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Central aortic hemodynamics following acute lower and upper-body exercise in a cold environment among patients with coronary artery disease.


ABSTRACT: Exercise is beneficial to cardiovascular health, evidenced by reduced post-exercise central aortic blood pressure (BP) and wave reflection. We assessed if post-exercise central hemodynamics are modified due to an altered thermal state related to exercise in the cold in patients with coronary artery disease (CAD). CAD patients (n = 11) performed moderate-intensity lower-body exercise (walking at 65-70% of HRmax) and rested in neutral (+ 22 °C) and cold (- 15 °C) conditions. In another protocol, CAD patients (n = 15) performed static (five 1.5 min work cycles, 10-30% of maximal voluntary contraction) and dynamic (three 5 min workloads, 56-80% of HRmax) upper-body exercise at the same temperatures. Both datasets consisted of four 30-min exposures administered in random order. Central aortic BP and augmentation index (AI) were noninvasively assessed via pulse wave analyses prior to and 25 min after these interventions. Lower-body dynamic exercise decreased post-exercise central systolic BP (6-10 mmHg, p < 0.001) and AI (1-6%, p < 0.001) both after cold and neutral and conditions. Dynamic upper-body exercise lowered central systolic BP (2-4 mmHg, p < 0.001) after exposure to both temperatures. In contrast, static upper-body exercise increased central systolic BP after exposure to cold (7 ± 6 mmHg, p < 0.001). Acute dynamic lower and upper-body exercise mainly lowers post-exercise central BP in CAD patients irrespective of the environmental temperature. In contrast, central systolic BP was elevated after static exercise in cold. CAD patients likely benefit from year-round dynamic exercise, but hemodynamic responses following static exercise in a cold environment should be examined further.Clinical trials.gov: NCT02855905 04/08/2016.

SUBMITTER: Hintsala HE 

PROVIDER: S-EPMC7843633 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

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Central aortic hemodynamics following acute lower and upper-body exercise in a cold environment among patients with coronary artery disease.

Hintsala Heidi E HE   Valtonen Rasmus I P RIP   Kiviniemi Antti A   Crandall Craig C   Perkiömäki Juha J   Hautala Arto A   Mäntysaari Matti M   Alén Markku M   Ryti Niilo N   Jaakkola Jouni J K JJK   Ikäheimo Tiina M TM  

Scientific reports 20210128 1


Exercise is beneficial to cardiovascular health, evidenced by reduced post-exercise central aortic blood pressure (BP) and wave reflection. We assessed if post-exercise central hemodynamics are modified due to an altered thermal state related to exercise in the cold in patients with coronary artery disease (CAD). CAD patients (n = 11) performed moderate-intensity lower-body exercise (walking at 65-70% of HR<sub>max</sub>) and rested in neutral (+ 22 °C) and cold (- 15 °C) conditions. In another  ...[more]

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