4.4 Review

Exercise Training and Interventions for Coronary Artery Disease

Related references

Note: Only part of the references are listed.
Review Cardiac & Cardiovascular Systems

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Summary: Exercise limitation is a common manifestation of cardiovascular diseases and can be improved through exercise-based cardiac rehabilitation. Inspiratory muscle dysfunction is a underestimated complication of cardiovascular diseases that contributes to breathlessness and exercise intolerance. This review explores the prevalence of inspiratory muscle weakness, its impact on physiological function and clinical outcomes, and evaluates the effects of exercise-based cardiac rehabilitation on inspiratory muscle function in patients with cardiovascular diseases. The assessment of global respiratory muscle function and implementation of inspiratory muscle training are recommended for phase II cardiac rehabilitation programs.

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Summary: Exercise intolerance is a common issue in patients with heart failure, possibly due to the deterioration of skeletal musculature. Respiratory muscle weakness, caused by increased muscle metaboreflex, is a key contributor to exercise limitations in these patients, leading to dyspnea and fatigue. Strategies such as inspiratory muscle training may help improve exercise tolerance by reducing respiratory muscle metaboreflex.

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Summary: Resistance training combined with aerobic training is more beneficial for patients with coronary heart disease in terms of exercise capacity and quality of life compared to usual care. However, the difference between resistance training and aerobic training remains unclear, requiring further high-quality, large-sample studies to confirm the findings.

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