{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T13:34:51Z","timestamp":1785764091874,"version":"3.56.0"},"reference-count":31,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2020,7,28]],"date-time":"2020-07-28T00:00:00Z","timestamp":1595894400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The aim of the study was to assess the effects of resistance training with the use of a suspension system on exercise tolerance, evaluated through an exercise test, and the changes in selected echocardiographic parameters of patients after myocardial infarction. The study involved 44 males. The subjects were divided into two groups: Standard (20) and Suspension system (24). All the subjects had undergone an angioplasty with stent implantation. The standard and suspension system groups carried out a 24-day improvement program comprising 22 training units. Each session consisted of endurance, general stamina and resistance training. Instead of resistance training, the experimental group made multijoint exercises with a suspension system. Statistically significant changes in both groups were observed in the parameters of the echocardiographic exercise test, such as test duration (p = 0.000), distance covered (p = 0.000), MET (p = 0.000), VO2max (p = 0.000) and SBPrest (p = 0.013). Additionally, SBPmax in the suspension system group improved (p = 0.035). The echocardiographic test revealed significant improvement of Left Ventricular Ejection Fraction in both groups (SP group p = 0.001, standard group p = 0.005). The lipid profile test in the SP group revealed statistically significant improvement of TC (p = 0.003), HDL (p = 0.000) and LDL (p = 0.005). Training with the suspension system had a positive effect on the change of exercise tolerance level, left ventricular function and blood lipid profile.<\/jats:p>","DOI":"10.3390\/ijerph17155419","type":"journal-article","created":{"date-parts":[[2020,7,28]],"date-time":"2020-07-28T10:16:49Z","timestamp":1595931409000},"page":"5419","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Effectiveness of Resistance Training with the Use of a Suspension System in Patients after Myocardial Infarction"],"prefix":"10.3390","volume":"17","author":[{"given":"Agata","family":"Nowak","sequence":"first","affiliation":[{"name":"Department of Physiotherapy, Jerzy Kukuczka\u2019s Academy of Physical Education, 40-065 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micha\u0142","family":"Morawiec","sequence":"additional","affiliation":[{"name":"Uppersilesian Center of Medicine and Rehabilitation AMED, 40-514 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomasz","family":"Gabrys","sequence":"additional","affiliation":[{"name":"Department of Physical Education and Sport Science, Faculty of Pedagogy, University of West Bohemia, 301 00 Pilsen, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8468-2410","authenticated-orcid":false,"given":"Zbigniew","family":"Nowak","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Jerzy Kukuczka\u2019s Academy of Physical Education, 40-065 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Urszula","family":"Szmatlan-Gabry\u015b","sequence":"additional","affiliation":[{"name":"Department Anathomy Faculty of Rehabilitation University of Physical Education, 31-571 Krakow, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vaclav","family":"Salcman","sequence":"additional","affiliation":[{"name":"Department of Physical Education and Sport Science, Faculty of Pedagogy, University of West Bohemia, 301 00 Pilsen, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,7,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1136\/hrt.2006.103119","article-title":"Prognosis of stable angina pectoris: Why we need larger population studies with higher endpoint resolution","volume":"93","author":"Timmis","year":"2007","journal-title":"Heart"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1161\/CIRCHEARTFAILURE.108.820696","article-title":"PEACE Investigators: Predictors of heart failure in patients with stable coronary artery disease: APEACE study","volume":"2","author":"Lewis","year":"2009","journal-title":"Circ. Heart Fail."},{"key":"ref_3","first-page":"237","article-title":"The causes, consequences, and treatment of left or right heart failure","volume":"7","year":"2011","journal-title":"Vasc. Health Risk Manag."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1177\/2047487312449597","article-title":"Secondary prevention in the clinical management of patients with cardiovascular diseases. Core components, standards and outcome measures for referral and delivery","volume":"21","author":"Piepoli","year":"2014","journal-title":"Eur. J. Prev. Cardiol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"995","DOI":"10.5603\/KP.2013.0246","article-title":"Optimal model of comprehensive rehabilitation and secondary prevention","volume":"71","author":"Jankowski","year":"2013","journal-title":"Kardiol. Pol."},{"key":"ref_6","first-page":"224","article-title":"TRX Suspension Training: A New Functional Training Approach for Older Adults\u2013Development, Training Control and Feasibility","volume":"8","author":"Gaedtke","year":"2015","journal-title":"Int. J. Exerc. Sci."},{"key":"ref_7","first-page":"442","article-title":"Body positions procedures and rules for TRX training-theoretical considerations","volume":"20","author":"Gidou","year":"2017","journal-title":"Sci. Bull. Med. Acad. Mircea cel Batran"},{"key":"ref_8","unstructured":"Daves, J. (2017). Complete Guide to TRX Suspension Training, Human Kinetics Publishers."},{"key":"ref_9","first-page":"11","article-title":"Application of \u201cTRX\u201d and \u201cRIP training\u201d to the development of strength endurance in tennis","volume":"58","author":"Gonzales","year":"2012","journal-title":"ITF Coach. Sport Sci. Rev."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1519\/JSC.0b013e318202e473","article-title":"The effectiveness of traditional and sling exercise strength training in women","volume":"25","author":"Dannelly","year":"2011","journal-title":"J. Strength Cond. Res."},{"key":"ref_11","first-page":"24","article-title":"The Acute Effects of the Different Total Body Resistance Exercise (TRX) Postures on Flow-Mediated Dilatation in Elderly Subjects","volume":"20","author":"Boonsit","year":"2017","journal-title":"J. Exerc. Physiol. Online"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"S62","DOI":"10.1097\/01.JSC.0000395677.91938.83","article-title":"Effects of Suspension Training on the Growth Hormone Axis","volume":"25","author":"Dudgeon","year":"2011","journal-title":"J. Strength Cond. Res."},{"key":"ref_13","first-page":"2","article-title":"Endurance characteristics of the TRX \u2122 suspension training system at various angles and distances from the suspension point","volume":"4","author":"Melrose","year":"2015","journal-title":"J. Athl. Enhanc."},{"key":"ref_14","first-page":"49","article-title":"Effects of two 12-week strengthening programmes on functional mobility, strength and balance of older adults: Comparison between TRX suspension training versus an elastic band resistance training","volume":"13","author":"Gaedtke","year":"2016","journal-title":"Cent. Eur. J. Sport Sci. Med."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1016\/0002-9149(86)90771-X","article-title":"Echocardiographic assessment of left ventricular hypertrophy: Comparison to necroscopy findings","volume":"57","author":"Devereux","year":"1986","journal-title":"Am. J. Cardiol."},{"key":"ref_16","first-page":"1","article-title":"Effects of exercise-based cardiac rehabilitation in patients after percutaneous coronary intervention: A meta-analysis of randomized controlled trials","volume":"7","author":"Yang","year":"2017","journal-title":"Sci. Rep."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"2261","DOI":"10.1161\/CIR.0b013e31826fb946","article-title":"EACPR\/AHA Scientific Statement. Clinical recommendations for cardiopulmonary exercise testing data assessment in specific patient populations","volume":"126","author":"Guazzi","year":"2012","journal-title":"Circulation"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1080\/08998280.2006.11928172","article-title":"Importance of resistance training for patients after a cardiac event","volume":"19","author":"Adams","year":"2006","journal-title":"Bayl. Univ. Med. Cent. Proc."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1161\/CIR.0b013e3181e52e69","article-title":"American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee of the Council on Clinical Cardiology; Council on Epidemiology and Prevention; Council on Peripheral Vascular Disease;Interdisciplinary Council on Quality of Care and Outcomes Research. Clinician\u2019s Guide to cardiopulmonary exercise testing in adults: A scientific statement from the American Heart Association","volume":"122","author":"Balady","year":"2010","journal-title":"Circulation"},{"key":"ref_20","first-page":"1","article-title":"Cardiac rehabilitation outcomes following a 6-week program of PCI and CABG Patients","volume":"302","author":"Jelinek","year":"2013","journal-title":"Front. Physiol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1056\/NEJMoa011858","article-title":"Exercise capacity and mortality among men referred for exercise testing","volume":"346","author":"Myers","year":"2002","journal-title":"N. Engl. J. Med."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1563","DOI":"10.1002\/clc.23101","article-title":"Predictors of cardiorespiratory fitness improvement in phase II cardiac rehabilitation","volume":"41","author":"Shah","year":"2018","journal-title":"Clin. Cardiol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.5603\/KP.a2015.0095","article-title":"Effects of outpatient followed by home-based telemonitored cardiac rehabilitation in patients with coronary artery disease","volume":"73","author":"Szalewska","year":"2015","journal-title":"Kardiol. Pol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"79","DOI":"10.2478\/v10078-010-0010-9","article-title":"Minnesota Leisure Time Physical Activity Questionnaire as an additional tool in clinical assessment of patients undergoing Percutaneous Coronary Interventions","volume":"23","author":"Nowak","year":"2010","journal-title":"J. Hum. Kinet."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1891","DOI":"10.1016\/S0735-1097(01)01236-0","article-title":"Exercise training intervention after coronary angioplasty: The ETICA Trial","volume":"37","author":"Belardinelli","year":"2001","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"201713","DOI":"10.1155\/2013\/201713","article-title":"The impacts of cardiac rehabilitation program on echocardiographic parameters in coronary artery disease patients with left ventricular dysfunction","volume":"2013","author":"Sadeghi","year":"2013","journal-title":"Cardiol. Res. Pract."},{"key":"ref_27","first-page":"51","article-title":"Effect of exercise-based cardiac rehabilitation on ejection fraction in coronary artery disease patients: A randomized controlled trial","volume":"12","author":"Haddadzadeh","year":"2011","journal-title":"Heart Views Official J. Gulf Heart Assoc."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1016\/j.amjcard.2019.04.050","article-title":"Prognostic Role of Left Ventricular Dysfunction in Patients With Coronary Artery Disease After an Ambulatory Cardiac Rehabilitation Program. The American journal of cardiology","volume":"124","author":"Doimo","year":"2019","journal-title":"Am. J. Cardiol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"290","DOI":"10.29271\/jcpsp.2019.03.290","article-title":"Combined effect of aerobic training and interval resistance on ejection fraction in myocardial infarction","volume":"29","author":"Farheen","year":"2019","journal-title":"J Coll Physicians Surg Pak"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/j.ijcard.2014.11.067","article-title":"Cardiovascular effects of high-intensity interval aerobic training combined with strength exercise in patients with chronic heart failure. A randomized phase III clinical trial","volume":"179","author":"Chrysohoou","year":"2015","journal-title":"Int. J. Cardiol."},{"key":"ref_31","first-page":"6","article-title":"The Impact of Moderate Aerobic Physical Trainingon Left Ventricular Mass, Exercise Capacity and Blood Pressure Response During Treadmill Testing in Borderline and Mildly Hypertensive Males","volume":"52","author":"Pitsavos","year":"2011","journal-title":"Hell. J. Cardiol."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/15\/5419\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T09:52:12Z","timestamp":1760176332000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/15\/5419"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,28]]},"references-count":31,"journal-issue":{"issue":"15","published-online":{"date-parts":[[2020,8]]}},"alternative-id":["ijerph17155419"],"URL":"https:\/\/doi.org\/10.3390\/ijerph17155419","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,28]]}}}