Skip to main content

Association of physical fitness and transient myocardial ischemia in patients with coronary artery disease.

Publication ,  Journal Article
Jiang, W; Trauner, MA; Coleman, RE; Waugh, RA; Hanson, MW; Frid, DJ; Phillips, BG; Morris, JJ; O'Connor, C; Blumenthal, JA
Published in: J Cardiopulm Rehabil
1995

PURPOSE: To examine the relationship between physical fitness and transient myocardial ischemia (TMI) in the laboratory and during daily life, in a sample of coronary patients with a recent positive exercise test. METHODS: 47 patients with coronary disease (CAD) participated in laboratory mental and exercise stress testing and 48-hour outpatient Holter monitoring after being withdrawn from ant-ischemic medications. During laboratory testing, left ventricular performance was assessed by radionuclide ventriculography. Physical fitness was assessed by measurement of oxygen consumption during symptom-limited exercise treadmill testing. RESULTS: Higher physical fitness subjects were less likely to exhibit wall-motion abnormalities in response to mental stress (P < .05), and to exercise stress (P < .05) testing. They also had smaller decreases in left ventricular ejection fraction (LVEF) in response to mental stress than less fit subjects (P .056), and exhibited a mean increase in LVEF during exercise, compared to the less fit subjects who exhibited a decrease in LVEF (P < .02). Moreover, higher fit subjects exhibited fewer episodes of TMI (P < .04), for a shorter duration (P < .04), and less total ischemic burden (P < .04) during Holter monitoring. CONCLUSION: These findings suggest that within a population of CAD patients, higher levels of physical fitness are associated with less TMI assessed in the laboratory and during routine activities of daily living.

Duke Scholars

Published In

J Cardiopulm Rehabil

DOI

ISSN

0883-9212

Publication Date

1995

Volume

15

Issue

6

Start / End Page

431 / 438

Location

United States

Related Subject Headings

  • Ventricular Function, Left
  • Stroke Volume
  • Recurrence
  • Physical Fitness
  • Oxygen Consumption
  • Myocardial Ischemia
  • Middle Aged
  • Male
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Jiang, W., Trauner, M. A., Coleman, R. E., Waugh, R. A., Hanson, M. W., Frid, D. J., … Blumenthal, J. A. (1995). Association of physical fitness and transient myocardial ischemia in patients with coronary artery disease. J Cardiopulm Rehabil, 15(6), 431–438. https://doi.org/10.1097/00008483-199511000-00007
Jiang, W., M. A. Trauner, R. E. Coleman, R. A. Waugh, M. W. Hanson, D. J. Frid, B. G. Phillips, J. J. Morris, C. O’Connor, and J. A. Blumenthal. “Association of physical fitness and transient myocardial ischemia in patients with coronary artery disease.J Cardiopulm Rehabil 15, no. 6 (1995): 431–38. https://doi.org/10.1097/00008483-199511000-00007.
Jiang W, Trauner MA, Coleman RE, Waugh RA, Hanson MW, Frid DJ, et al. Association of physical fitness and transient myocardial ischemia in patients with coronary artery disease. J Cardiopulm Rehabil. 1995;15(6):431–8.
Jiang, W., et al. “Association of physical fitness and transient myocardial ischemia in patients with coronary artery disease.J Cardiopulm Rehabil, vol. 15, no. 6, 1995, pp. 431–38. Pubmed, doi:10.1097/00008483-199511000-00007.
Jiang W, Trauner MA, Coleman RE, Waugh RA, Hanson MW, Frid DJ, Phillips BG, Morris JJ, O’Connor C, Blumenthal JA. Association of physical fitness and transient myocardial ischemia in patients with coronary artery disease. J Cardiopulm Rehabil. 1995;15(6):431–438.

Published In

J Cardiopulm Rehabil

DOI

ISSN

0883-9212

Publication Date

1995

Volume

15

Issue

6

Start / End Page

431 / 438

Location

United States

Related Subject Headings

  • Ventricular Function, Left
  • Stroke Volume
  • Recurrence
  • Physical Fitness
  • Oxygen Consumption
  • Myocardial Ischemia
  • Middle Aged
  • Male
  • Humans
  • Female