Stretching Exercises Enhance Vascular Endothelial Function and Improve Peripheral Circulation in Patients With Acute Myocardial Infarction
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概要
- 論文の詳細を見る
The purpose of this study was to clarify the acute effects of a single session of stretching exercises on vascular endothelial function and peripheral circulation in patients with acute myocardial infarction. This study evaluated 32 patients (mean age, 66 ± 9 years) who received phase I cardiac rehabilitation after acute myocardial infarction. Five types of stretching exercises were performed on the floor: wrist dorsiflexion, close-legged trunk flexion, open-legged trunk flexion, open-legged lateral trunk bending, and cross-legged trunk flexion. Each exercise entailed a 30-second stretching followed by a 30-second relaxation, and was repeated twice. Low- and high-frequency components (LF and HF) of heart rate variability (LF, 0.04-0.15 Hz; HF, 0.15-0.40 Hz) were analyzed, and HF and LF/HF were used as indices of parasympathetic and sympathetic nervous activities, respectively. Reactive hyperemia peripheral arterial tonometry (RH-PAT) index was measured and used as a parameter for vascular endothelial function. Transcutaneous oxygen pressure (tcPO<SUB>2</SUB>) on the right foot and chest was also measured, and the Foot-tcPO<SUB>2</SUB>/Chest-tcPO<SUB>2</SUB> ratio was used as a parameter for peripheral circulation. The HF, RH-PAT index, and Foot-tcPO<SUB>2</SUB>/Chest-tcPO<SUB>2</SUB> ratio were significantly higher after the exercises than before (<I>P</I> < 0.05, <I>P</I> < 0.01, and <I>P</I> < 0.05, respectively). There was no significant difference in the LF/HF ratio measured before and after stretching exercises. These findings demonstrate that stretching exercises improve vascular endothelial function and peripheral circulation in patients with acute myocardial infarction.
著者
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Noda Chiharu
Department Of Cardio-angiology Kitasato University School Of Medicine
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Hotta Kazuki
Department Of Ophthalmology Kameda Medical Center
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Matsunaga Atsuhiko
Department Of Rehabilitation Kitasato University School Of Allied Health Sciences
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Tabata Minoru
Department Of Applied Mathematics Faculty Of Engineering Kobe University
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Kamiya Kentaro
Departmet Of Surgery Showa University School Of Medicine
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Masuda Takashi
Departmant Of Emergency & Critical Care Medicine Kitasato University School Of Medicine
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Yokoyama Misako
Department Of Biological Mechanisms And Functions Graduate School Of Bioagricultural Sciences Nagoya
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Shimizu Ryosuke
Department of Angiology and Cardiology, Kitasato University Graduate School of Medical Sciences
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Nakamura-Ogura Misao
Department of Angiology and Cardiology, Kitasato University Graduate School of Medical Sciences
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Kamekawa Daisuke
Department of Angiology and Cardiology, Kitasato University Graduate School of Medical Sciences
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Akiyama Ayako
Department of Angiology and Cardiology, Kitasato University Graduate School of Medical Sciences
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Kato Michitaka
Department of Angiology and Cardiology, Kitasato University Graduate School of Medical Sciences
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Hotta Kazuki
Department of Angiology and Cardiology, Kitasato University Graduate School of Medical Sciences
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Kamiya Kentaro
Department of Angiology and Cardiology, Kitasato University Graduate School of Medical Sciences
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Masuda Takashi
Department of Angiology and Cardiology, Kitasato University Graduate School of Medical Sciences
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