PAssive TRaining In elderly patients with Acute myocaRdial infarCtion (PATRIARCH Study): effects on intracardiac hemodynamics and arrhythmias

Aim. To study the effects of skeletal electromyostimulation (SEMS) on intracardiac hemodynamics and arrhythmia risk in elderly patients with myocardial infarction (MI). Material and methods. The study included 92 MI patients aged >60 years (mean age 71,4±0,6 years), divided into 4 groups: two...

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Main Authors: A. N. Sumin, A. V. Bezdenezhnykh, O. M. Baydina, T. A. Popova, O. P. Khayredinova
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2010-06-01
Series:Кардиоваскулярная терапия и профилактика
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Online Access:https://cardiovascular.elpub.ru/jour/article/view/2082
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author A. N. Sumin
A. V. Bezdenezhnykh
O. M. Baydina
T. A. Popova
O. P. Khayredinova
author_facet A. N. Sumin
A. V. Bezdenezhnykh
O. M. Baydina
T. A. Popova
O. P. Khayredinova
author_sort A. N. Sumin
collection DOAJ
description Aim. To study the effects of skeletal electromyostimulation (SEMS) on intracardiac hemodynamics and arrhythmia risk in elderly patients with myocardial infarction (MI). Material and methods. The study included 92 MI patients aged >60 years (mean age 71,4±0,6 years), divided into 4 groups: two SEMS groups of patients aged 60-69 years (n=18) and over 70 years (n=30), plus two control groups, aged 60-69 years (n=19) and over 70 years (n=25). In the main groups (MG), SEMS course was started from treatment day 4-5 (2 hours per day, 10 days; “Myorithm-040” device). Before hospital discharge, strength and endurance of leg skeletal muscles, general physical stress tolerability (PST), 24-hour electrocardiography (ECG) monitoring, and echocardiography (EchoCG) parameters were assessed. Results. In MI patients aged over 70 years, SEMS course increased power and endurance of leg muscles and PST, while these effects were absent among patients aged 60-69 years. In the MG, SEMS was associated with reduced mean circadian heart rate (HR), and no adverse changes in intracardiac hemodynamics, comparing to the CG. During veloergometry stress test, PST in elderly patients significantly and directly correlated with leg muscle strength and endurance, and moderately and inversely correlated with age and maximal HR at night. Conclusion. SEMS is a safe method of PST increase in MI patients aged over 70 years. This method should be studied further and implemented into clinical practice.
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spelling doaj-art-74d9b42e9a3849008f19f0b8c59d30032025-08-04T12:50:15Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252010-06-019329371793PAssive TRaining In elderly patients with Acute myocaRdial infarCtion (PATRIARCH Study): effects on intracardiac hemodynamics and arrhythmiasA. N. Sumin0A. V. Bezdenezhnykh1O. M. Baydina2T. A. Popova3O. P. Khayredinova4Research Institute of Complex Cardiovascular Disease Problems, Siberian Branch, Russian Academy of Medical Sciences. KemerovoResearch and Clinical Centre of Miners’ Health. Leninsk-KuznetskyResearch and Clinical Centre of Miners’ Health. Leninsk-KuznetskyResearch and Clinical Centre of Miners’ Health. Leninsk-KuznetskyResearch and Clinical Centre of Miners’ Health. Leninsk-KuznetskyAim. To study the effects of skeletal electromyostimulation (SEMS) on intracardiac hemodynamics and arrhythmia risk in elderly patients with myocardial infarction (MI). Material and methods. The study included 92 MI patients aged >60 years (mean age 71,4±0,6 years), divided into 4 groups: two SEMS groups of patients aged 60-69 years (n=18) and over 70 years (n=30), plus two control groups, aged 60-69 years (n=19) and over 70 years (n=25). In the main groups (MG), SEMS course was started from treatment day 4-5 (2 hours per day, 10 days; “Myorithm-040” device). Before hospital discharge, strength and endurance of leg skeletal muscles, general physical stress tolerability (PST), 24-hour electrocardiography (ECG) monitoring, and echocardiography (EchoCG) parameters were assessed. Results. In MI patients aged over 70 years, SEMS course increased power and endurance of leg muscles and PST, while these effects were absent among patients aged 60-69 years. In the MG, SEMS was associated with reduced mean circadian heart rate (HR), and no adverse changes in intracardiac hemodynamics, comparing to the CG. During veloergometry stress test, PST in elderly patients significantly and directly correlated with leg muscle strength and endurance, and moderately and inversely correlated with age and maximal HR at night. Conclusion. SEMS is a safe method of PST increase in MI patients aged over 70 years. This method should be studied further and implemented into clinical practice.https://cardiovascular.elpub.ru/jour/article/view/2082electromyostimulationmyocardial infarctionelderly patients
spellingShingle A. N. Sumin
A. V. Bezdenezhnykh
O. M. Baydina
T. A. Popova
O. P. Khayredinova
PAssive TRaining In elderly patients with Acute myocaRdial infarCtion (PATRIARCH Study): effects on intracardiac hemodynamics and arrhythmias
Кардиоваскулярная терапия и профилактика
electromyostimulation
myocardial infarction
elderly patients
title PAssive TRaining In elderly patients with Acute myocaRdial infarCtion (PATRIARCH Study): effects on intracardiac hemodynamics and arrhythmias
title_full PAssive TRaining In elderly patients with Acute myocaRdial infarCtion (PATRIARCH Study): effects on intracardiac hemodynamics and arrhythmias
title_fullStr PAssive TRaining In elderly patients with Acute myocaRdial infarCtion (PATRIARCH Study): effects on intracardiac hemodynamics and arrhythmias
title_full_unstemmed PAssive TRaining In elderly patients with Acute myocaRdial infarCtion (PATRIARCH Study): effects on intracardiac hemodynamics and arrhythmias
title_short PAssive TRaining In elderly patients with Acute myocaRdial infarCtion (PATRIARCH Study): effects on intracardiac hemodynamics and arrhythmias
title_sort passive training in elderly patients with acute myocardial infarction patriarch study effects on intracardiac hemodynamics and arrhythmias
topic electromyostimulation
myocardial infarction
elderly patients
url https://cardiovascular.elpub.ru/jour/article/view/2082
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