engleski

Risk of exercise training in patients with left ventricular aneurism and intramural thrombus

Harmlessness of exercise training in residential myocardial infarction rehabilitation patients with left ventricular aneurism and intramural thrombus was analysed. Methods: Incidence of cardiovascular complications of 3-week exercise training was compared between consecutive patients with left ventricular aneurism and intramural thrombus (44 ; thrombus), those with no thrombus (85 ; aneurism), those with left ventricular systolic dysfunction with no aneurism (148 ; EF <40%) and those with normal systolic function (95 ; EF > 50%). Results: Incidence of complications was highest in patients with thrombus, but the difference did not reach statistical significance (NS). No one patient had died. One patient with a normal systolic function developed myocardial infarction. Incidences of cardiovascular complications were as follows: Thrombus(44 pts) Aneurism(85 pts) EF < 40%(148 pts) EF > 50%(95 pts) Heart failure 7% 8% 8% 2% Angina 14% 8% 5% 6% Serious arrhythmias5% 2% 3% 8% Total 25% 19% 16% 17% Intensity of exercise was highest in patients with normal systolic function and lowest in the group with thrombus (p<0.01). Conclusion: Appropriately dosed exercise training was found to be enough safe for patients with cardiac intramural thrombus.

heart failure; cardiac rehabilitation

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