الفهرس 
Acute Myocardial InfarctionOnly 14 pages are availabe for public view
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Abstract
Back ground: cardiovascular diseases, particularly coronary heart disease (CHD) are the most common cause of human deaths in the world. Physical activity and function capacity improvement is critical in primary and secondary prevention of cardiovascular disease. Regular exercise training and cardiac rehabilitation has been shown to reduce the rate of mortality, improve functional capacity, and control the risk factors in myocardial infarction patients.
Aim of the work: the main purpose of the present study was to assess the effect of exercise training on heart rate recovery in patients with post anterior myocardial infarction (MI).
Materials and Methods: this study was conducted on fifty adult patients who were selected from cardiac rehabilitation (CR) clinic in Ain Shams University hospital (cardiology department) between October 2016 and July 2017.The patients were one month after anterior MI who did exercise test before and after CR program to calculate heart rate recovery (HRR1 and HRR2) and to rule out residual ischemia.
Results: in the present study there was not only statistically significant improvement in HR recovery in 1st minute and HR recovery in 2nd minute but also improvement in resting heart rate (RHR) which decreased significantly. Moreover, Metabolic equivalent (METs) and HR reserve was improved significantly with CR. However, there were a trend toward decrease but no statistically significant in resting Blood Pressure (BP) (systole and diastole), peak BP (systole and diastole), and maximum HR before and after CR.
Conclusion: from present study we found that CR program improves HR recovery in 1st minute, HR recovery in 2nd minute, resting HR, HR reserve and METs so CR program should be implemented in routine management of ischemic patients.