A Single Session of Neuromuscular Electrical Stimulation Enhances Vascular Endothelial Function and Peripheral Blood Circulation in Patients With Acute Myocardial Infarction.
This study aimed to investigate whether a single session of neuromuscular electrical stimulation (NMES) can enhance vascular endothelial function and peripheral blood circulation in patients with acute myocardial infarction (AMI). Thirty-four male patients with AMI were alternately assigned to 2 groups, and received NMES with muscle contraction (NMES group, n = 17) or without muscle contraction (control group, n = 17) after admission. NMES was performed for quadriceps and gastrocnemius muscles of both legs for 30 minutes. We measured systolic blood pressure as a parameter of cardiovascular responses and the low-frequency component of blood pressure variability as an index of sympathetic activity. Reactive hyperemia peripheral arterial tonometry (RH-PAT) index and transcutaneous oxygen pressure in foot (Foot-tcPO2) were also measured as parameters of vascular endothelial function and peripheral blood circulation, respectively. All patients completed the study without severe adverse events. Systolic blood pressure and the low-frequency component increased significantly during the NMES session in both groups (P < 0.01 and P < 0.05, respectively). However, elevation from systolic blood pressure at rest was < 10 mmHg in both groups. In the NMES group, the RH-PAT index and Foot-tcPO2increased significantly after NMES (P < 0.05 and P < 0.001, respectively). No significant changes were observed in these parameters throughout the session in the control group. In conclusion, a single session of NMES with muscle contraction enhanced vascular endothelial function, leading to improvement in peripheral blood circulation without inducing excessive cardiovascular and autonomic responses in patients with AMI (UMIN000014196).
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kitasato University.
Shinya
S
Tanaka
Takashi
T
Masuda
Kentaro
K
Kamiya
Nobuaki
N
Hamazaki
Ayako
A
Akiyama
Yumi
Y
Kamada
Emi
E
Maekawa
Chiharu
C
Noda
Minako
M
Yamaoka-Tojo
Junya
J
Ako
D000368:Aged; D004599:Electric Stimulation Therapy; D004730:Endothelium, Vascular / Q000503:physiopathology*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D008365:Manometry; D008875:Middle Aged; D009119:Muscle Contraction; D018482:Muscle, Skeletal; D009203:Myocardial Infarction / Q000503:physiopathology* / Q000534:rehabilitation*; D011446:Prospective Studies; D012039:Regional Blood Flow / Q000502:physiology*