title: Additional physical activity during cardiac rehabilitation leads to an improved heart rate recovery in male patients after coronary artery bypass grafting.
abstract: BACKGROUND
  Heart rate recovery (HRR) after exercise, which is thought to be a marker of vagal activity, has been reported to improve after cardiac rehabilitation (CR) with exercise in patients with coronary heart disease. The aim of this study was to determine whether or not additional physical activity outside the CR program, would accelerate improvement of the HRR in male patients after coronary artery bypass grafting (CABG).
  
  
  RESULTS
  Twenty male patients were enrolled in a supervised CR program at 2 weeks after CABG, and divided into an active group (walking >or=5,434 steps/day) or a less-active group. The time constant of HRR immediately measured after pedaling exercise was assessed at baseline and after the 2-week CR program. After completion of the CR program, the time constant of HRR improved from 439.7+/-177 s to 288.6+/-97.4 s in the active group (p<0.01), but no changes were observed in the less-active group.
  
  
  CONCLUSIONS
  The results suggest that additional physical activity during a CR program may lead to an improved HRR in patients after CABG. Therefore, post-CABG patients should increase their level of physical activity in addition to that in the CR to improve their cardiac autonomic control.
authors.affiliation: Department of Rehabilitation Medicine, Saitama Medical School, Saitama, Japan. sshinji@poem.ocn.ne.jp
authors.forename: Shinji
authors.initials: S
authors.lastname: Sato
authors.forename: Shigeru
authors.initials: S
authors.lastname: Makita
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Majima
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass / Q000534:rehabilitation*; D003327:Coronary Disease / Q000534:rehabilitation / Q000601:surgery*; D015444:Exercise; D005080:Exercise Test; D006339:Heart Rate / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000534:rehabilitation / Q000601:surgery