Volume 21 Issue 11
Nov.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(11): 1837-1840
HAN Ling, LIU Qiang, LIU Yefa, FAN Xiaomian, XU Di, HOU Yonghong, WANG Dongwei, DING Rongjing. Evaluation of the agreement between the anaerobic threshold and heart rate reserve methods of target exercise heart rate in a population with coronary artery disease[J]. Chinese Journal of General Practice, 2023, 21(11): 1837-1840. doi: 10.16766/j.cnki.issn.1674-4152.003237
Citation: HAN Ling, LIU Qiang, LIU Yefa, FAN Xiaomian, XU Di, HOU Yonghong, WANG Dongwei, DING Rongjing. Evaluation of the agreement between the anaerobic threshold and heart rate reserve methods of target exercise heart rate in a population with coronary artery disease[J]. Chinese Journal of General Practice, 2023, 21(11): 1837-1840. doi: 10.16766/j.cnki.issn.1674-4152.003237
shu

Evaluation of the agreement between the anaerobic threshold and heart rate reserve methods of target exercise heart rate in a population with coronary artery disease

doi: 10.16766/j.cnki.issn.1674-4152.003237
  • 1.

    Department of Cardiac Rehabilitation Medicine, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, Henan 450000, China

Funds:

 2018020774

  • Received Date: 2023-03-12
    Available Online: 2024-01-13
    Abstract
  •   Objective  To compare the anaerobic threshold target heart rate obtained from cardiopulmonary exercise test (CPET) with the target heart rate obtained from the heart rate reserve method to test the consistency of target heart rates obtained from different methods and to guide the formulation of exercise prescriptions.  Methods  A total of 324 patients with coronary heart disease diagnosed in Zhengzhou Central Hospital and Peking University People' s Hospital from January 2013 to January 2020 were included. Data of anaerobic threshold corresponding heart rate, resting heart rate and measured maximum heart rate as measured by CPET were collected. The intraclass correlation coefficient (ICC) and the Bland-Altman method was used to compare the agreement between exercise target heart rate obtained by the anaerobic threshold method and that calculated by heart rate reserve method.  Results  The target exercise heart rate by the anaerobic threshold method of 324 patients was (101.1±15.8) beats/min, and the target exercise heart rates at 50%, 60%, 70% intensity by heart rate reserve method were (102.2±13.5) beats/min, (109.1±14.2) beats/min, (113.6±15.1) beats/min, respectively. There was no significant difference between exercise heart rate using the anaerobic threshold method and 50% intensity heart rate reserve method (P=0.183). The ICC value of consistency test of exercise THR by anaerobic threshold method and 50% intensity heart rate reserve was 0.781, 95% CI: 0.727-0.824, P<0.001; the evaluation results of the Bland Altman method showed that ratio of the above two was 0.99±0.12, and 95% limits of agreement (LOA) was 0.755-1.220. According to gender, age (≥ 65 years and<65 years), whether myocardial infarction occurred (myocardial infarction group and angina pectoris group), whether β-blockers were applied, and whether complete revascularization was performed, further subgroup analysis showed that ICC values ranged (0.737-0.811, all P<0.001), and results showed consistency of each group was good.  Conclusion  In patients with coronary artery disease, the 50% intensity heart rate reserve method has good agreement with that anaerobic threshold method, which can be used as an alternative approach when cardiopulmonary exercise testing is not available in clinical practice.

     

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