Clinical Research in Cardiology

, 97:820

Moderate physical exercise: a simplified approach for ventricular rate control in older patients with atrial fibrillation

  • J. Plisiene
  • A. Blumberg
  • G. Haager
  • C. Knackstedt
  • J. Latsch
  • C. Norra
  • M. Arndt
  • S. Tuerk
  • N. Heussen
  • M. Kelm
  • H. G. Predel
  • P. Schauerte
ORIGINAL PAPER

DOI: 10.1007/s00392-008-0692-3

Cite this article as:
Plisiene, J., Blumberg, A., Haager, G. et al. Clin Res Cardiol (2008) 97: 820. doi:10.1007/s00392-008-0692-3
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Abstract

Aims

This prospective pilot-study was performed to assess whether regular moderate physical activity elevates the parasympathetic tone to the atrio-ventricular node and decreases VR during permanent AF.

Background

Adequate ventricular rate (VR) control in patients with permanent atrial fibrillation (AF) is not easy to accomplish.

Methods

10 patients (mean age 59 ± 10 years) with permanent AF (duration: 10 ± 8 years) underwent moderate physical exercise adjusted to their individual physical capability (45 min walking/jogging twice a week). To analyze VR control physical exercise tests and Holter-ECG recordings were performed before and after 4 months. In addition, stepwise lactate tests and psycho-pathometric examinations were obtained.

Results

After 4 months of training, there was a trend toward a decrease of mean VR in 24 h Holter-ECGs by 12% from 76 ± 20 to 67 ± 12 bpm (P = 0.05) while there was no significant decrease of the minimal VR (38 ± 8 vs. 36.3 ± 4.5 bpm, P = 0.54). At a lactate threshold of 2 mmol/l there was a trend towards an increase of the running speed from 105 ± 11 to 116 ± 12 m/min (P = 0.05). A significant VR decrease of 8% (range 5–10%) was observed at almost all exercise levels during exercise treadmill testing. Increases of exercise capacity and decreases of VR were accompanied by subjective improvements of health perception.

Conclusion

Regular moderate physical activity decreases VR at rest and during exercise while increasing exercise capacity. Physical training should be taken into account for ventricular rate control during AF.

Keywords

atrial fibrillation ventricular rate control exercise 

Abbreviation

AF

Atrial fibrillation

VR

Ventricular rate

QOL

Quality of life

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • J. Plisiene
    • 1
  • A. Blumberg
    • 1
  • G. Haager
    • 1
  • C. Knackstedt
    • 1
  • J. Latsch
    • 2
  • C. Norra
    • 1
  • M. Arndt
    • 1
  • S. Tuerk
    • 2
  • N. Heussen
    • 3
  • M. Kelm
    • 1
  • H. G. Predel
    • 2
  • P. Schauerte
    • 1
  1. 1.Department of Cardiology, Pneumology, Vascular MedicineRWTH University AachenAachenGermany
  2. 2.Institute of Cardiology and Sport MedicineGerman Sport UniversityCologneGermany
  3. 3.Institute of Medical StatisticsRWTH University AachenAachenGermany

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