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July 3, 2026Open Access

Two-leg press training elicits higher HR, BP, and cardiac output versus one-leg in men with CHF.

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Why the study?

Studies assessing the hemodynamic impact of resistance exercises in chronic heart failure have reported cardiovascular risks, but few have evaluated the effect of the muscle mass used during such exercise.

Does two-leg resistive training compared to one-leg resistive training alter the acute hemodynamic response in men with chronic heart failure?

Population

23 men with left ventricular dysfunction after myocardial infarction or coronary artery bypass graft surgery

Comparison

Leg press resistance training on two legs vs one leg

Design

Randomized crossover trial

Key result

Dynamic resistive training on the leg press with both legs elicited significantly higher heart rate, blood pressure, and cardiac output compared to one leg in men with chronic heart failure.

Authors

AGAlexis GilletMLMichel LamottePBPhilippe van de Borne

Discussion

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Overview

Two-leg leg press increases acute hemodynamic load versus one-leg in HF; extends evidence guiding resistance exercise prescription in cardiac rehab.

Key Points

  • To compare the hemodynamic response of resistance training on the leg press based on muscle mass used in patients with chronic heart failure.
  • Twenty-three men with left ventricular dysfunction participated in high-intensity resistance training.
  • Performed leg press exercises using one leg and two legs, with randomization in order.
  • Monitored heart rate, blood pressure, and stroke volume continuously using a noninvasive measurement system.
  • Higher heart rate parameters, blood pressure, and cardiac output were observed during two-leg exercises compared to one-leg exercises.
  • No significant difference in peripheral vascular resistance was noted between the two methods.
  • Increased cardiac output and systolic blood pressure were recorded during the third set of exercises.

Study Design

Type

RCT (n=23)

Randomization

Randomized

Multicenter

No

Structured PICO

Does two-leg resistive training compared to one-leg resistive training alter the acute hemodynamic response in men with chronic heart failure?

P
Population
23 men (mean age 61) with chronic heart failure and left ventricular dysfunction post-MI or CABG undergoing acute resistive training.
I
Intervention
Dynamic resistive training exercise of high intensity (75% 1 Maximum Voluntary Contraction) on the leg press, fast execution, 3 sets of 10 repetitions with one minute of recovery, performed on two legs.
C
Comparator
The same dynamic resistive training exercise performed on one leg.
O
Outcome
Hemodynamic impact including heart rate, blood pressure, stroke volume, and cardiac output during exercise.surrogate

High-intensity resistance training using both legs increases cardiac output and systolic blood pressure more than single-leg exercise, but remains hemodynamically safe for patients with chronic heart failure.

Cite This Study

Gillet et al. (2026) conducted an RCT in Chronic heart failure (n=23). Dynamic resistive training on the leg press with both legs vs. Dynamic resistive training on the leg press with one leg was evaluated on Hemodynamic response (heart rate, blood pressure, and cardiac output). Dynamic resistive training on the leg press with both legs elicited significantly higher heart rate, blood pressure, and cardiac output compared to one leg in men with chronic heart failure.

synapsesocial.com/papers/6a4750705c29257aa2578243https://doi.org/10.82161/hwh0-s057
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Hemodynamic Responses During Aerobic and Resistance Exercise2002 · 81 citations
  2. 2Acute hemodynamic responses during resistance exercise with different intensities in patients with chronic heart failure2026
  3. 3Comparative effects of different strength training modalities in cardiac rehabilitation: preliminary results2026
  4. 4Acute cardiovascular response to resistance training during cardiac rehabilitation: effect of repetition speed and rest periods2010 · 82 citations
  5. 5The Effect of Different Intensity Modalities of Resistance Training on Beat-to-Beat Blood Pressure in Cardiac Patients2005 · 105 citations