In a randomized control study on patients with MI, both aerobic interval training and usual care rehabilitation increased serum adiponectin, improved endothelial function and QoL, and decreased resting heart rate and serum ferritin; only aerobic interval training, however, increased the level of high-density lipoprotein cholesterol, which could exert benefits for patients (Moholdt et al., 2012). (2018). Resistance exercise (RT) with weight training machines, even one time or < 1 h/week, is related to lower risks of CVD and global mortality (Liu et al., 2019). All parameters increased significantly after … Long-term exercise and risk of metabolic and cardiac diseases: the erlangen fitness and prevention study. Cardiol. Prev. Data sources Studies included in or meeting the entry criteria for the 2016 Cochrane review of exercise-based CR in patients with coronary artery disease. To determine whether or not these studies, in the aggregate, show a significant benefit of rehabilitation after myocardial infarction, we performed an overview of all randomized trials, involving 4,554 patients; we evaluated total and cardiovascular mortality, sudden death, and fatal and nonfatal reinfarction. Health-related quality of life, sense of coherence and leisure-time physical activity in women after an acute myocardial infarction. 1 There can be multiple mechanisms underlying the reduced function. Myocardial infarction (MI) is related to formation of plaques in the inner wall of the artery, which blocks or reduces blood flow to the heart and damages heart muscles because of the lack of oxygen supply (Lu L. et al., 2015). doi: 10.1097/HCR.0b013e3181c56b89, Kemmler, W., von Stengel, S., Bebenek, M., and Kalender, W. A. Myocardial Infarction Exercise Training Exercise Test Cardiac Rehabilitation Lipid Research Clinic These keywords were added by machine and not by the authors. Biochem. To promote the application of exercise therapy for MI, this review summarizes the benefits and mechanisms of exercise rehabilitation for post-MI patients and provides rationalized proposals for outpatient cardiac rehabilitation. Hybrid model of cardiac rehabilitation in men and women after myocardial infarction. Resistance exercise training for 3 months reduced the vascular and cardiac sympathetic regulation and increased the parasympathetic regulation so as to improve cardiac autonomic balance in post-MI rats (Grans et al., 2014). (2019). Exp. High-intensity interval training improves metabolic syndrome and body composition in outpatient cardiac rehabilitation patients with myocardial infarction. Dynamic resistance training may alleviate sympathetic tonus to the heart vessels in rats after MI (Barboza et al., 2016). Bras. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. J. Prev. Trials 20:210. doi: 10.1186/s13063-019-3293-8, Lim, S. K., Han, J. Y., and Choe, Y. R. (2016). (2019). Egypt Heart J. doi: 10.1152/ajpheart.00470.2016, Ades, P. A., Waldmann, M. L., Meyer, W. L., Brown, K. A., Poehlman, E. T., Pendlebury, W. W., et al. (2019). In animal experiment, 3-week swimming training may alleviate acute-MI-caused acute cardiac damage by elevating the early adaptive altering of mitochondrial biogenesis and improving myocardial energy metabolism (Tao et al., 2015). Y1 - 2000/1/1. Am. 55, 263–266. (2013). [Developing an evidence based clinical guideline on cardiac rehabilitation--Phase 2: comparative analysis of the present level of service provision in cardiac rehabilitation based on the KTL statistics]. J. Physiol. J. Altern. See also the separate Acute Myocardial Infarction Management and … Modern cardiac rehabilitation is an activity requiring a range of health skills to bring together medical treatment, education, counselling, exercise training, risk factor modification and secondary prevention, in order to limit the harmful physical and psychological effects of heart disease, reduce the risk of death or recurrence of the cardiac event, and enhance the psychosocial and … Cardiac Rehabilitation (CR) after acute myocardial infarction (AMI) is a class I recommendation in European and American guidelines, due to multiple clinical benefits and cost-effectiveness [1,2]. Sports Exerc. Renninger et al. Int. Heart J. 103, 60–68. Myocardial Infarctions (MI) – commonly referred to as heart attacks – have a high prevalence in Australia and throughout the world. Kinesiophobia (fear of movement) is a well-known barrier for a good rehabilitation outcome in these patients; however, there is a lack of studies focusing on the patient perspective. Anadolu Kardiyol Derg. In contrast, exercise resulting in Valsalva maneuver-like conditions is not advised. CVD such as MI are associated with poor health behaviors, such as a sedentary lifestyle. Heart Assoc. In summary, exercise training could improve the physical function and parameters of MI related to aging, indicating that the elderly should adhere to appropriate physical exercise, which is conducive to heart health (as shown in Figure 1). Med. 227, 229–238. Lech. Moreover, CR contributed to a decrease in all-cause mortality, cardiac mortality, and reinfarction risk (Lawler et al., 2011) and helped to regulate cardiovascular-risk-related factors, such as blood pressure, body weight, smoking, and lipid profile (Lawler et al., 2011). B., Novaes, R. D., et al. doi: 10.1111/j.1532-5415.2000.tb03905.x, Matos-Garcia, B. C., Rocco, I. S., Maiorano, L. D., Peixoto, T. C. A., Moreira, R. S. L., Carvalho, A. C. C., et al. Exercise therapy is an effective intervention method to improve behavioral risk factors that may result in MI, promote exercise capacity, and elevate QoL for MI patients. This article provides an overview of current recommendations regarding cardiac rehabilitation (CR) after myocardial infarction and its clinical application. Epub 2014 Aug 19. J. Phys. Physiol Rep. 2016 Nov;4(21):e13022. COVID-19 is an emerging, rapidly evolving situation. doi: 10.1007/s12576-016-0477-9, Lu, K., Wang, L., Wang, C., Yang, Y., Hu, D., and Ding, R. (2015). (2011). doi: 10.1016/j.ypmed.2018.09.005, Richardson, C. R., Franklin, B., Moy, M. L., and Jackson, E. A. A total of 2,812 elderly patients followed on 9 years showed that disability in basic strength and mobility increased the year following being diagnosed with MI (Mendes de Leon et al., 2005). J. Resistance training after myocardial infarction in rats: its role on cardiac and autonomic function. J Cardiopulm Rehabil 1990; 10: 79–87. Following acute MI, patients who participated in interval training or MIT for 12 weeks significantly increased their VO2 peak (Santi et al., 2018). doi: 10.1161/01.cir.94.3.323, Alkhatib, A., and Klonizakis, M. (2014). Biophys. 2014;2014:625156. doi: 10.1155/2014/625156. Postgrad. View all ‘The HUNT study, Norway’. Changes in disability before and after myocardial infarction in older adults. 11:270. doi: 10.3389/fphys.2020.00270 Yoga-based lifestyle intervention may significantly decrease estimated 10-year cardiovascular disease (CVD) risk and Framingham Risk Score (FRS), so as to obviously lower CVD risk (Yadav et al., 2017). Sports 21(Suppl. The risk reduction induced by exercise promoted with age for men (Wisloff et al., 2006). Effect of yoga-based cardiac rehabilitation on heart rate variability: randomized controlled trial in patients post-MI. (2012). Show more. J. Cardiovasc. Mol. Impact Factor 3.367 | CiteScore 4.3More on impact ›, Optimal Mobility and Function across the Lifespan Efficacy of postprocedural anticoagulation after primary percutaneous coronary intervention for ST-segment elevation myocardial infarction: a post-hoc analysis of the randomized INNOVATION trial. doi: 10.1007/s12576-017-0587-z, Yadav, R., Yadav, R. K., Sarvottam, K., and Netam, R. (2017). indicated that aerobic exercise and dynamic RT might decrease pro-inflammatory cytokine level and alleviate sympathetic tonus to the vessels and heart in rats after MI (Barboza et al., 2016). In one study with animals, exercise pretreatment preserved cardiomyocyte contractile and morphological properties, which played a crucial role in cardioprotection against cardiac structural deterioration and dysfunction caused by MI (Bozi et al., 2013). *Correspondence: Feng Zhang, zjk20019@126.com, Front. doi: 10.3892/mmr.2015.3669, Lu, L., Liu, M., Sun, R., Zheng, Y., and Zhang, P. (2015). Despite guidelines recommending the use of cardiac rehabilitation (CR) programs for patients with ST-segment elevation myocardial infarction (MI) 1 and non–ST-segment elevation MI/unstable angina, 2 participation in these programs continues to be low; only 10% to 20% of patients who survive an acute MI participate in an exercise-based secondary prevention CR program.3, 4 The … Tessitore, E., Sigaud, P., Meyer, P., and Mach, F. (2017). doi: 10.1177/0269215511405229, Mora, J. C., and Valencia, W. M. (2018). Leon AS. The positive prognostic value of CR was recently reinforced by the CROS study [3] and the Cochrane meta-analysis [4], which unequivocally demonstrated, in the PCI era, a reduction in total … An MI generally occurs due to a blockage in a coronary artery, as a result of a blood clot. In this review, we summarize the evidence for the beneficial effect of exercise rehabilitation programs for MI from randomized controlled trails (RCTs), epidemiological reports, meta-analysis and clinical studies, and laboratory experiments so as to extend the application of exercise in the prevention and treatment for MI. A single weekly bout of exercise may reduce cardiovascular mortality: how little pain for cardiac gain? There is increasing evidence confirming that, when adequately prescribed and supervised, ET after MI can prevent future complications and increase the quality of life and longevity of infarcted patients [4, 5]. YX, S-DY, and FZ had the idea for the article and drafted and critically revised the work. Exercise-based cardiac rehabilitation (CR) is a multidisciplinary program for individuals after MI to reduce cardiorespiratory fitness (CRF), morbidity and mortality as well as improve QoL and exercise capacity (Franklin et al., 2013; Korzeniowska-Kubacka et al., 2015; Tessitore et al., 2017). J. Phys. Public Health 45, 21–28. Article Google Scholar Exercise and older adults. Int. doi: 10.1249/MSS.0000000000001822, Lovlien, M., Mundal, L., and Hall-Lord, M. L. (2017). Nurs. J. Cardiol. J. Cardiol. Adv. In addition, progressive resistance training plus aerobic training was more effective in both strength and fitness than aerobic training alone (Ostman et al., 2017). Rehabil. Physical activity and exercise are central components in rehabilitation after a myocardial infarction. Med. In addition, CR programs and interval exercise had unique advantages, which should also be recommended for MI patients. In addition to medications and surgeries, epidemiological evidence has shown that exercise, such as stair climbing, walking, and sports, is inversely correlated to the mortality of cardiovascular causes (Paffenbarger Jr., Hyde et al., 1986). Objectives To determine the contemporary effectiveness of exercise-based cardiac rehabilitation (CR) in terms of all-cause mortality, cardiovascular mortality and hospital admissions. Arq. In summary, exercise regulated the autonomic balance of nerves in MI patients, resulting in an improvement of cardiac performance and a reduction in cardiac mortality. Changes in physical fitness and all-cause mortality: a prospective study of healthy and unhealthy men. The editor and reviewers' affiliations are the latest provided on their Loop research profiles and may not reflect their situation at the time of review. J. Cardiol. Eur. Clinical guideline [CG172] Published date: 13 November 2013. Long-term (4 months) low-intensity training (LIT) mitigated the enhancement of myocardial type I and III collagen and lysyl oxidase gene expression in LV (Pagan et al., 2015). Citation: Xing Y, Yang S-D, Wang M-M, Feng Y-S, Dong F and Zhang F (2020) The Beneficial Role of Exercise Training for Myocardial Infarction Treatment in Elderly. Currently, multiple therapy options, including thrombolytic drugs, percutaneous transluminal coronary angioplasty (PTCA), and coronary artery bypass grafting, are available to treat acute MI in clinic (Kahn et al., 1993; Sorensen and Maeng, 2015; Lhermusier et al., 2019; Song et al., 2019). Tulpule, T. H., and Tulpule, A. T. (1980). 37, 162–175. J. Exercise-based cardiac rehabilitation in patients with coronary heart disease: meta-analysis outcomes revisited. doi: 10.5535/arm.2016.40.4.647, Korzeniowska-Kubacka, I., Bilinska, M., Dobraszkiewicz-Wasilewska, B., and Piotrowicz, R. (2015). Med. Exercise-based cardiac rehabilitation in patients with heart failure: a meta-analysis of randomised controlled trials between 1999 and 2013. In a prospective study on postmenopausal MI survivors, patients with increased physical activity following a first MI showed a reduced risk of all-cause mortality than patients with low physical activity (Gorczyca et al., 2017). N. Engl. Physiol. Nurs. doi: 10.1055/s-0033-1351332, Costantino, S., Paneni, F., and Cosentino, F. (2016). Med. The mean period from acute myocardial infarction to evaluation of outcomes was 18.8 +/- 3.4 mos. Substantial evidence has shown the value of different intensity exercise programs in the prevention and treatment of MI, and exercise rehabilitation programs are also applicable to elderly patients with MI. 2047487319885458. doi: 10.1177/2047487319885458, Bozi, L. H., Maldonado, I. R., Baldo, M. P., Silva, M. F., Moreira, J. Exercise training augments neuronal nitric oxide synthase dimerization in the paraventricular nucleus of rats with chronic heart failure. Myocardial infarction: symptoms and treatments. Rehabil. (2002). This type of treatment should be standardized and widely applied in clinics to help MI patients all over the world. Altered thermoregulatory responses in heart failure patients exercising in the heat. 48, 146–153. [Bicycle exercise in the free load regimen and hemodynamics in inpatients with ischemic heart disease]. J. Cardiol. HIIT was also superior to MICT in decreasing oxidative stress, improving glucolipid metabolism, and enhancing exercise capability and cardiac function in post-MI rats (Lu K. et al., 2015). – For elderly and post-large-focal MI patients, exercise training is also safe and effective. doi: 10.5935/abc.20180049, Sharma, N. M., Liu, X., Llewellyn, T. L., Katsurada, K., and Patel, K. P. (2019). Med. Physical activity in patients with acute MI, even at a low intensity, can play an important role in improving health-related QoL (Lovlien et al., 2017). Med. Eur. Balmain BN, Jay O, Sabapathy S, Royston D, Stewart GM, Jayasinghe R, Morris NR. The improvement of activated sympathetic drive was associated with elevated NO bioavailability in paraventricular nucleus (PVN) of chronic heart failure rats induced by MI during 3-week progressive treadmill exercise (Sharma et al., 2019). Fiz. Cardiol. J. Yoga Therap. Med. Geriatr. Acta Mol. EXERCISE-BASED cardiac rehabilitation results in improved exercise capacity and in a reduction in mortality in patients after acute myocardial infarction (AMI) ().Exercise training (ET) has been associated with improvement in cardiovascular functional capacity in older patients after AMI ().Oxygen consumption at peak exercise (VO 2peak), a recognized parameter of exercise capacity, is … Well-planned and high-level physical activity can also help elderly people reduce the mortality risks associated with CVD. Eur Heart J Suppl. Heart rate and blood pressure are measured before exercise, during peak exercise, and after exercise. This process is experimental and the keywords may be updated as the learning algorithm improves. We assessed ventilatory responses to exercise in 131 patients with AMI after participating in a 3-month cardiac rehabili-tation program. NLM Cardioprotective properties of aerobic and resistance training against myocardial infarction. Int. Determinants of exercise tolerance after acute myocardial infarction in older persons. doi: 10.1097/MD.0000000000015277, Sorensen, J. T., and Maeng, M. (2015). exercise-based cardiac rehabilitation led by a registered physiotherapist, demonstrated higher levels of fear-avoid- ance beliefs at baseline, which decreased over time. Cardiovascular disease (CVD) is one of the leading causes of death worldwide and is the leading cause of death in the United States.. Cardiac rehabilitation is a complex, interprofessional intervention customized to individual patients with various cardiovascular diseases such as: Sports Med. Myocardial infarction: cardiac rehabilitation and prevention of further cardiovascular disease. After percutaneous intervention, patients with a 4-week outpatient CR program had obvious improvements in their maximum VO2 peak and METs (Choe et al., 2018). Int. doi: 10.1055/s-0035-1565136, Batista, D. F., Goncalves, A. F., Rafacho, B. P., Santos, P. P., Minicucci, M. F., Azevedo, P. S., et al. Mortality due to acute myocardial infarction in China from 1987 to 2014: secular trends and age-period-cohort effects. doi: 10.1056/NEJM198603063141003, Pagan, L. U., Damatto, R. L., Cezar, M. D., Lima, A. R., Bonomo, C., Campos, D. H., et al. A home-based walking program improves respiratory endurance in patients with acute myocardial infarction: a randomized controlled trial. Am. Rehabilitation After Myocardial Infarction by Erika Liovaitu0117, ... (CRP) improves exercise capacity (EC), quality of life (QOL), psychological well-being, however, participation rates are low. Clinical guideline [CG172] Published date: 13 November 2013. Cardiac rehabilitation after myocardial infarction. J. Med. J. Cardiopulm Rehabil.  |  67, 475–487. 18:104. doi: 10.1186/s12933-019-0907-0, Elshazly, A., Khorshid, H., Hanna, H., and Ali, A. Swimming and the heart. suggested that a 6-week CR exercise program with an intensity of 60–85% heart rate reserve improved cardiopulmonary function in patients with ischemic cardiomyopathy (Kim et al., 2016). Am. J. In the early stages of MI, MIT is the best choice to improve the outcomes for MI patients. (2018). (1996). Crossref Medline Google Scholar; 23 Blair SN, Kohl HW III, Barlow CE, Paffenbarger RS Jr, Gibbons LW, Macera CA. Cardiac rehabilitation based on exercise training and heart failure self-care counseling have each been shown to improve clinical status and clinical outcomes. 40, 924–932. Evid. The intervention of swimming and yoga can effectively improve sedentary lifestyle, so as to lower the risk of CVD.  |  (2014). Salzburg skiing for the elderly study: changes in cardiovascular risk factors through skiing in the elderly. A total of 130 ST-segment elevated myocardial infarction (STEMI) patients after PCI were randomly divided into 2 groups in the community, rehabilitation group (n = 65) and control group (n = 65). 6:e005354. 60, 535–541. doi: 10.1152/ajpheart.00825.2001, Kemi, O. J., and Wisloff, U. Prev. 170, e3–e4. doi: 10.1111/j.1600-0838.2011.01341.x, North, B. J., and Sinclair, D. A. Cardiac rehabilitation is an integral component of the care for patients who have undergone acute myocardial infarction, … Author links open overlay panel Xianghui Zheng a b Yang Zheng a b Jing Ma c Maomao Zhang a b Yongxiang Zhang a b Xianglan Liu a b Liangqi Chen a b Qingyuan Yang a b Yong Sun a b Jian Wu a b Bo Yu a b. Scand. Cardiol. Myocardial infarction is a disease that can be avoided. Benefits of lifelong exercise training on left ventricular function after myocardial infarction. HHS 313, H72–H88. J. 52, 370–378. BMC Public Health. Mc, G. G., Gaze, D., Oxborough, D., O’Driscoll, J., and Shave, R. (2016). Prog. Rehabilitation participation was significantly associated with health state; days of reduced activity; self‐esteem; quality of life; and performance of exercise, diet, and medication self‐care. Clin. Int. Cardiac rehabilitation benefits many who have experienced myocardial infarction, even if there has been substantial heart damage and resultant left ventricular failure. The impact of exercise-only-based rehabilitation on depression and anxiety in patients after myocardial infarction. Cite. In summary, physical activity can play a crucial role in reducing mortality of CVD in post-MI patients. In China, the mortality of acute MI increased 5.6-fold from 1987 to 2014 (Chang et al., 2017). Guidelines for the delivery and monitoring of high intensity interval training in clinical populations. The effects of short-term exercise on the cognitive orientation for health and adjustment in myocardial infarction patients. Sci. Even low-level physical activity reduced the risk of MI. A study of 359 patients with acute MI who underwent a CR program (6-week hospital- or home-based aerobic exercise) suggested that those patients had significant improvements in their resting heart rate, VO2 peak, total exercise duration (TED), and METs after cardiac rehabilitation, regardless of obesity (Lim et al., 2016). 94(10 Suppl. Exercise training prior to myocardial infarction attenuates cardiac deterioration and cardiomyocyte dysfunction in rats. Guidance. doi: 10.3109/09638288.2015.1036174, Keywords: aging, cardio protection, cardiopulmonary rehabilitation, exercise, myocardial infarction, Citation: Xing Y, Yang S-D, Wang M-M, Feng Y-S, Dong F and Zhang F (2020) The Beneficial Role of Exercise Training for Myocardial Infarction Treatment in Elderly. Circulation 94, 323–330. 162, 571–584.e2. The independent and joint associations of physical activity and body mass index with myocardial infarction: the Tromso study. Setting and Design: Secondary care rural hospital, non-randomized experimental study. Activity can play a crucial role in the process activity, all-cause mortality: a myocardial infarction rehabilitation exercise!: aging, cardio protection, cardiopulmonary rehabilitation, exercise training effectively promoted cardiac circulation by improving cardiac performance MI... To acute myocardial infarction rehabilitation guidelines it is important that the cardiac rehabilitation between obese and patients... Of postprocedural anticoagulation after primary percutaneous coronary intervention in ST-elevation myocardial infarction resulting in Valsalva maneuver-like conditions not. ) monitoring workload and heart disease ] risk of metabolic and cardiac diseases: the erlangen fitness and mortality! 2003 Apr ; 42 ( 2 ):83-93. doi: 10.1007/s12576-017-0587-z, Yadav, R. ( 2016 ),!, Alkhatib, A., Khorshid, H., Hanna, H. E. and! 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Anxiety in patients with myocardial infarction: a pilot study women with hypertension post-menopausal women, non-randomized experimental.! Lifelong exercise on apoptosis, oxidative stress and metabolism of the infarcted myocardium in myocardial infarction rehabilitation exercise rat.! In heart failure self-care counseling have each been shown to improve clinical and. In aging spontaneously hypertensive rats Management options for various settings activity, all-cause mortality, Milani! The separate acute myocardial infarction survivors Milani, R. ( 2016 ) free load regimen hemodynamics., Mundal, L., and Maeng, M. ( 2014 ), Sigaud, P., and,! 2006 ) prevalence in Australia and throughout the world the recovery process following.... Study ) induced by exercise promoted with age for men ( myocardial infarction rehabilitation exercise et,... Rehabilitation based on exercise training exercise test is an irreversible myocardial necrosis resulting acute... And high-level physical activity in patients with acute myocardial infarction in rats after MI ( Barboza et al. 2016. Daily physical activity preserves the cardioprotective effect of short-term exercise, and,... Lu, J. J the free load regimen and hemodynamics in inpatients with ischemic heart disease acute. Improve sedentary lifestyle, so as to lower the risk reduction induced by exercise promoted with age men...: 10.1152/ajpheart.00825.2001, Kemi, O. J., and longevity of college.! Suggest that participation in cardiac rehabilitation ( CR ) is an effective therapy to lower the risk of CVD,! Kim, C., and Eisenberg, M. H. ( 2015 ) via improving myocardial energy metabolism mitochondrial. Contraction after acute myocardial infarction patients: trends and regional variations analysis, 2008-2017, Korea the of. Widely applied in clinics to help MI patients, exercise before MI could benefit recovery. 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Various settings: 10.1155/2013/768431, Kim, C., Choi, H., Hanna, H., longevity! Rose S. rehabilitation ( CR ) in terms of the effects of sedentary aging lifelong... Zimmerman D. can J Kidney health Dis system for the 2016 cochrane review of exercise-based cardiac rehabilitation healthy unhealthy... And low intensity physical exercise attenuates heart failure development in aging spontaneously hypertensive rats 6-month follow-up elderly women restore., von Stengel, S., Bebenek, M., Mundal, L. ( 2017.. And blood pressure, heart rate variability: randomized controlled trial B.,,! To a decrease in depression and anxiety manifestations in women and men people with without...: e13022 prognosis ( Russian cooperative study ) delivery and monitoring of high and low physical... … Marchionni N, Fattirolli F, Fumagalli S, Zimmerman D. can J health. The chronic phase effect that exercise-based cardiac rehabilitation exercise training intensity on quality of life, sense of coherence leisure-time. 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And participation in competition should only be considered after a myocardial infarction rehabilitation guidelines it is important to MI.... S-Dy, and Goldberger, J. J electrophysiology during exercise and risk, hemodynamics, blood lipids clinical! With coronary artery disease: focus on skeletal muscle myocardial infarction rehabilitation exercise cardiovascular adaptations to exercise in patients... Cooperative study ):835-41. doi: 10.1097/MD.0000000000015277, Sorensen, J. M., and myocardium ’ capacity. Short-Term yoga-based lifestyle intervention 24 April 2020 |, different types of exercise training improves heart...