Home About us Contact
|
Home About us Contact | ||
|
|
||
Maximum Heart Rate (maximum + heart_rate)
Selected AbstractsInfluence of the Maximum Heart Rate Attained during Exercise Testing on Subsequent Heart Rate RecoveryANNALS OF NONINVASIVE ELECTROCARDIOLOGY, Issue 1 2010Sina Zaim M.D. Background: Abnormal heart rate recovery (HRR) following exercise testing has been shown to be a predictor for adverse cardiovascular events. The actual maximum heart rate (MHR) attained during the exercise test does not however have a distinct significance in traditional HRR assessment. The objective of this study was to investigate the role of MHR in HRR. Methods: This prospective study consisted of 164 patients (62% male, mean age 53.7 ± 11.7 years) who were referred for a symptom-limited standard Bruce Protocol treadmill exercise test, based on clinical indications. The patients were seated immediately at test completion and the heart rate (HR) recorded at one and two minutes postexercise. A normal HRR was defined as a HR drop of 18 beats per minute or more at the end of the first minute of recovery. The HRR profile of patients who reached ,85% of their maximum predicted heart rate (MPHR) during peak exercise were then compared to HRR profile of those who could not. Results: One hundred twelve patients (Group A) achieved a MHR , 85% of MPHR during peak exercise whereas 52 patients (Group B) did not. Chi-square analysis showed a higher incidence of normal HRR in Group A compared to Group B (p = 0.029). Analysis of variance with repeated measures showed that group A had a greater HRR at the first minute F1,162= 6.98, p = <0.01) but not the second minute (F1,162=1.83, p = .18) postexercise. Conclusion: There is a relation between the peak heart rate attained during exercise and the subsequent HRR. A low peak heart rate increases the likelihood of a less than normal HRR. Assessment of the entire heart-rate response seems warranted for more thorough risk-stratification. Ann Noninvasive Electrocardiol 2010;15(1):43,48 [source] Exercise parameters in the treatment of clinical depression: a systematic review of randomized controlled trialsJOURNAL OF EVALUATION IN CLINICAL PRACTICE, Issue 3 2010Luke G. Perraton BPT MPT Abstract Rationale, aims and objectives, Previous systematic reviews have concluded that exercise programmes are effective in the management of clinical depression. The aim of this review was to analyse the parameters of exercise programmes reported in the primary research, in order to provide clinicians with evidence-based recommendations for exercise prescription for clinical depression. Methods, A systematic review of randomized controlled trials was undertaken. Only trials that reported exercise to be effective in treating depression were included and our review was limited to adults. Appropriate databases and reference lists were searched using established keywords. Data relating to the type, intensity, frequency, duration, mode of exercise and mode of application of exercise was extracted and collated. Results, A total of 14 randomized controlled trials were included in this review and from these trials 20 intervention arms were analysed. The majority of trials used an aerobic exercise intervention and were supervised. The most common exercise parameters were 60,80% of maximum heart rate for 30 minutes three times per week for an overall duration of 8 weeks. There is an equal volume of evidence supporting group as opposed to individually completed exercise programmes and no trends were identified which would support one mode of exercise over another. Conclusions, Currently the primary research on this topic supports the use of aerobic exercise which is supervised in some capacity. The current evidence base supports a prescription of three 30-minute sessions per week of aerobic exercise at 60,80% of maximum heart rate for at least 8 weeks. [source] Cardiac disorders in farmed adult brown trout, Salmo trutta L.JOURNAL OF FISH DISEASES, Issue 4 2000C Mercier During summer in Brittany, France, sea farmed brown trout, Salmo trutta L., regularly experience a high mortality rate which is associated, at least in part, with cardiac disorders (aneurysms and infarcts). The present study is preliminary to a more extensive research programme, the objective of which is to determine to what extent the physiological performance of the cardiovascular system of brown trout is affected by the environmental conditions the fish experience in farm cages. We conducted a 2-week in situ experiment during which the heart rate of eight sea water acclimatized individuals was telemetered using acoustic tags. During the experimental period, water temperature ranged from 16.0 to 17.6 °C. Water oxygen saturation was above 80% at all times and salinity was very high (35.5,) but stable. Although they were unfed and not active, seven of out the eight tagged animals displayed near maximum heart beat frequencies, which ranged between 83 and 98 beats per minute (bpm). On the other hand, the eighth animal exhibited medium-range heart rates (50,70 bpm). Using phase delay maps, we established that the maximum heart rate of brown trout at 17 °C was in the range of 96,100 bpm. This result suggests that in our experimental conditions, the heart rate of most of our inactive fish was between 85 and 100% of maximum myocardial performance. We hypothesize that the cardiac failures observed in brown trout during summer are most likely a result of strenuous workloads imposed on the cardiovascular system by a combination of elevated temperature, high salinity and possibly season-related decreased hypo-osmoregulatory abilities. [source] Pacemaker Memory Data Compared to Twenty-Four-Hour Holter Monitoring in Patients with VVI Pacemakers and Chronic Atrial FibrillationANNALS OF NONINVASIVE ELECTROCARDIOLOGY, Issue 3 2005Michal Chudzik M.D., Ph.D. Background: In light of the results from the AFFIRM trial, the "rate control" strategy has become an accepted treatment modality for patients with atrial fibrillation (AF). Establishing effective rate control requires long-term monitoring of the heart rate. The aim of the study was to compare the heart rate and rhythm monitoring capabilities of the pacemaker memory data (PMD) algorithm and traditional twenty-four-hour Holter monitoring. Methods: The study included 55 patients with chronic AF and a permanent VVI pacemaker. The mean and maximum heart rate as well as the percentage of sensed and paced events obtained from the twenty-four-hour Holter were compared with the results retrieved from PMD, started simultaneously. The study was performed over two consecutive days with pacemakers programmed in VVI 40 and 80 bpm mode. Results: Data retrieved from PMD regarding percentage of sensed and paced episodes as well as mean heart rate strongly correlated with data obtained from twenty-four-hour Holter monitoring. The maximum heart rate reported by PMD was significantly higher than that found in the Holter. Conclusions: PMD provides accurate information regarding long-term monitoring of heart rate in patients with AF who have an implanted permanent pacemaker and thus may facilitate optimized drug therapy to achieve rate control of AF. [source] | ||||||||||