Effects of moderate physical trainingprogram in post-myocardial infarction patients with arterial hypertension
Eur J Transl Myol. 2025 Jul 10. doi: 10.4081/ejtm.2025.13943
Abstract
The clinical effectiveness of physical training in a cardiac rehabilitation program (CRP) was assessed in hypertensive(AH), post-myocardial infarction (MI) patients. 206 patients were randomized into a physically trained group (PhTG, n=102) and an untrained, control group (CG, n=104). All patients received standard drug therapy. physically trained group patients performed mild callisthenic exercises and moderately intensive bicycle exercise three times/week for one year. Compared to control patients, physically trained group patients had significant changes in exercise capacity (duration +38%, p<0.001; total work +63.6%, p<0.001); rate-pressure product (-8.2%, p<0.01); left ventricular ejectionfraction (+7.6%, p<0.001); left ventricular stroke volume (+5.1%, p<0.01). Resting BP decreased in physically trained group patients (systolic BP, -3.1%, p<0.05; diastolic BP, -3.5%, p<0.001), but increased in control group patients (systolic BP, +3.1%, p<0.05; diastolic BP +3.4%, p<0.05). physically trained group patients had fewer myocardial ischemic episodes, including painless ischemia during exercise, fewer anginaattacks, less nitroglycerin consumption, improved quality of life, fewer cardiovascular events (-50%, p<0.05), and days of absence from work (-43.2%, p <0.05). Thus, supplementing a cardiac rehabilitation program with moderate exercise improved Blood Pressure, work capacity, cardiac function, and quality of life in hypertensive, post-myocardialinfarction patients.
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