GMS | 7th EFSMA – European Congress of Sports Medicine, 3rd Central European Congress of Physical Medicine and Rehabilitation, Annual Assembly of the German and the Austrian Society of Physical Medicine and Rehabilitation | Cardiovascular complications during combined resistance-endurance training of a 4 weeks cardiac rehabilitation program

7th EFSMA – European Congress of Sports Medicine, 3rd Central European Congress of Physical Medicine and Rehabilitation, Annual Assembly of the German and the Austrian Society of Physical Medicine and Rehabilitation

Austrian Society of Physical Medicine and Rehabilitation

26.-29.10.2011, Salzburg, Austria

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Cardiovascular complications during combined resistance-endurance training of a 4 weeks cardiac rehabilitation program

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Martin Miehl - University of Vienna, Austria
Sebastian Gruber - University of Vienna, Austria
Peter Schmid - Center for Cardiac Rehabilitation, Bad Schallerbach, Austria
Robert Berent - Center for Cardiac Rehabilitation, Bad Schallerbach, Austria
Christoph Hofer - Center for Cardiac Rehabilitation, Bad Schallerbach, Austria
Manfred Wonisch - Center for Cardiac Rehabilitation, St. Radegund, Austria
Serge P. von Duvillard - Center for Cardiac Rehabilitation, Bad Schallerbach, Austria
Rochus Pokan - University of Vienna, Austria

7th EFSMA – European Congress of Sports Medicine, 3rd Central European Congress of Physical Medicine and Rehabilitation. Salzburg, 26.-29.10.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11esm118

doi: 10.3205/11esm118, urn:nbn:de:0183-11esm1188

Published:	October 24, 2011

© 2011 Miehl et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

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Objective: The purpose of this study was to examine adverse cardiovascular events that occurred as result of resistance training within combined resistance-endurance training sessions in a cardiac residential rehabilitation (CR) program.

Material/Methods: Nine-hundred-ninety-six patients (204 women, age 65 yrs and 792 men, age 62 yrs) completed a combined resistance-endurance training consisting of 5±2 resistance training-sessions (50% of the one repetition maximum, 2-3 sets of 12-15 repetitions each, engaging 10 different muscle groups) and 15±4 endurance training-sessions consisting of 50-60% of maximal leg power (P_max) on cycle ergometer, lasting 10-18 minutes per training session.

Results: 28 patients exhibited adverse effects associated with resistance training sessions 4 hypoglycemia and 24 cardiovascular complications. Of those, 9 presented hypertension, 11 hypotension, 2 atrial fibrillation, 1 angina pectoris, 1 bradycardia and 16 further adverse effects that were not directly connected to training sessions (5 acute respiratory illnesses and/or influenza infections, 4 angiography, 3 vertigo, 2 diarrhea, 1 pleural effusion, 1 venous patch).

Conclusion: Our findings suggest that complications of the cardiovascular system are rare and appear to be mild during a 4 weeks lasting combined resistance-endurance training program.

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