Prevention of left ventricular remodeling after myocardial infarction: efficacy of physical training

https://doi.org/10.4081/monaldi.2008.422

Authors

  • Camillo Taglieri | m_feola@virgilio.it Riabilitazione Cardiologica - Ospedale SS Trinità Fossano (CN), Italy.
  • Enrico Lombardo Riabilitazione Cardiologica - Ospedale SS Trinità Fossano (CN), Italy.
  • Mauro Feola Riabilitazione Cardiologica - Ospedale SS Trinità Fossano (CN), Italy.

Abstract

Post-myocardial infarction left ventricular remodelling should be considered an important therapeutic target in patients after an acute myocardial infarction, considering the heavy prognostic implication. The therapies used in these patients should reduce the progression of the left ventricular dysfunction to refractory heart failure. In order to prevent post-myocardial infarction cardiac remodelling, different therapies have been tested, and for ACE-inhibitors and betablockers a clear demonstration of efficacy has been obtained. Losartan and valsartan, two widely used angiotensin receptor blockers, demonstrated to be safe and equally useful compared to ACEI. The addition of spironolactone to the standard therapy for heart failure has a clear beneficial effect but the clinical use has been refrained by the risk of iperkaliemia. Aerobic physical training improves the left ventricular ejection fraction in patients with systolic dysfunction, reducing the progressive enlargement after myocardial infarction. The positive effect of aerobic training on cardiac remodelling might be related to the positive effect on neurhormonal assessment, to he improvement of microcirculatory myocardial perfusion and of endothelial function.

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Published
2016-01-26
Info
Issue
Section
Reviews
Keywords:
cardiac remodelling, exercise training, cardiac rehabilitation
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  • PDF: 645
How to Cite
Taglieri, Camillo, Enrico Lombardo, and Mauro Feola. 2016. “Prevention of Left Ventricular Remodeling After Myocardial Infarction: Efficacy of Physical Training”. Monaldi Archives for Chest Disease 70 (2). https://doi.org/10.4081/monaldi.2008.422.

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