Why the study?
A limited number of studies have directly compared the effects of different exercise doses on cardiovascular health, leaving uncertainty regarding their differential benefits in cardiac rehabilitation.
Does high exercise intensity improve peak oxygen consumption compared to other exercise doses in patients with CAD following acute coronary syndrome?
Does high exercise intensity improve peak oxygen consumption compared to other exercise doses in patients with CAD following acute coronary syndrome?
High-intensity exercise during cardiac rehabilitation may provide the most substantial improvements in cardiorespiratory fitness for CAD patients, though evidence remains limited.
Clinical management of patients with atherosclerotic coronary artery disease (CAD) following acute coronary syndrome includes cardiac rehabilitation. The well-established hallmark of cardiac rehabilitation is structured aerobic exercise training. To date, however, a limited number of studies have directly compared the effects of different doses of exercise on cardiovascular health, leaving uncertainty about the possible differential benefits of different exercise doses for use during cardiac rehabilitation. To address this area of uncertainty, we conducted a literature review and comparative analyses of studies that both compared two or more exercise interventions and assessed pre- and post-intervention peak oxygen consumption (V˙O2PEAK). Results from these analyses suggest that high exercise intensity, even when performed over relatively short duration interventions, appears to yield the most substantial improvements in cardiorespiratory fitness. However, this conclusion is based on the limited number of available studies, underscoring the need for future work examining exercise dose and clinical outcomes in the cardiac rehabilitation setting.
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Neyroud et al. (2025) studied this question.
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