title: [Combined exercise training in men with metabolic syndrome after acute coronary event].
abstract: BACKGROUND
  Favourable effect of exercise training on cardiovascular prognosis in patients with metabolic syndrome have been documented in lot of studies. Less information exist about results of cardiovascular rehabilitation in patients with different forms of coronary heart disease and associated diseases and abnormalities within metabolic syndrome.
  
  
  METHODS
  The present article evaluates a benefit of combined, aerobic-resistance training in two groups of patients after percutaneous coronary intervention for acute coronary syndrome: with [group MS(+), n = 42] and without [group MS(-), n = 53] metabolic syndrome. The changes in aerobic capacity (VO2 peak, VO2 peak . kg(-1)), physical performance (W peak, W peak . kg(-1)), blood pressure, BMI and waist circumference after 12 weeks of cardiovascular rehabilitation are evaluated.
  
  
  RESULTS
  Significant improvement in aerobic capacity and physical performance were found out both in group MS(+) and MS(-) (p < 0.01, resp. p < 0.001). Decrease of systolic blood pressure was significant in MS(+), whereas in MS(-) together with decrease of diastolic BP in both groups were not significant. The increase in aerobic capacity and physical performance in patients of MS(+) is comparable with those in MS(-); the decrease in systolic BP was more intensive in MS(+) compared to MS(-). The changes in waist circumference and BMI were not significant in both groups.
  
  
  CONCLUSIONS
  The results show, that in patients with high number of risk factors associated with metabolic syndrome was demonstrated at least comparable benefit from cardiovascular rehabilitation compared with those without metabolic syndrome.
authors.affiliation: Klinika telovýchovného lékarství rehabilitace Lékarské fakulty MU a FN u sv. Anny v Brné. hana.svacinova@fnusa.cz
authors.forename: H
authors.initials: H
authors.lastname: Svacinová
authors.forename: V
authors.initials: V
authors.lastname: Mrkvicová
authors.forename: J
authors.initials: J
authors.lastname: Pochmonová
authors.forename: B
authors.initials: B
authors.lastname: Rosenbergová
authors.forename: J
authors.initials: J
authors.lastname: Siegelová
authors.forename: P
authors.initials: P
authors.lastname: Dobsák
authors.forename: J
authors.initials: J
authors.lastname: Vítovec
mesh_terms: D054058:Acute Coronary Syndrome / Q000150:complications / Q000534:rehabilitation* / Q000628:therapy; D015906:Angioplasty, Balloon, Coronary / Q000534:rehabilitation; D005081:Exercise Therapy; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000150:complications / Q000534:rehabilitation*; D008875:Middle Aged