Article

Recently, high-intensity aerobic interval training was shown to be more effective
than continuous moderate-intensity exercise for improving maximal aerobic
capacity and endurance in patients with coronary heart disease. However, patients
with exercise-induced ischemia were not included in those studies. We present the
acute cardiopulmonary responses of a 67-yr-old man with stable angina pectoris
during a 34-min session of high-intensity aerobic interval training. Exercise was
well tolerated with neither significant arrhythmia nor elevation of cardiac
troponin-T. We observed a complete disappearance of symptoms and signs of
myocardial ischemia after 24 mins of exercise. This observation is similar to the
warm-up angina phenomenon, an adaptation to myocardial ischemia that remains
poorly understood. We conclude that high-intensity aerobic interval training is a
promising mode of training for patients with stable coronary heart disease that
should also be investigated further in patients with exercise-induced ischemia.

Langue : ANGLAIS