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  • 1
    ISSN: 1439-6327
    Keywords: Maximal oxygen uptake ; Heart rate ; Subjective ratings of perceived exertion ; Arm vs. leg training ; Exercise
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary There has been a controversy over whether the increases in maximal oxygen uptake ( $$\dot V$$ O2 max) and reductions in heart rate at a given submaximal workload after endurance training are limited to exercise with trained limbs or also may be observed during exercise with untrained limbs. In the present study five initially very sedentary young men trained by leg cycling (LT) and five by arm cranking (AT) 30 min per day on 4 days a week for 11 weeks at an intensity ≥75–80% $$\dot V$$ O2 max. Before and after training the subjects performed submaximal and maximal arm cranking and leg cycling tests. Leg cycling and arm cranking $$\dot V$$ O2 max increased 15% and 9% after LT and 12% and 35% after AT, respectively. Heart rate at a given submaximal workload was lower (p〈0.05) during trained and untrained limb exercise following LT and AT. However, subjective ratings of perceived exertion (RPE) at a given submaximal workload were lower (p〈0.01) only during exercise with trained limbs after LT and AT. In light of previous findings, the present increases in $$\dot V$$ O2 max and reductions in submaximal exercise heart rate with untrained limbs suggest that the initial fitness of the subjects as well as the intensity, frequency, and duration of training may be important factors in determining the extent to which transfer effects of endurance training can be observed. Although the present data suggest that reductions in RPE after endurance training may be the result of local changes in trained muscles, the possible contribution of central nervous adaptations cannot be excluded.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1573-0743
    Keywords: unstable angina ; unstable coronary artery disease ; myocardial infarction ; non-Q-wave myocardial infarction ; exercise testing
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The diagnostic and prognostic value of symptom limited exercise tests (ET) performed before discharge and after one month were compared in men admitted to hospital after an episode of unstable angina or a non-Q-wave myocardial infarction (MI). A ‘Positive ET’ was defined as either a maximal work load below 100 W or ST-depression ≥0.1 mV in 1–2 leads below 130 W or ST-depression ≥0.1 mV in more than 2 leads at any load at the ET. During follow-up, severe angina was the only indication for coronary angiography and revascularization. There were no significant differences in diagnostic findings between the tests — Positive ET in 47% and Negative ET in 25% at both ETs. The occurrence of MI or death and the need of revascularization were related to signs of ischemia at both ETs. There were no differences in prognostic value between the early and late tests regarding MI or death or future severe angina during the 11 months' follow-up after the one month ET. However, half (10%) of the overall event rate (20%) during the one year follow-up occurred during the first months. The risk of these events could be identified by the predischarge but, for obvious reasons, not by the one month ET. Therefore, the present study suggests that a symptom limited ET should be performed before discharge in men stabilized after an episode of unstable angina or non-Q-wave MI.
    Type of Medium: Electronic Resource
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