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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Heart rate responses during isometric exercises in patients undergoing a phase III cardiac rehabilitation program

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Author(s):
Leite, Poliana H. [1] ; Melo, Ruth C. [2] ; Mello, Marcelo F. [1] ; da Silva, Ester [3] ; Borghi-Silva, Audrey [1] ; Catai, Aparecida M. [1]
Total Authors: 6
Affiliation:
[1] Univ Fed Sao Carlos UFSCar, Nucleus Res Phys Exercise NUPEF, Lab Cardiovasc Phys Therapy, Phys Therapy Dept, BR-13565905 Sao Carlos, SP - Brazil
[2] Univ Sao Paulo, Sch Arts Sci & Humanities EACH, Sao Paulo - Brazil
[3] Univ Metodista Piracicaba UNIMEP, Fac Hlth Sci, Piracicaba, SP - Brazil
Total Affiliations: 3
Document type: Journal article
Source: BRAZILIAN JOURNAL OF PHYSICAL THERAPY; v. 14, n. 5, p. 383-389, SEP-OCT 2010.
Web of Science Citations: 6
Abstract

BACKGROUND: The magnitude of cardiovascular responses is dependent on the static and dynamic components as well as the duration and intensity of the contraction performed. OBJECTIVE: To evaluate the heart rate responses to different percentages of isometric contractions in 12 patients (63±11.6 years) with coronary artery disease and/or risk factors for coronary artery disease that were participating in a phase III cardiac rehabilitation program. METHODS: Heart rate variation (ΔHR) was evaluated during maximum (MVC, five and ten seconds in duration) and submaximal (SMVC, 30 and 60% of MVC-5, until muscle exhaustion) voluntary contraction, using a handgrip dynamometer. Additionally, the representative index of cardiac vagal modulation (RMSSD index) was calculated at rest (pre-contraction), at the final 30 seconds of SMVC and during recovery (post-contraction). RESULTS: ΔHR showed higher values in MVC-10 versus MVC-5 (17±5.5 vs 12±4.2 bpm, p<0.05) and the SMVC-60 vs SMVC-30 (19±5.8 vs 15±5.1 bpm, p<0.05). However, results for CVM-10 showed similar ΔHR compared to results for CVSM (p> 0.05). RICVM at rest decreased (p<0.05) during SMVC-30 (30% = 27.9±17.1 vs 12.9±8.5 ms) and SMVC-60 (60% =25.8±18.2 vs 9.96±4.2 ms), but returned to the baseline values when the contraction was interrupted. CONCLUSIONS: In patients with coronary artery disease and/or risk factors for coronary heart disease, low intensity isometric contraction, maintained over long periods of time, presents the same effect on the responses of HR, compared to a high intensity or maximal isometric contraction of briefly duration. (AU)