A Meta-analysis of the effects of Exercise Training on Left Ventricular Remodeling Following Myocardial Infarction: Start early and go longer for greatest exercise benefits on remodeling
2011

Exercise Training and Heart Recovery After a Heart Attack

Sample size: 647 publication Evidence: moderate

Author Information

Author(s): Mark Haykowsky, Jessica Scott, Ben Esch, Don Schopflocher, Jonathan Myers, Ian Paterson, Darren Warburton, Lee Jones, Alexander M Clark

Primary Institution: University of Alberta

Hypothesis

Does early and prolonged exercise training improve left ventricular remodeling in patients after myocardial infarction?

Conclusion

Starting exercise training earlier after a heart attack and continuing it for longer leads to better heart recovery.

Supporting Evidence

  • Exercise training improves overall and cardiovascular-related mortality after myocardial infarction.
  • Earlier initiation of exercise training leads to greater reductions in left ventricular volumes.
  • Each week of delay in starting exercise requires an additional month of training for similar benefits.

Takeaway

If you start exercising soon after a heart attack and keep it up for a long time, your heart can get better faster.

Methodology

Systematic review and meta-analysis of randomized controlled trials.

Potential Biases

Trials did not report randomization procedures or blinding methods.

Limitations

The included studies were mostly low to moderate quality and predominantly involved younger males.

Participant Demographics

Mean age of participants was 55 years, primarily younger males with reduced systolic function.

Statistical Information

P-Value

p<0.01

Statistical Significance

p<0.01

Digital Object Identifier (DOI)

10.1186/1745-6215-12-92

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