Regular exercise is known to produce significant health benefits and to reduce the risk of heart diseases, although how this benefit occurs is not well understood. White blood cells are known to be involved in triggering heart attacks, and which genes are switched on or off in white blood cells determines whether they have beneficial or harmful effects. Previous studies, and studies ongoing in our group, have demonstrated measurement of peripheral blood gene expression (which reflects white blood cell gene expression) is able to distinguish between patients with and without coronary artery disease, or patients who are able to develop good compared with poor coronary collateral arteries. Therefore, the gene expression signature in peripheral blood may provide novel diagnostic or prognostic information, and insight into the pathogenesis of heart disease. We therefore hypothesise that exercise alters peripheral blood gene expression in patients with coronary artery disease and angina. This will identify possible ways that exercise improves angina and reduces the risk of heart disease.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
60
randomised to 12 weeks of exercise training up to three times weekly. Training will be interval training with active recovery, with 3 min intervals conducted 10bpm below angina threshold.
NIHR Cardiovascular Biomedical Research Unit
Sheffield, South Yorkshire, United Kingdom
Peripheral blood gene expression
Time frame: baseline
Peripheral blood gene expression
Time frame: 6wks after starting 12week exercise training (or conventional care)
peripheral blood gene expression
Time frame: 12 weeks after exercise training (or conventional care)
Peripheral blood gene expression
Time frame: 24 weeks after starting 12 weeks exercise training programme
Angina status
Time frame: baseline
Angina status
Time frame: 6wks after starting 12 week exercise programme (or conventional care)
Angina status
Time frame: 12wks after starting 12 week exercise programme (or conventional care)
Angina Status
Time frame: 24wks after starting 12 week exercise programme (or conventional care)
Anxiety Score
Time frame: baseline
Anxiety Score
Time frame: 6wks after starting 12 week exercise programme (or conventional care)
Anxiety Score
Time frame: 12wks after starting 12 week exercise programme (or conventional care)
Anxiety Score
Time frame: 24wks after starting 12 week exercise programme (or conventional care)
Depression Score
Time frame: 6wks after starting 12 week exercise programme (or conventional care)
Depression Score
Time frame: baseline
Depression Score
Time frame: 12wks after starting 12 week exercise programme (or conventional care)
Depression Score
Time frame: 24wks after starting 12 week exercise programme (or conventional care)
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