Author:Liang-You Chen ; Cheng-Shiun He
Period/Date/Page:No. 161 (2022 / 06 / 30) , P25 - 38
DOI:10.6162/SRR.202206_(161).0003
Abstract:Coronary artery disease (CAD) affects 126 million people worldwide. Previous studies have shown that isometric handgrip training, aerobic training and high intensity interval training are effective in the attenuation of blood pressure flow, mediated dilation and pulse wave velocity in obese older adults, women and sedentary people, respectively. These exercises are also recommended for people with CAD, as they may reduce the likelihood of surgical intervention. Although surgery and medication are used to solve immediate problems of CAD, there are still inevitable postoperative complications which affect the patient's prognosis. The aim of this literature review is to survey clinical recommendations for exercise options for CAD patients at different stages of medical condition, including without surgery, the first day post-surgery, and post-recovery. Results show that when progressive exercise training (including breathing exercises, stretching, walking and stair climbing) is applied to patients with CAD the day after surgery, the patient's postoperative complications and total complication rate after 1 year are reduced by 35%. The progressive exercise of kinetic energy (PEKE) also increases the body's anti-thrombotic ability, accelerates vascular remodeling and reduces the chance of blood vessel restenosis or blockage. For patients who have undergone CAD surgery and are performing PEKE, it is recommended that they engage in moderate-intensity aerobic exercise for 30-45 minutes, 2-3 times per week, after their heart function has recovered. Moderate-intensity aerobic exercise has been shown to increase peak oxygen intake and peak heart rate, improve quality of life and reduce all-cause mortality for CAD patients. Therefore, exercise intervention would be an effective strategy for preventing CAD.
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