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J Appl Physiol (December 1, 2005). doi:10.1152/japplphysiol.01328.2005
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Submitted on October 19, 2005
Accepted on November 23, 2005

The Effect of Exercise Training on Heart Rate Variability in Animals Susceptible to Sudden Cardiac Death: Cardioprotection Does not Solely Result From Enhanced Cardiac Regulation

George E. Billman1* and Monica Kukielka1

1 Department of Physiology and Cell Biology, The Ohio State University, Columbus, OH, USA

* To whom correspondence should be addressed. E-mail: billman.1{at}osu.edu.

Low heart rate variability (HRV) is associated with an increased susceptibility to ventricular fibrillation (VF). Exercise training can increase HRV (an index of cardiac vagal regulation) and could, thereby, decrease the risk for VF. To test this hypothesis, a 2-minute coronary occlusion was made during the last minute of a 18-min submaximal exercise test in dogs with healed myocardial infarctions; 20 had VF (S, susceptible) 13 did not (R, resistant). The dogs then received either a 10-wk exercise program (S n=9, R n=8) or an equivalent sedentary period (S n=11, R n=5). HRV was evaluated at rest, during exercise, and during a 2 min occlusion at rest, before and after the 10-week period. Pre-training, the occlusion (Occ) provoked significantly (p<0.01) greater increases in HR (S, 54.9±8.3 vs. R, 25.0±6.1 beats/min) and greater reductions in HRV (S, -6.3±0.3 vs. R, -2.8±0.8 ln ms2) in the susceptible dogs as compared to resistant animals. Similar response differences between susceptible and resistant dogs were noted during submaximal exercise. Training significantly reduced the HR and HRV responses to the occlusion (HR, 17.9±11.5 beat/min; HRV, -1.2±0.8, ln ms2) in the susceptible dogs; similar response reductions were noted during exercise. In contrast, these variables were not altered in the sedentary susceptible dogs. Post-training, VF could no longer be induced in the susceptible dogs, while four sedentary susceptible dogs died during the 10-week control period and the remaining 7 animals still had VF when tested. Atropine decreased HRV but only induced VF in 1 of 8 trained susceptible dogs. Thus, exercise training increased cardiac vagal activity, which was not solely responsible for the training-induced VF protection.




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