High-Intensity Interval Training in Cardiac Rehabilitation

Clin Geriatr Med. 2019 Nov;35(4):469-487. doi: 10.1016/j.cger.2019.07.011. Epub 2019 Jul 12.

Abstract

Recently, high-intensity interval training (HIIT) has been recognized as a safe and effective alternative to moderate-intensity continuous training for older patients with cardiovascular disease (CVD) in cardiac rehabilitation settings in an effort to improve health outcomes. This brief review considers general principles and suggestions for prescription of HIIT for older patients with CVD, specific challenges pertaining to older adults, the physiologic mechanisms by which HIIT contributes to improvements in peak Vo2, and the effects of HIIT on cardiovascular health in older patients with coronary artery disease and heart failure.

Keywords: Cardiac rehabilitation; Cardiovascular disease; Exercise prescription; Frailty; Interval training; Old age; Peak oxygen uptake.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cardiac Rehabilitation / methods*
  • Cardiovascular Diseases / diagnosis
  • Cardiovascular Diseases / therapy
  • Coronary Artery Disease / diagnosis
  • Coronary Artery Disease / rehabilitation*
  • Female
  • Geriatric Assessment / methods*
  • High-Intensity Interval Training / methods*
  • Humans
  • Male
  • Patient Safety*
  • Physical Fitness / physiology
  • Quality of Life*
  • Recovery of Function
  • Risk Assessment
  • Treatment Outcome