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Int J Angiol 2013; 22(03): 159-164
DOI: 10.1055/s-0033-1348881
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Effect of Short-Term Low-Intensity Exercise Training on Association of Oxygen Free Radicals and Nitric Oxide Production in Patients with Acute Myocardial Infarction

Faisal Baraas
1   Department of Cardiology, Medical Faculty, National Cardiovascular Center Harapan Kita Hospital, University of Indonesia, Jakarta, Indonesia
,
Lily Rilantono
1   Department of Cardiology, Medical Faculty, National Cardiovascular Center Harapan Kita Hospital, University of Indonesia, Jakarta, Indonesia
,
Sri Diniharini
1   Department of Cardiology, Medical Faculty, National Cardiovascular Center Harapan Kita Hospital, University of Indonesia, Jakarta, Indonesia
,
Iwan Kurniawan
1   Department of Cardiology, Medical Faculty, National Cardiovascular Center Harapan Kita Hospital, University of Indonesia, Jakarta, Indonesia
,
Roy Christian
1   Department of Cardiology, Medical Faculty, National Cardiovascular Center Harapan Kita Hospital, University of Indonesia, Jakarta, Indonesia
,
Dede Kusmana
1   Department of Cardiology, Medical Faculty, National Cardiovascular Center Harapan Kita Hospital, University of Indonesia, Jakarta, Indonesia
› Author Affiliations
Further Information

Publication History

Publication Date:
04 July 2013 (online)

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Abstract

Moderate-to-high intensity of exercise training within 2 to 3 months decreases oxygen free radicals (reactive oxygen species, ROS) and increases nitric oxide (NO) in outpatients with myocardial infarction. There is no data about the association of ROS and NO after short-term low-intensity exercise training within 5 days in patients hospitalized with acute myocardial infarction (AMI). A total of 32 male patients with AMI were randomized into two groups: 15 patients with short-term low-intensity exercise training within 5 days formed the training group and 17 patients without such exercise training formed the control group. All patients performed exercise treadmill test with modified Bruce protocol before and after the study. F2-isoprostane and NO concentration of the training group increased slightly after modified Bruce exercise treadmill test. Compared with the control group, NO of the training group was also slightly higher. Baseline NO and uric acid were negative predictor variables for F2-isoprostane in all patients hospitalized with AMI, and triglyceride was a positive predictor variable. After the study, physical capacity of the training group was higher; but heart rate and systolic blood pressure were lower significantly. This study showed that short-term low-intensity exercise training for patients hospitalized with AMI did not change ROS and NO productions, but it improved physical capacity and lowered heart rate and systolic blood pressure. NO was negative predictor variable for F2-isoprostane in controlling ROS changes in dynamic compensation mechanism.

Keywords

acute coronary syndrome - atherosclerosis - cardiovascular risk factors - myocardial infarction - oxidative stress - nitric oxide - cardiac markers - exercise
 

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