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June 17, 2022Frontiers in Cardiovascular MedicineOpen Access

Short- and Long-Term Effects of High-Intensity Interval Training vs. Moderate-Intensity Continuous Training on Left Ventricular Remodeling in Patients Early After ST-Segment Elevation Myocardial Infarction—The HIIT-EARLY Randomized Controlled Trial

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Key result

In optimally treated male patients early after STEMI, high-intensity interval training did not significantly differ from moderate-intensity continuous training in changing left ventricular end-diastolic volume index at the end of cardiac rehabilitation (p=0.557).

Why the study?

Does high-intensity interval training improve left ventricular remodeling in patients early after ST-segment elevation myocardial infarction compared to moderate-intensity continuous training?

Comparison

High-intensity interval training vs isocaloric moderate-intensity continuous training

Design

Randomized controlled trial

Follow-up

1-year follow-up

Authors

PEPrisca EserPreventive CardiologyLTLukas D. TrachselUniversity of BernTMThimo MarcinUniversity of Bern

Discussion

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Implication

HIIT matches MICT for LV remodeling early post-STEMI; extends evidence that matched-volume training yields comparable remodeling regardless of intensity.

Study Design

Type

RCT (n=73)

Blinding

Outcome assessors blinded

Randomization

1:1, blocksize 2, stratified by left ventricular function

Multicenter

No

Structured PICO

Does high-intensity interval training improve left ventricular remodeling in patients early after ST-segment elevation myocardial infarction compared to moderate-intensity continuous training?

P
Population
73 male patients early after a first ST-segment elevation myocardial infarction treated with primary PCI, enrolled in a 12-week cardiac rehabilitation program and followed for 1 year.
I
Intervention
High-intensity interval training (HIIT) for 9 weeks (following a 3-week run-in period of moderate-intensity continuous training).
C
Comparator
Isocaloric moderate-intensity continuous training (MICT) for 9 weeks.
O
Outcome
Left ventricular end-diastolic volume index (LVEDVi) at the end of cardiac rehabilitation (12 weeks).surrogate

Main Result

Absolute Event Rate: 4.5% vs 6.2%

p-value: p=0.557

In optimally treated patients early after STEMI, HIIT did not improve short-term LV remodeling compared to MICT and was associated with worse long-term global longitudinal strain.

Limitations

  • Did not achieve the target sample size of 144 due to slow recruitment and competing studies
  • Included only male patients, limiting generalizability to females
  • Cannot exclude that engagement in physical activity during and after cardiac rehabilitation differed between groups

Cite This Study

Eser et al. (2022) conducted an RCT in ST-segment elevation myocardial infarction (STEMI) (n=73). High-intensity interval training (HIIT) vs. Moderate-intensity continuous training (MICT) (3 sessions per week) was evaluated on Change in left ventricular end-diastolic volume index (LVEDVi) at the end of cardiac rehabilitation (p=0.557). In optimally treated male patients early after STEMI, high-intensity interval training did not significantly differ from moderate-intensity continuous training in changing left ventricular end-diastolic volume index at the end of cardiac rehabilitation (p=0.557).

synapsesocial.com/papers/6a484ee085791bcb1ba7785bhttps://doi.org/10.3389/fcvm.2022.869501
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