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A Real-World High-Intensity Interval Training Protocol for Cardiorespiratory Fitness Improvement
Published on: February 22, 2022
High-intensity aerobic interval training in a patient with stable angina pectoris
Philippe Meyer1, Thibaut Guiraud, Mathieu Gayda
1Cardiac Rehabilitation and Prevention Center, Montreal Heart Institute, University of Montreal, Canada.
Abstract:
Recently, high-intensity aerobic interval training was shown to be more effective than continuous moderate-intensity exercise for improving maximal aerobic capacity and endurance in patients with coronary heart disease. However, patients with exercise-induced ischemia were not included in those studies. We present the acute cardiopulmonary responses of a 67-yr-old man with stable angina pectoris during a 34-min session of high-intensity aerobic interval training. Exercise was well tolerated with neither significant arrhythmia nor elevation of cardiac troponin-T. We observed a complete disappearance of symptoms and signs of myocardial ischemia after 24 mins of exercise. This observation is similar to the warm-up angina phenomenon, an adaptation to myocardial ischemia that remains poorly understood. We conclude that high-intensity aerobic interval training is a promising mode of training for patients with stable coronary heart disease that should also be investigated further in patients with exercise-induced ischemia.
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Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
