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Cardiologia Croatica, Vol. 17 No. 9-10, 2022.

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https://doi.org/10.15836/ccar2022.247

High-intensity interval training in ST-elevation myocardial infarction and non-ST-elevation myocardial infarction: risk to benefit ratio?

Viktor Ivaniš orcid id orcid.org/0000-0003-3349-0395 ; Special Hospital for Medical Rehabilitation of the Heart and Lung Diseases and Rheumatism “Thalassotherapia Opatija”, Opatija, Croatia
Kristina Skroče orcid id orcid.org/0000-0003-0379-5235 ; Special Hospital for Medical Rehabilitation of the Heart and Lung Diseases and Rheumatism “Thalassotherapia Opatija”, Opatija, Croatia
Dijana Travica Samsa orcid id orcid.org/0000-0001-6238-3738 ; Special Hospital for Medical Rehabilitation of the Heart and Lung Diseases and Rheumatism “Thalassotherapia Opatija”, Opatija, Croatia
Koraljka Knežević orcid id orcid.org/0000-0001-9353-0542 ; Special Hospital for Medical Rehabilitation of the Heart and Lung Diseases and Rheumatism “Thalassotherapia Opatija”, Opatija, Croatia
Irena Kužet Mioković orcid id orcid.org/0000-0003-4990-6201 ; Special Hospital for Medical Rehabilitation of the Heart and Lung Diseases and Rheumatism “Thalassotherapia Opatija”, Opatija, Croatia
Marina Njegovan orcid id orcid.org/0000-0003-2710-4769 ; Special Hospital for Medical Rehabilitation of the Heart and Lung Diseases and Rheumatism “Thalassotherapia Opatija”, Opatija, Croatia
Danijel Premuš orcid id orcid.org/0000-0002-6806-2027 ; Special Hospital for Medical Rehabilitation of the Heart and Lung Diseases and Rheumatism “Thalassotherapia Opatija”, Opatija, Croatia
Viktor Peršić orcid id orcid.org/0000-0003-4473-5431 ; Special Hospital for Medical Rehabilitation of the Heart and Lung Diseases and Rheumatism “Thalassotherapia Opatija”, Opatija, Croatia

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Abstract

Keywords

cardiorespiratory fitness; exercise; health; myocardial infarction

Hrčak ID:

287686

URI

https://hrcak.srce.hr/287686

Publication date:

8.12.2022.

Visits: 500 *

Copyright: 2022, Croatian Cardiac Society

Date received: 03 November 2022

Date accepted: 10 November 2022

Publication date (print and electronic): November 2022

Volume: 17

Issue: 9-10

Page: 247

Publisher ID: CC 2022 17_9-10_247

DOI: 10.15836/ccar2022.247

Article Information (continued)

Categories:

Subject: Extended Abstract

Categories:

Subject: Cardiovascular prevention and rehabilitation

KEYWORDS: :

KEYWORDS:

Keyword: cardiorespiratory fitness

Keyword: exercise

Keyword: health

Keyword: myocardial infarction

High-intensity interval training in ST-elevation myocardial infarction and non-ST-elevation myocardial infarction: risk to benefit ratio?

[https://orcid.org/0000-0003-3349-0395] Viktor Ivaniš[1][*]

[https://orcid.org/0000-0003-0379-5235] Kristina Skroče[1][2][3]

[https://orcid.org/0000-0001-6238-3738] Dijana Travica Samsa[1][2]

[https://orcid.org/0000-0001-9353-0542] Koraljka Knežević[1]

[https://orcid.org/0000-0003-4990-6201] Irena Kužet Mioković[1]

[https://orcid.org/0000-0003-2710-4769] Marina Njegovan[1]

[https://orcid.org/0000-0002-6806-2027] Danijel Premuš[1]

[https://orcid.org/0000-0003-4473-5431] Viktor Peršić[1][2][4]

 

[1] Special Hospital for Medical Rehabilitation of the Heart and Lung Diseases and Rheumatism “Thalassotherapia Opatija”, Opatija, Croatia

[2] The Faculty of Medicine of the University of Rijeka, Rijeka, Croatia

[3] University of Verona, Verona, Italy

[4] The Faculty of Dental Medicine and Health of the University of Osijek, Osijek, Croatia

Author notes:

Correspondence to: [*] ADDRESS FOR CORRESPONDENCE: Viktor Ivaniš, Thalassotherapia Opatija, Ul. Maršala Tita 188, HR-51410 Opatija, Croatia. / Phone: +385-91-5802-358 / E-mail: vikiivanis@yahoo.com

Introduction: High-intensity interval training (HIIT) is increasingly popular exercise training intervention and meta-analyses have suggested HIIT to be more effective at improving cardiorespiratory fitness (CRF) and reducing adiposity compared to moderate-intensity continuous training (MICT) in patients after myocardial infarction. (1) However, the impact of HIIT training on cardiac biomarkers is still controversial. Therefore, the aim was to longitudinally follow up on the main blood markers during 12 weeks of HIIT training in ST-elevation myocardial infarction (STEMI) and non-ST-elevation myocardial infarction (NSTEMI) patients.

Patients and Methods: 16 STEMI and NSTEMI (age 58 ± 10 years; height 177 ± 9 cm; weight 86.8 ± 15.4 kg; VO2max 19 ± 5.3 ml min-1kg-1) underwent 12 weeks of supervised cycling HIIT (4x4 min at 85-95% of HRmax) 3 times per week. Lipid profile as well as cardiac biomarkers (C-reactive protein, hs-Troponin, NT-proBNP) were assessed prior, at week 4 and 8 and post 12-week of proposed training programme.

Results: Blood triglycerides decreased significantly by 22% across the group (1.77 ± 0.97 vs 1.38 ± 0.75 mmol/L, P=.003) after 12 weeks of training. HDL increased by 3.6% whole LDL cholesterol decreased by -2.36% across the group although not in a significant way. CRP decreased by 43.4% (1.99 ± 1.51 mg/dL vs 1.11 ± 1.04 md/dL) and NT-proBNP did not change significantly although a drop of 3.15% was measured.

Conclusion: HIIT did not have a negative effect on the NT-proBNP levels while it improved the lipid profile and C-reactive protein levels. Prescribing safe and progressive exercise programs after CR is critical to improve these parameters that represent prognostic indicators for CVD patients. HIIT has shown to be a type of safe exercise intervention in this group of patients that positively improves blood biomarkers already after 4 weeks of HIIT.

LITERATURE

1 

Wewege MA, Ahn D, Yu J, Liou K, Keech A. High-Intensity Interval Training for Patients With Cardiovascular Disease-Is It Safe? A Systematic Review. J Am Heart Assoc. 2018 November 6;7(21):e009305. https://doi.org/10.1161/JAHA.118.009305 PubMed: http://www.ncbi.nlm.nih.gov/pubmed/30376749

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