ABSTRACT
This study investigated data on cardiopulmonary exercise testing (CPX) indices in order to estimate exercise intensity and ramp load from maximum walking speed (MWS) in elderly hospitalized patients with acute coronary syndrome (ACS). Subjects were 66 male patients hospitalized with ACS (49 young-old patients and 17 old-old patients). We measured exercise intensity by CPX using a cycle ergometer and MWS over 10 m, and examined the patients’ clinical characteristics. Stepwise multiple regression analysis was performed to identify variables that most closely predicted exercise intensity. We then estimated the ramp load from the relationship between exercise load at anaerobic threshold and MWS. The results indicated that MWS was an independent predictor of exercise intensity in old-old patients (adjusted R<sup>2</sup>=0.278, p=0.037) but not in young-old patients. The regression formula predicted the proper ramp load to be 5 and 10 watts as MWS was less than 1.5m/s or more than 1.5m/s, respectively. MWS was related to exercise intensity and could be used to consider the ramp load in CPX in old-old male patients with ACS.
ABSTRACT
Purpose: To compare the effects of aging in patients with acute myocardial infarction (AMI) on their clinical background and hospitalization progress, and to examine the relationships between age and these factors.<br>Subject: One hundred and fifty-three patients who experienced cardiac rehabilitation after percutaneous coronary intervention (PCI) (63.8±11.1 y.o, 126 men, 27 women).<br>Method: The patients were divided into the middle aged group (<65 y.o, n=84), young old group (65 to 74 y.o, n=44), and old group (75 y.o≥ n=25). The differences between groups were examined in respect of 13 items about clinical backgrounds (responsibility coronary arteries, CKmax, LVEF, residual stenosis, hypertension, diabetes, hyperlipemia, smoking, and BMI) and hospitalization progress (cardiac complications, locomotorium disabilities, abnormality as 200mECG, and duration of hospitalization).<br>Results: Left veticular ejection fraction (LVEF) was significantly lower in the old group than in the young old group. The old group had a high rate of residual stenosis. In the coronary risk factors, all of the groups had hypertension at a high rate of 54.5% or over. The middle aged group and young old group had diabetes at about 38%. The middle aged group was prone to hyperlipemia, and had significantly a high smoking rate. Body mass index (BMI) was significantly higher in the middle aged group than in the old group. In hospitalization progress, the old group had a high rate of cardiac complications and locomotorium disability. The duration of hospitalization was significantly longer in the old group than in the other groups.<br>Conclusion: It would be necessary to give middle-aged persons educational guidance for the improvement of the coronary risk factors, and to provide the old persons with the suitable rehabilitation programs considering various complications.
ABSTRACT
This study examined changes in intra-abdominal pressure and trunk activation during drop jump and the influence of those factors on performance. Intra-abdominal pressure (IAP) and surface electromyography (EMG) activity from the rectus abdominis (RA), transversus abdominis-internal oblique (TrA-IO) and erector spinae (ES) muscles were measured in seven males (22.3±1.0 years) during double-leg drop jumps from a 0.4 m height. Development of IAP (ΔIAP) and normalized rmsEMGs were calculated in the pre-contact, impact and push-off phases, after divided by ground reaction force data. TrA-IO activation which occurred prior to ground contact were the earliest and strongest compared to other muscles activation during each phase.ΔIAP during the impact phase coincided with the peak vertical force. There were significant positive correlations between ΔIAP, TrA-IO activation and vertical force per weight. In addition, the contact time correlated negatively with ΔIAP, TrA-IO activation and vertical force per weight. These findings indicate that ΔIAP and TrA-IO activation may contribute to trunk stability and efficient landing during double-leg drop jump.