Effects of moderate-intensity continuous training therapy on claudication symptoms and carotid intima-media thickness in patients after endovascular and classical bypass treatment (a pilot study)
Research on moderate-intensity continuous training (MICT) is closely connected with primary and secondary cardiovascular protection but also can be associated with primary bypass patency and outcome of endovascular treatment for critical iliac stenosis TASC II A and B. After specific surgical or non...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Zaporizhzhia State Medical and Pharmaceutical University
2020-12-01
|
| Series: | Zaporožskij Medicinskij Žurnal |
| Subjects: | |
| Online Access: | http://zmj.zsmu.edu.ua/article/view/218439/218696 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850230920337948672 |
|---|---|
| author | Sid Solaković Anes Jogončić Ratko Pavlović Mensur Vrcić Nedim Čović Emir Solaković I. T. Skrypchenko Denis Čaušević O. Ye. Dorofieieva K. S. Yarymbash |
| author_facet | Sid Solaković Anes Jogončić Ratko Pavlović Mensur Vrcić Nedim Čović Emir Solaković I. T. Skrypchenko Denis Čaušević O. Ye. Dorofieieva K. S. Yarymbash |
| author_sort | Sid Solaković |
| collection | DOAJ |
| description | Research on moderate-intensity continuous training (MICT) is closely connected with primary and secondary cardiovascular protection but also can be associated with primary bypass patency and outcome of endovascular treatment for critical iliac stenosis TASC II A and B. After specific surgical or non-surgical treatment, iliac bypass or endovascular revascularization patency still depends on an individual and is still in the eye of scientific research modalities. Carotid intima-media thickness (CIMT) is an efficient surrogate parameter in detection and prediction of cerebrovascular events and potential marker of generalized atherosclerosis with prognosis of peripheral arterial disease related to prognosis of atherosclerotic coronary hemodynamic pathology.
Materials and methods. A total of 139 patients were observed during 4 years of MICT. Ultrasonography of the distal part of the common carotid artery (CCA) was performed to measure CIMT before and after revascularization procedure. The bypass patency and walking distance was also studied.
Results. In the total population, no difference in changes of CIMT from baseline was observed between the standard exercise group and controls in 4 years. However, there was a significant correlation between the effect of exercise training and CIMT within 4 years. CIMT was not significantly reduced in the exercise group compared with control non-diabetic patients.
Conclusions. Exercise training in both groups did not significantly change carotid intima-media thickness in the four years following endovascular procedure and Dacron bypass revascularization, but significant beneficial effect of moderate-intensity continuous training on bypass patency was observed in patients with mild or without claudication symptoms as well as on subjective and objective health status. |
| format | Article |
| id | doaj-art-dba4016b86904c4b83db5c306ca1876e |
| institution | OA Journals |
| issn | 2306-4145 2310-1210 |
| language | English |
| publishDate | 2020-12-01 |
| publisher | Zaporizhzhia State Medical and Pharmaceutical University |
| record_format | Article |
| series | Zaporožskij Medicinskij Žurnal |
| spelling | doaj-art-dba4016b86904c4b83db5c306ca1876e2025-08-20T02:03:42ZengZaporizhzhia State Medical and Pharmaceutical UniversityZaporožskij Medicinskij Žurnal2306-41452310-12102020-12-0122677578310.14739/2310-1210.2020.6.218439Effects of moderate-intensity continuous training therapy on claudication symptoms and carotid intima-media thickness in patients after endovascular and classical bypass treatment (a pilot study)Sid Solaković0https://orcid.org/0000-0001-6092-1985Anes Jogončić1https://orcid.org/0000-0001-6926-0079Ratko Pavlović2https://orcid.org/0000-0002-4007-4595Mensur Vrcić3https://orcid.org/0000-0002-8331-9062Nedim Čović4https://orcid.org/0000-0002-1539-866XEmir Solaković5https://orcid.org/0000-0001-5893-3522 I. T. Skrypchenko6https://orcid.org/0000-0001-5895-3099 Denis Čaušević7https://orcid.org/0000-0003-2400-9352O. Ye. Dorofieieva8https://orcid.org/0000-0002-2028-6064 K. S. Yarymbash9https://orcid.org/0000-0003-4694-291XThe International University of Gorazde (IUG), Medical Faculty, BIHUniversity of Sarajevo, BIHUniversity of Sarajevo, BIHUniversity of Sarajevo, BIHUniversity of Sarajevo, BIHSpecial Hospital dr.Solakovic, BIHState University of Internal Affairs, Dnipro, UkraineUniversity of Sarajevo, BIHO. O. Bogomolets National Medical University, Kyiv, Ukraine O. O. Bogomolets National Medical University, Kyiv, UkraineResearch on moderate-intensity continuous training (MICT) is closely connected with primary and secondary cardiovascular protection but also can be associated with primary bypass patency and outcome of endovascular treatment for critical iliac stenosis TASC II A and B. After specific surgical or non-surgical treatment, iliac bypass or endovascular revascularization patency still depends on an individual and is still in the eye of scientific research modalities. Carotid intima-media thickness (CIMT) is an efficient surrogate parameter in detection and prediction of cerebrovascular events and potential marker of generalized atherosclerosis with prognosis of peripheral arterial disease related to prognosis of atherosclerotic coronary hemodynamic pathology. Materials and methods. A total of 139 patients were observed during 4 years of MICT. Ultrasonography of the distal part of the common carotid artery (CCA) was performed to measure CIMT before and after revascularization procedure. The bypass patency and walking distance was also studied. Results. In the total population, no difference in changes of CIMT from baseline was observed between the standard exercise group and controls in 4 years. However, there was a significant correlation between the effect of exercise training and CIMT within 4 years. CIMT was not significantly reduced in the exercise group compared with control non-diabetic patients. Conclusions. Exercise training in both groups did not significantly change carotid intima-media thickness in the four years following endovascular procedure and Dacron bypass revascularization, but significant beneficial effect of moderate-intensity continuous training on bypass patency was observed in patients with mild or without claudication symptoms as well as on subjective and objective health status.http://zmj.zsmu.edu.ua/article/view/218439/218696endurance trainingcarotid intima-media thicknesscritical iliac stenosisbypassendovascular treatment patency |
| spellingShingle | Sid Solaković Anes Jogončić Ratko Pavlović Mensur Vrcić Nedim Čović Emir Solaković I. T. Skrypchenko Denis Čaušević O. Ye. Dorofieieva K. S. Yarymbash Effects of moderate-intensity continuous training therapy on claudication symptoms and carotid intima-media thickness in patients after endovascular and classical bypass treatment (a pilot study) Zaporožskij Medicinskij Žurnal endurance training carotid intima-media thickness critical iliac stenosis bypass endovascular treatment patency |
| title | Effects of moderate-intensity continuous training therapy on claudication symptoms and carotid intima-media thickness in patients after endovascular and classical bypass treatment (a pilot study) |
| title_full | Effects of moderate-intensity continuous training therapy on claudication symptoms and carotid intima-media thickness in patients after endovascular and classical bypass treatment (a pilot study) |
| title_fullStr | Effects of moderate-intensity continuous training therapy on claudication symptoms and carotid intima-media thickness in patients after endovascular and classical bypass treatment (a pilot study) |
| title_full_unstemmed | Effects of moderate-intensity continuous training therapy on claudication symptoms and carotid intima-media thickness in patients after endovascular and classical bypass treatment (a pilot study) |
| title_short | Effects of moderate-intensity continuous training therapy on claudication symptoms and carotid intima-media thickness in patients after endovascular and classical bypass treatment (a pilot study) |
| title_sort | effects of moderate intensity continuous training therapy on claudication symptoms and carotid intima media thickness in patients after endovascular and classical bypass treatment a pilot study |
| topic | endurance training carotid intima-media thickness critical iliac stenosis bypass endovascular treatment patency |
| url | http://zmj.zsmu.edu.ua/article/view/218439/218696 |
| work_keys_str_mv | AT sidsolakovic effectsofmoderateintensitycontinuoustrainingtherapyonclaudicationsymptomsandcarotidintimamediathicknessinpatientsafterendovascularandclassicalbypasstreatmentapilotstudy AT anesjogoncic effectsofmoderateintensitycontinuoustrainingtherapyonclaudicationsymptomsandcarotidintimamediathicknessinpatientsafterendovascularandclassicalbypasstreatmentapilotstudy AT ratkopavlovic effectsofmoderateintensitycontinuoustrainingtherapyonclaudicationsymptomsandcarotidintimamediathicknessinpatientsafterendovascularandclassicalbypasstreatmentapilotstudy AT mensurvrcic effectsofmoderateintensitycontinuoustrainingtherapyonclaudicationsymptomsandcarotidintimamediathicknessinpatientsafterendovascularandclassicalbypasstreatmentapilotstudy AT nedimcovic effectsofmoderateintensitycontinuoustrainingtherapyonclaudicationsymptomsandcarotidintimamediathicknessinpatientsafterendovascularandclassicalbypasstreatmentapilotstudy AT emirsolakovic effectsofmoderateintensitycontinuoustrainingtherapyonclaudicationsymptomsandcarotidintimamediathicknessinpatientsafterendovascularandclassicalbypasstreatmentapilotstudy AT itskrypchenko effectsofmoderateintensitycontinuoustrainingtherapyonclaudicationsymptomsandcarotidintimamediathicknessinpatientsafterendovascularandclassicalbypasstreatmentapilotstudy AT deniscausevic effectsofmoderateintensitycontinuoustrainingtherapyonclaudicationsymptomsandcarotidintimamediathicknessinpatientsafterendovascularandclassicalbypasstreatmentapilotstudy AT oyedorofieieva effectsofmoderateintensitycontinuoustrainingtherapyonclaudicationsymptomsandcarotidintimamediathicknessinpatientsafterendovascularandclassicalbypasstreatmentapilotstudy AT ksyarymbash effectsofmoderateintensitycontinuoustrainingtherapyonclaudicationsymptomsandcarotidintimamediathicknessinpatientsafterendovascularandclassicalbypasstreatmentapilotstudy |