Abstract：
:Exercise program has been associated with improved cardiovascular outcomes in patients sustaining coronary artery disease. However, little is known about the role of exercise after percutaneous coronary intervention (PCI). Published literature was searched from Embase, PubMed, Wanfang Data, Cochrane Database of Systematic Reviews, China National Knowledge Infrastructure (CNKI) and Central Database. Exercise versus no exercise following PCI in the patients with coronary heart disease (CHD) was investigated in randomized trials. Left ventricular end diastolic diameter (LVEDD), left ventricular ejection fraction (LVEF), 6-minute walking distance (6MWD), cardiac death, myocardial infarction, coronary angioplasty, coronary artery bypass surgery (CABG), and angina pectoris or restenosis per randomized patients were analyzed by meta-analytic procedure to compare the curative effect of exercise program with exclusive exercise program after PCI. Ten randomized controlled trials including 1274 subjects (636 in exercise group and 638 in control group) were analyzed. The meta-analysis demonstrated that LVEF was significantly improved in exercise group (MD = 2.82, 95% CI [1.50, 4.14], p < 0.05). In contrast, the incidence rate of cardiac death (RR = 0.24, 95% CI [007, 0.76], p = 0.02), myocardial infarction (RR = 0.23, 95% CI [0.09, 0.57], p = 0.002), coronary angioplasty (RR = 0.47, 95% CI [0.26, 0.84], p = 0.01), angina pectoris (RR = 0.39, 95% CI [0.24, 0.64], p = 0.0002) and restenosis (RR = 0.36, 95% CI [0.16, 0.83], p = 0.02) were significantly lower in exercise group. LVEDD (MD = -2.01, 95% CI [-4.72, 0.70]), 6MWD (MD = 50.85, 95% CI [-13.24, 114.94]), and CABG (RD = -0.01, 95% CI [-0.05, 0.03]) were not significantly different in the patients with or without exercise (p = 0.71). Trial sequential analysis reflected traditional meta-analysis might generate a false positive conclusion for MI and cardiac death. There was no firm evidence to support the beneficial effects of exercise after PCI for the CHD patients to improve heart function or to reduce the incidence of adverse cardiovascular events.
journal_name
J Sports Sci Medjournal_title
Journal of sports science & medicineauthors
Zhang H,Chang Rsubject
Has Abstractpub_date
2019-06-01 00:00:00pages
213-222issue
2issn
1303-2968journal_volume
18pub_type
杂志文章,meta分析abstract：:The primary purpose of this research was to compare the impact characteristics of Taekwondo (TKD) and Yongmudo (YMD) player's turning kick according to the target height. 5 highly skilled YMD and 5 TKD players participated in this study. To measure the impact force, two accelerometers were fixed to a PVC pipe in a san...
journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2009-11-01 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
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更新日期：2017-06-01 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2009-09-01 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章,随机对照试验
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更新日期：2018-08-14 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2005-09-01 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2007-12-01 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2013-12-01 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2019-08-01 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2010-06-01 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2008-03-01 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2008-12-01 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2005-06-01 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2009-12-01 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2009-06-01 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2019-08-01 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2011-09-01 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2014-09-01 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2014-12-01 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2017-08-08 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2007-10-01 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2006-12-15 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2010-03-01 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2015-05-08 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
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更新日期：2009-12-01 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章,评审
doi：
更新日期：2004-06-01 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2015-05-08 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2015-08-11 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2011-03-01 00:00:00
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journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2018-05-14 00:00:00
abstract：:The study of the physiological adaptations of skeletal muscle in response to eccentric (ECC) contraction is based on protocols in which exercise intensities are determined relative to the concentric (CON) reference exercise (as percentage of the CON maximal oxygen consumption, or VO2max). In order to use similar exerc...
journal_title：Journal of sports science & medicine
pub_type： 杂志文章
doi：
更新日期：2014-09-01 00:00:00
