High-Intensity Interval Training Early After Left Ventricular Myocardial Infarction (HIIT-EARLY)
Myocardial Infarction
About this trial
This is an interventional treatment trial for Myocardial Infarction focused on measuring exercise therapy, left ventricular remodeling, ventricular ejection fraction, high-intensity interval training
Eligibility Criteria
Inclusion Criteria:
- first ST-segment elevation myocardial infarction (STEMI)
- Percutaneous intervention within the preceding 4 week
Exclusion Criteria
- inability to participate in a 3-month training program
- contraindication to maximal exercise test (CPET)
- known chronic heart failure with LV ejection fraction ≤45% before the acute index event
- angiographically documented significant coronary stenosis (> 50%) at randomization
- medical condition which would prevent a patient from performing high intensity training
- permanent atrial fibrillation
- alcohol or drug abuse
- inability to follow the procedures of the study
Sites / Locations
- Preventive Cardiology & Sports Medicine, University Clinic for Cardiology, University Hospital Berne
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Moderate intensity continuous exercise
High-intensity interval training
Moderate intensity continuous exercise (MICE) is performed on a cycle ergometer at an intensity of 50-80% of peak VO2 or 60-85% of peak heart rate for 38 min (including a 5 min warm-up and 3 min cool-down). This group will perform MICE training three times per week. Cycling resistance will be adjusted weekly according to heart rate and Borg scale.
High-intensity interval training (HIIT) is performed on a cycle ergometer. It consists of a 10 min warm-up followed by 4 min intervals in Zone III (at 90-95% of peak heart rate), with each interval separated by 3 min of active pauses in zone I (at 50-70% of peak heart rate). The total duration of the HIIT training is 38 min. Moderate intensity continuous exercise (MICE) is also performed on a cycle ergometer at an intensity of 50-80% of peak VO2 or 60-85% of peak heart rate for 38 min (including a 5 min warm-up and 3 min cool-down). This group performs two HIIT sessions and one MICE session per week. In both training forms cycling resistance will be adjusted weekly according to heart rate and Borg scale.