Exercise-induced increase in hydrogen peroxide plasma levels is diminished by endurance training after myocardial infarction

We have investigated the influence of physical training on exercise-induced changes in free radical activity in patients after myocardial infarction. Seventeen patients admitted to the cardiac rehabilitation center performed a bicycle ergometry before and after a 3-week endurance training program. The oxygen consumption and carbon dioxide production were measured and the ECG and the systemic blood pressure were monitored during the tests. Blood samples for acid–base equilibrium, lactic acid levels and hydrogen peroxide concentrations were collected directly before and after each exercise test. Exercise-induced increases in systolic blood pressure, heart rate and rate–pressure product as well as lactic acid concentrations were significantly less marked during the bicycle ergometry performed after the rehabilitation program. During the initial exercise test hydrogen peroxide levels increased significantly from 7.15±0.74 μmol/l before to 9.09±1.04 μmol/l 3 min after the test (P=O.0229). In contrast, no significant changes in hydrogen peroxide concentrations were observed during the exercise test performed after the training (6.31±1.05 μmol/l before the test, 5.85±1.08 μmol/l after the test, P=0.201). These observations suggest that physical training may have a beneficial influence on free radicalsʹ generation in patients after myocardial infarction.