Gois Caroline Oliveira, Conceição Lino Sergio Rocha, de Andrade Guimarães Alana Lalucha, Carvalho Vitor Oliveira
Postgraduate Program in Health Science, Department of Physical Therapy, Federal University of Sergipe (Universidade Federal de Sergipe - UFS), Av. Marechal Rondon, s/n -Jardim Rosa Elze, São Cristóvão, Sergipe, 49100-000, Brazil.
The GrEAt Group (Grupo de Estudos Em Atividade Físicasica), Av. Marechal Rondon, s/n -Jardim Rosa Elze, São Cristóvão, Sergipe, 49100-000, Brazil.
Egypt Heart J. 2023 Mar 16;75(1):19. doi: 10.1186/s43044-023-00344-7.
Low cardiorespiratory fitness is associated with poor prognosis in individuals with coronary artery disease and after coronary artery bypass grafting surgery. Thus, we comment about a meta-analysis that adds important information about the effect of exercise training on cardiac autonomic function in individuals following coronary artery bypass grafting surgery.
The study by Kushwaha et al. showed positive effects for heart rate variability and heart rate recovery in subjects after coronary artery bypass grafting surgery in response to acute physical training. These data are relevant, since heart rate variability is an independent predictor of for all-cause and cardiovascular mortality for individuals with cardiovascular disorders. Additionally, attenuated heart rate recovery is associated with increased risk for the same outcomes. Moreover, we summarize the quantitative data from studies that compared the effect of physical training in comparison with control group in cardiorespiratory fitness in adults following coronary artery bypass grafting.
Our findings suggest that improvements in peak oxygen consumption result in an additional benefit in adults following coronary artery bypass grafting. Considered that, the increased cardiorespiratory fitness is an independent predictor of longer survival in coronary artery disease.
低心肺适能与冠状动脉疾病患者及冠状动脉旁路移植术后患者的不良预后相关。因此，我们对一项荟萃分析进行评论，该分析补充了有关运动训练对冠状动脉旁路移植术后患者心脏自主神经功能影响的重要信息。
Kushwaha等人的研究表明，冠状动脉旁路移植术后的受试者在接受急性体育训练后，心率变异性和心率恢复有积极效果。这些数据具有相关性，因为心率变异性是心血管疾病患者全因死亡率和心血管死亡率的独立预测指标。此外，心率恢复减弱与相同结局的风险增加相关。此外，我们总结了比较体育训练与对照组对冠状动脉旁路移植术后成年人心肺适能影响的研究中的定量数据。
我们的研究结果表明，峰值耗氧量的改善对冠状动脉旁路移植术后的成年人有额外益处。鉴于此，心肺适能的提高是冠状动脉疾病患者更长生存期的独立预测指标。
