Medical Review T. 14, z. 3 (2016)

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The influence of physical exercise as a component of cardiac rehabilitation on endothelial dysfunction – review of the related research
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2016) Domka-Jopek, Elżbieta; Lenart-Domka, Ewa
Endothelial dysfunction means any disturbance in the vascular endothelial function. There are many data indicating that endothelial dysfunction is a source of numerous vascular diseases. Cardiac rehabilitation, especially connected with increasing physical activity, plays an important role in the prophylaxis of vascular diseases complications in patients. Physical activity causes favorable changes in the circulatory system and improves psychophysical status. It is the base of healthy life style and fundamental element of primary and secondary prevention of cardiovascular diseases. Cardiac rehabilitation after acute coronary incidents reduces total mortality and decreases the risk of next cardiac intervention. Similar beneficial effects may be observed in chronic heart failure. Some reports attempt to explain mechanisms responsible for favorable effect of rehabilitation in primary and secondary prevention of cardiovascular disease. Many authors suggest, that cardiac training improves disturbed function of endothelium in cardiac diseases (hypertension, ischemic heart disease, chronic heart failure). Improved prognosis in patients with cardiovascular diseases after cardiac rehabilitation seems to be dependent on improvement in endothelial function.