title: [Evaluation of changes in the central and peripheral circulatory system under the influence of physical training carried out under the standard procedure of improving patients after acute coronary syndrome].
abstract: The observed with age, atherosclerotic changes in vessels and increasing damage to the vascular endothelium, causing an increase in the occurrence of cardiovascular events. An important element in the rehabilitation of patients with coronary artery disease is a physical activity, to complement the pharmacological treatment.
  
  
  OBJECTIVE
  The aim of the study was to evaluate the influence of a controlled exercise training on changes in central and peripheral circulatory system in patients after acute coronary syndrome.
  
  
  METHODS
  Group comprising 92 patients were divided into three subgroups. The rehabilitation period ranged from 2 to 4 weeks. In group I and II performed a series of interval training on a bicycle ergometer supplemented by general conditioning exercises; in the group III training individually tailored program, consisting of breathing exercises, relaxation and small muscle groups. In all groups, before and after the training cycle test was performed impedance plethysmography of the chest, echocardiography, exercise test.
  
  
  RESULTS
  After completing the program, the parameters plethysmography improved in all groups, with the largest changes were observed in the group treated to the longest training: increase PAmpl (pulse wave amplitude) of 16.7% and PSlope (systolic slope) of 17.6%, while decline in the value of CT (crest time) by 5.7% and PT (propagation time) by 6.3%. In groups, which carried out a controlled exercise training have improved as well: exercise capacity of patients, stroke volume SV, cardiac output CO and global myocardial contractility EF. Moreover, a correlation between the results plethysmography parameters and SV, CO and EF.
  
  
  CONCLUSIONS
  Controlled physical training, which comes under the standard procedure rehabilitation of patients after acute coronary syndrome, leads to better blood perfusion in vessels of the legs and improve myocardial functional parameters, thereby affecting the growth of physical capacity of patients.
authors.affiliation: Clinic of Internal Medicine and Cardiac Rehabilitation, Medical University of Lodz, Poland.
authors.forename: Joanna
authors.initials: J
authors.lastname: Kapusta
authors.affiliation: Clinic of Internal Medicine and Cardiac Rehabilitation, Medical University of Lodz, Poland.
authors.forename: Anna
authors.initials: A
authors.lastname: Kapusta
authors.affiliation: Clinic of Internal Medicine and Cardiac Rehabilitation, Medical University of Lodz, Poland.
authors.forename: Jan
authors.initials: J
authors.lastname: Kowalski
authors.affiliation: Clinic of Internal Medicine and Cardiac Rehabilitation, Medical University of Lodz, Poland.
authors.forename: Robert
authors.initials: R
authors.lastname: Irzmański
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis / Q000503:physiopathology / Q000534:rehabilitation*; D000328:Adult; D000368:Aged; D001808:Blood Vessels / Q000503:physiopathology; D004452:Echocardiography; D005080:Exercise Test; D005081:Exercise Therapy; D005260:Female; D006321:Heart / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D013318:Stroke Volume
keywords: acute coronary syndrome; cardiac rehabilitation; impedance plethysmography; interval training; physical training