
It is unclear which exercise training protocol yields superior heart rate recovery (HRR) improvement in heart failure (HF) patients. Whether baseline HRR normality plays a role in the improvement is unknown. We hypothesized that an exercise training protocol and baseline HRR normality would be factors in altering HRR in HF patients.In this prospective, randomized, controlled and 3 group parallel study, 41 stable HF patients were randomly assigned to 3-times-weekly training sessions for 12 weeks, consisting of i) 30 minutes of interval training (IT) (n=17, 63.7±8.8 years old) versus ii) 30 minutes of continuous training (CT) (n=13, 59.6±6.8 years old) versus iii) no training (CON) (n=11, 60.6±9.9 years old). Each patient had cardiopulmonary exercise testing before and after the training program. Maximum heart rates attained during the test and heart rates at 1 and 2 min (HRR1 and HRR2) during the recovery phase were recorded. Paired samples t-test or Wilcoxon signed-rank test was used for comparisons before and after training. One-way ANOVA or Kruskal-Wallis variance analysis was used for comparisons among groups.HRR1 was unchanged after training. HRR2 improved in the IT group after training, and post-training HRR2 values were significantly faster in the IT group than in controls. Both HRR1 and HRR2 was significantly faster, irrespective of exercise protocol in patients with abnormal baseline values after training.HRR1 did not improve after training. HRR2 improved only in the IT group. Both HRRs in patients with abnormal baseline values improved after both exercise protocols. IT might be superior to CT in improving HRR2. Baseline HRR might play a role in its response to exercise.
Male, Cardiac rehabilitation, heart failure, heart left ventricle failure, Heart Rate, middle aged, heart rate, nonischemic cardiomyopathy, Prospective Studies, Original Investigation, clinical article, exercise, ischemic cardiomyopathy, adult, heart rate variability, blood pressure, Middle Aged, Exercise Therapy, female, aerobic exercise, Treatment Outcome, diabetes mellitus, Female, heart rehabilitation, cardiopulmonary exercise test, prospective study, Kalp ve Kalp Damar Sistemi, 610, Article, male, Autonomic nervous system, Humans, controlled study, human, bicycle ergometry, kinesiotherapy, Heart Failure, convalescence, Recovery of Function, Cardiopulmonary exercise testing, Exercise Therapy; Female; Heart Failure/*rehabilitation; Heart Rate/*physiology; Humans; Male; Middle Aged; Prospective Studies; Recovery of Function; Treatment Outcome, randomized controlled trial, physiology, treatment outcome, exercise tolerance, diet
Male, Cardiac rehabilitation, heart failure, heart left ventricle failure, Heart Rate, middle aged, heart rate, nonischemic cardiomyopathy, Prospective Studies, Original Investigation, clinical article, exercise, ischemic cardiomyopathy, adult, heart rate variability, blood pressure, Middle Aged, Exercise Therapy, female, aerobic exercise, Treatment Outcome, diabetes mellitus, Female, heart rehabilitation, cardiopulmonary exercise test, prospective study, Kalp ve Kalp Damar Sistemi, 610, Article, male, Autonomic nervous system, Humans, controlled study, human, bicycle ergometry, kinesiotherapy, Heart Failure, convalescence, Recovery of Function, Cardiopulmonary exercise testing, Exercise Therapy; Female; Heart Failure/*rehabilitation; Heart Rate/*physiology; Humans; Male; Middle Aged; Prospective Studies; Recovery of Function; Treatment Outcome, randomized controlled trial, physiology, treatment outcome, exercise tolerance, diet
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