Maximal-intensity interval training significantly increased VO2max compared to high-intensity interval training and usual care in patients with acute myocardial infarction (P<0.001).
RCT (n=91)
randomly assigned
Does maximal-intensity interval training improve exercise capacity and quality of life compared to high-intensity interval training and usual care in patients with acute myocardial infarction?
Maximal-intensity interval training significantly increases V̇O2max more than high-intensity interval training and usual care in post-MI patients, suggesting higher intensity in phase II cardiac rehabilitation yields better physiological outcomes.
p-value: p=<0.001
BACKGROUND: An increase in V̇O2max is important for acute myocardial infarction morbidity, and recurrence rate and intensity have been suggested as important factors in improving V̇O2max. AIM: The aim of this study was to compare the effects of maximal-intensity interval training (MIIT) and high-intensity interval training (HIIT) on exercise capacity and health-related Quality of Life (HRQoL) in patients with acute myocardial infarction (MI) at low and moderate cardiac risk in cardiac rehabilitation (CR). This study secondarily aimed to compare the effects of hospital-based phase II CR and usual care. DESIGN: This study is a randomized controlled trial. SETTING: Outpatient Rehabilitation Setting. POPULATION: Fifty-nine patients with acute MI were randomly assigned to the MIIT (N.=30) or HIIT (N.=29) group, and 32 to the usual care group. METHODS: Twice a week, an intervention was conducted for nine weeks in all groups. The maximum oxygen intake (V̇O2max) and MacNew Heart Disease HRQoL were evaluated before and after intervention. RESULTS: A significant interaction was observed between time and group for V̇O2max (P0.05). CONCLUSIONS: Compared to HIIT and usual care, MIIT significantly increased the V̇O2max and was as safe as HIIT in patients with acute MI with low and moderate cardiac risk in CR. Additionally, MIIT and HIIT were superior to usual care in terms of improving the HRQoL. CLINICAL REHABILITATION IMPACT: Our results suggest that increased intensity in phase II CR could result in better outcomes in terms of V̇O2max increment in patients with acute MI and low and moderate cardiac risk in CR.
Nam et al. (Tue,) conducted a rct in acute myocardial infarction (n=91). Maximal-intensity interval training (MIIT) vs. High-intensity interval training (HIIT) and usual care was evaluated on maximum oxygen intake (V̇O2max) (p=<0.001). Maximal-intensity interval training significantly increased VO2max compared to high-intensity interval training and usual care in patients with acute myocardial infarction (P<0.001).