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Any Exercise Good After a Heart Attack
Date:3/16/2009

od flow. FMD more than doubled, from 4 percent to 10 percent, in both exercise groups. There was no significant change in FMD in the non-exercising participants.

However, the increase in FMD was lost a month after the regular exercise program ended.

"This aspect is particularly important in patients with coronary artery disease, in whom correction of endothelial dysfunction could help to slow the progression of atherosclerosis and probably avoid new cardiovascular events," Vona said.

None of the exercises caused problems for the participants, she added.

The resistance training program followed American Heart Association guidelines, Vona said. "Following the guidelines of the American Heart Association, all people can do resistance training," she said. "Many papers show beneficial effects of resistance training on cardiac and muscle function, in normal people and also, for example, in diabetic subjects."

The study does add some insight to the well-worn subject of exercise and the heart, said Dr. Johnny Lee, an assistant clinical professor of medicine at Mount Sinai Medical Center in New York City.

One is about the type of exercise that should be done, Lee said. "Most of the time, we tell patients about aerobic exercises -- running, jogging and swimming," he said. "We haven't thought that resistance exercise, lifting weights and the like, can have an equal benefit. This shows that it does. That there was benefit from aerobic exercise was no surprise. What was a surprise was that resistance exercise gave equal benefit."

Second, the loss of benefit after exercising stopped that was seen in the study participants, who by definition are in the highest cardiac risk group because they have had heart attacks, carries a message for lower-risk people, Lee said.

"If this applies to the sickest patients, that if you stop you are going to lose the benefit, it shows that continuing to exercise can only
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