Abstract

BackgroundStandard endurance training used from the second stage of cardiac rehabilitation has many common features with indoor cycling training which is used in fitness clubs. In the study, an attempt was made to evaluate the usefulness of this form of training in a 24-day rehabilitation program for patients after myocardial infarction. The study examined a group of 64 patients (51.34 ± 8.02 years) who were divided into two groups: the IC group (32 patients aged 53.40 ± 4.31 years) with indoor cycling training instead of standard endurance training; and the ST group (32 patients aged 55.31 ± 6.45 years) performing standard training. The level of exercise tolerance (cardiopulmonary exercise testing on a treadmill—Bruce’s protocol), hemodynamic indicators of the left ventricle (echocardiography) and blood lipid profile (laboratory test) were assessed.ResultsIn the IC group there was a significant increase in the test duration (9.21 ± 2.02 vs 11.24 ± 1.26 min; p < 0.001), the MET value (9.16 ± 1.30 vs 10.73 ± 1.23; p = 0.006) and VO2max (37.27 ± 3.23 vs 39.10 ± 3.17 ml/kg/min; p < 0.001). Parallel changes were observed in the ST group, where the following parameters improved: the test duration (9.41 ± 0.39 vs 10.91 ± 2.22; p < 0.001), MET value (8.65 ± 0.25 vs 9.86 ± 1.12; p = 0.002) and VO2max (36.89 ± 6.22 vs 38.76 ± 3.44; p < 0.001). No statistically significant changes were found in the hemodynamic indices of the left ventricle and the lipid profile. Also, the intergroup analysis did not show any statistical significance.ConclusionBased on the research results, it was found that indoor cycling training in the second phase of cardiac rehabilitation is a safe form of therapy and therefore may be an interesting alternative method to the classic bicycle ergometer exercise in the stage of early cardiac rehabilitation.

Highlights

  • Traditional physical training, in line with the existing standards of management, which begins in the second stage of cardiac rehabilitation, is well known and described [1,2,3]

  • Reducing the number of confounding factors, such as age, sex, disease entity, treatment method, and level of exercise tolerance, patients included in the study were randomized to two rehabilitation procedures: Scientific reports confirm the effective impact of indoor cycling training on cardiovascular and respiratory efficiency, reduction of adipose tissue and the risk of developing cardiovascular diseases in people without cardiovascular diseases [12,13,14,15,16,17]

  • Due to the lack of reports on the possibilities of using indoor cycling training in cardiac rehabilitation programs, an experiment was conducted to determine the effect of such training on the level of exercise tolerance and hemodynamic indices of the left ventricle in patients after a heart attack

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Summary

Introduction

Traditional physical training, in line with the existing standards of management, which begins in the second stage of cardiac rehabilitation, is well known and described [1,2,3]. The presented diversity of solutions used during exercise on a bicycle creates the possibility of conducting frequently changing classes in terms of exercise technique. An additional attraction of such training is the use of music, which makes it possible to determine the intensity of the traveled section, as well as its profile. Standard endurance training used from the second stage of cardiac rehabilitation has many common features with indoor cycling training which is used in fitness clubs. An attempt was made to evaluate the usefulness of this form of training in a 24-day rehabilitation program for patients after myocardial infarction. The level of exercise tolerance (cardiopulmonary exer‐ cise testing on a treadmill—Bruce’s protocol), hemodynamic indicators of the left ventricle (echocardiography) and blood lipid profile (laboratory test) were assessed

Methods
Results
Conclusion

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