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- NII論文ID
- 10027424275
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- NII書誌ID
- AA11591968
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- ISSN
- 13474820
- 13469843
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 使用不可