Open AccessCardiac rehabilitation with intermittent myocardial ischaemia as a new therapeutic option in refractory angina?
Author(s) -
Corre Jerome,
Douard Herve,
Ronchard Thibault
Publication year - 2021
Publication title -
esc heart failure
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.787
H-Index - 25
ISSN - 2055-5822
DOI - 10.1002/ehf2.13335
Subject(s) - medicine , angina , cardiology , refractory (planetary science) , rehabilitation , coronary artery disease , heart failure , revascularization , ischemia , quality of life (healthcare) , physical therapy , myocardial infarction , physics , astrobiology , nursing
A 72‐year‐old man daily suffered from a refractory angina consecutive to a diffuse coronary artery disease despite optimal medical management. Revascularization could not be performed because of a severe thrombopenia. He was referred to our outpatient cardiac rehabilitation programme where he was candidate for 20 sessions, three times a week, of high‐intensity aerobic interval training involving brief episodes of regressive myocardial ischaemia. After 7 weeks, exercise capacity (+28.5%), VO 2 peak (35.7%), and ischaemic threshold increased while clinical status and quality of life improved. No adverse effect was reported. Aerobic interval training with myocardial ischaemia might be a therapeutic alternative in refractory angina.