The Effects of Controlled Physical Training on Peripheral Circulation Following Interventional Treatment of Coronary Artery Disease.

BACKGROUND: Controlled physical training induces specific changes in the peripheral circulatory system and can lead to positive changes in the vascular perfusion of the lower extremities. OBJECTIVES: The aim of the study was to evaluate changes in peripheral circulation in the calf in patients with acute coronary disease (ACD) undergoing controlled physical training. Impedance plethysmography was used to monitor peripheral circulation during the training. MATERIAL AND METHODS: A total of 90 patients were divided into three study groups. Group 1 (n = 30) participated in a two-week cardiac rehabilitation program consisting of interval training on a cycle ergometer and exercise to improve the participants' general physical condition. Group 2 (n = 30) went through the same cardiac rehabilitation program for four weeks. The control group (n = 30) was assigned breathing exercises, active free exercises of the peripheral joints and different muscle groups, and relaxation exercises. All the patients underwent impedance plethysmography tests before and after the training sessions. RESULTS: In Group 1, the systolic slope (PSlope) increased by 2%, pulse wave amplitude (PAmpl) increased by 4.2%, crest time (CT) increased by 1.5% and propagation time (PT) decreased by 1.2% (p > 0.05). In Group 2, the PSlope and PAmpl increased by 19% and 17% respectively, while the CT and PT decreased by 8% and 6.5% respectively (p < 0.05). In the control group, only the CT decreased, by 5% (p < 0.05). CONCLUSIONS: The study confirmed that cardiac rehabilitation improves blood flow in lower limb vessels in patients with ACD. The results depend on the duration and the type of physical training. Impedance plethysmography allows for precise and repeatable monitoring of local blood flow.

Changes in the peripheral blood flow in legs in response to the cold: own studies using plethysmography.

The thermal environment in the workplace is an important factor which affects workers' health. During 2011 in Poland, 14,781 workers were exposed to a cold working environment, i.e., 3.8% of persons employed in hazardous work conditions. The aim of this study was to determine the cardiovascular response to continuous (4 °C for 60 min) and intermittent (10 min at 4 °C and 10 min at room temperature alternately) exposure to the cold in 30 healthy men aged 20-27 years. Peripheral blood flow was assessed with impedance plethysmography. Heart rate and arterial blood pressure were monitored with the Holter system. Having assessed the results, it is difficult to say which kind of exposure has a more severe impact on the cardiovascular system. Longer observation and a more detailed analysis would be necessary (e.g., Doppler echocardiography).

[The impact assessment of pelvic floor exercises to reduce symptoms and quality of life of women with stress urinary incontinence]. / Ocena wplywu cwiczen miesni dna miednicy na redukcje objawów i jakosc zycia kobiet z wysilkowym nietrzymaniem moczu.

UNLABELLED: Stress urinary incontinence (SUI) has an independent will, uncontrolled leakage of urine from the bladder during exercise, sneezing, coughing, laughing, bending or lifting heavy objects. It leads to an increase in abdominal pressure, resulting in a failure of muscular-ligamentous. This problem affects both women and men. Can lead to serious mental disorders such as depression, low self-esteem and dignity, decline in social status, deterioration of mood, anxiety and a decrease in sexual activity. In the treatment of SUI used surgical and conservative treatment, among others, in the form of pelvic floor exercises. THE AIM: of study was to evaluate the effect of pelvic muscle exercise intensity and the frequency of the occurrence of outflow of urine and quality of life in women with SUI. MATERIALS AND METHODS: The study was conducted on a group of 30 women with a mean age of 46±4.23 years diagnosed with SUI. To carry out the study served its own questionnaire consisting of two parts, a total of 33 questions. All subjects have undergone training the muscles of the pelvic floor which consists of two stages. The first lasted four weeks, and consisted of a set of six exercises, in the second stage of the women received outline home exercise. Statistical analysis was performed using the statistical package PQStat ver. 1.4.2.324. RESULTS: Regular pelvic floor muscle training resulted in in a 90% reduction in the frequency of women need to use the toilet during the day, and 93% of respondents get up less often, or not at all used the toilet at night. 30% of respondents declared reduce the outflow of urine during physical activity, and 17% during sneezing and wearing purchases. It has been found to reduce the need to use panty liners. 30% of women observed an improvement in the professional sphere, 28% in the sexual sphere and 21% in the social sphere and family. CONCLUSIONS: After completion of treatment observed a reduction in the number of uncontrolled micturition which contributed to the comfort of the surveyed women. After a series of exercises was noted improvement in interpersonal relations, in private life and professional life and an increased sense of satisfaction among patients.

[Chronic obstructive pulmonary disease as a risk factor for coronary heart disease]. / Przewlekla obturacyjna choroba pluc jako czynnik ryzyka choroby niedokrwiennej serca.

Chronic obstructive pulmonary disease (COPD) and coronary artery disease (CAD) are a significant health problem, not only due to their high incidence, but also because of the significant burden of socio - economic. The frequency of illness in a population, in both cases increases with age and in people over 70 years of age is properly 50% and 75%. Epidemiological data suggest that patients with COPD are at increased risk of cardiovascular disease, and impaired lung function is an independent risk factor for cardiovascular death. This phenomenon may be related to common genetic predisposition and of systemic inflammation for atherosclerosis.