Evidence mapPaperPMID 33596832Full record

Trial reportBMC cardiovascular disorders2021

Aerobic exercise, but not isometric handgrip exercise, improves endothelial function and arterial stiffness in patients with myocardial infarction undergoing coronary intervention: a randomized pilot study.

Daniel P Kollet, Ana Beatriz Marenco, Nathan L Bellé, Eduardo Barbosa, Liliana Boll, Bruna Eibel, Gustavo Waclawovsky, Alexandre Machado Lehnen

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC cardiovascular disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04000893 (Effect of Aerobic or Resistance Exercise on the Endothelial Response in Post-acute Myocardial Infarction Patients Submitted to Angioplasty), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04000893 nacompletednot on this map

Effect of Aerobic or Resistance Exercise on the Endothelial Response in Post-acute Myocardial Infarction Patients Submitted to Angioplasty: Randomized Clinical Trial

TypeinterventionalSponsorInstituto de Cardiologia do Rio Grande do SulRan2018 to 2019Enrolled20ConditionsCardiac Rehabilitation, Aerobic Exercise, Resistance ExerciseArmsResistance exercise session
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Acute Effects of the Interval and Duration of Intermittent Exercise on Arterial Stiffness in Young Men.International journal of environmental research and public health · 2022
    Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Daniel P KolletInstitute of Cardiology of Rio Grande Do Sul/University Foundation of Cardiology, Unidade de Pesquisa, 3ºAndar, Av. Princesa Isabel, 395 Santana, Porto Alegre, RS, 90620-001, Brazil.
Ana Beatriz MarencoInstitute of Cardiology of Rio Grande Do Sul/University Foundation of Cardiology, Unidade de Pesquisa, 3ºAndar, Av. Princesa Isabel, 395 Santana, Porto Alegre, RS, 90620-001, Brazil.
Nathan L BelléInstitute of Cardiology of Rio Grande Do Sul/University Foundation of Cardiology, Unidade de Pesquisa, 3ºAndar, Av. Princesa Isabel, 395 Santana, Porto Alegre, RS, 90620-001, Brazil.
Eduardo BarbosaInstitute of Cardiology of Rio Grande Do Sul/University Foundation of Cardiology, Unidade de Pesquisa, 3ºAndar, Av. Princesa Isabel, 395 Santana, Porto Alegre, RS, 90620-001, Brazil.
Liliana BollInstitute of Cardiology of Rio Grande Do Sul/University Foundation of Cardiology, Unidade de Pesquisa, 3ºAndar, Av. Princesa Isabel, 395 Santana, Porto Alegre, RS, 90620-001, Brazil.
Bruna EibelInstitute of Cardiology of Rio Grande Do Sul/University Foundation of Cardiology, Unidade de Pesquisa, 3ºAndar, Av. Princesa Isabel, 395 Santana, Porto Alegre, RS, 90620-001, Brazil.
Gustavo WaclawovskyInstitute of Cardiology of Rio Grande Do Sul/University Foundation of Cardiology, Unidade de Pesquisa, 3ºAndar, Av. Princesa Isabel, 395 Santana, Porto Alegre, RS, 90620-001, Brazil.
Alexandre Machado LehnenInstitute of Cardiology of Rio Grande Do Sul/University Foundation of Cardiology, Unidade de Pesquisa, 3ºAndar, Av. Princesa Isabel, 395 Santana, Porto Alegre, RS, 90620-001, Brazil. amlehnen@gmail.com.ORCID 0000-0002-5912-8020
University Foundation · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAerobic exercise improves endothelial function and arterial stiffness after myocardial infarction (MI), but the effects of isometric exercise on cardiovascular parameters are still uncertain. We aimed to assess the effects of one session of aerobic or isometric exercise on flow-mediated dilation (FMD) and pulse wave velocity (PWV) in post-MI volunteers undergoing percutaneous coronary intervention (PCI).

methodsTwenty post-MI patients undergoing PCI were randomized to aerobic (AE, n = 10) or isometric (IE, n = 10) exercise groups. We evaluated cardiac structure and function (echocardiographic); carotid plaque presence (ultrasound). FMD and PWV were measured 10 min before and 10 min after the intervention: a single session of moderate-intensity AE (30 min; ratings 12-14 on Borg's scale or 50-60% HRreserve) or handgrip IE (four two-minute bilateral contractions; 30% maximal voluntary contraction; 1-min rest). Generalized estimating equations (Bonferroni post-hoc) was used to assess differences (p ≤ 0.050).

resultsFMD improved only in the AE group (Δ = 4.9%; p = 0.034), with no difference between groups after exercise. Even after adjustment (for baseline brachial artery diameter) the effectiveness of AE remained (p = 0.025) with no change in the IE group. PWV was slightly reduced from baseline in the AE group (Δ = 0.61 m/s; p = 0.044), and no difference when compared to the IE group. Peripheral vascular resistance decreased in AE versus IE (p = 0.050) and from baseline (p = 0.014).

conclusionsVascular measurements (FMD and PWV) improved after a single session of AE. There are apparently no benefits following a session of IE.

trial registrationhttp://www.clinicaltrials.gov and ID number NCT04000893.

Indexed as

Exercise TherapyHand StrengthIsometric ContractionPercutaneous Coronary InterventionVascular StiffnessVasodilationAgedArterial PressureBrachial ArteryBrazilEndothelium, VascularFemaleHumansMaleMiddle AgedPilot ProjectsAerobic exerciseArterial stiffnessEndothelial functionIsometric handgrip exerciseMyocardial infarction

Identifiers

PMID33596832
PMCPMC7887833
OpenAlexW3129869044

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.