What question did this study set out to answer?

Evaluate the effects of a 12-week structured exercise program on functional exercise capacity and flexibility in patients with cardiac physiologic pacing.

July 3, 2026CureusOpen Access

Effect of a 12-Week Structured Exercise Program on Aerobic Capacity and Flexibility in Cardiac Physiologic Pacing Pacemaker Patients

Q: What is the clinical evidence from this study?

Population: Cardiac physiologic pacing (n=61). Intervention: Structured aerobic and flexibility exercise program vs. Pre-intervention baseline. Primary outcome: Functional exercise capacity (Six-Minute Walk Test) (p=0.0096).

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Key result

Structured exercise improves 6MWT distance by ~7 meters in patients with cardiac physiologic pacing.

P=0.0096
n=61

Why the study?

Does a 12-week structured aerobic and flexibility exercise program improve functional exercise capacity and flexibility in clinically stable adults with cardiac physiologic pacing?

Key Points

Evaluate the effects of a 12-week structured exercise program on functional exercise capacity and flexibility in patients with cardiac physiologic pacing.
Quasi-experimental single-group pre-post study
Participants: 61 clinically stable adults, 3-4 months post pacemaker implantation
Exercise program: 12 weeks, 3-4 sessions per week, including aerobic and flexibility training
6MWT distance increased from 336.93 m to 344.00 m (t = 2.674, p = 0.0096)
Upper-limb flexibility improved from -20.22 cm to -19.09 cm (t = 3.373, p = 0.0013)
Lower-limb flexibility improved from -21.37 cm to -18.32 cm (t = 2.966, p = 0.0043)

Structured PICO

Does a 12-week structured aerobic and flexibility exercise program improve functional exercise capacity and flexibility in clinically stable adults with cardiac physiologic pacing?

Population

61 clinically stable adults (mean age 59.7 years, 14.8% female) with cardiac physiologic pacing at least three months post-implantation, who completed a 12-week exercise program.

Intervention

12-week structured aerobic and flexibility exercise program comprising 40-50-minute sessions, 3-4 times weekly.

Outcome

Functional exercise capacity (Six-Minute Walk Test) and upper- and lower-limb flexibility (Back Scratch Test and Sit-and-Reach Test) at 12 weeks.surrogate

Main Result

Absolute Event Rate: 344% vs 336.93%

p-value: p=0.0096

A 12-week structured exercise program is feasible and significantly improves functional exercise capacity and flexibility in patients with cardiac physiologic pacing without device-related complications.

Limitations

Larger randomized controlled trials with longer follow-up are required to confirm these findings before routine clinical implementation can be recommended.
Lack of randomization
Small sample size
Short follow-up duration

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

May support structured exercise in stable physiologic pacing patients; hypothesis-generating, needs RCTs before practice change.

Cite This Study

Dhaygude et al. (2026) studied Cardiac physiologic pacing (n=61). Structured aerobic and flexibility exercise program vs. Pre-intervention baseline was evaluated on Functional exercise capacity (Six-Minute Walk Test) (p=0.0096). A 12-week structured exercise program significantly improved 6MWT distance from 336.93 m to 344.00 m (p=0.0096) in patients with cardiac physiologic pacing.

synapsesocial.com/papers/6a4752f85c29257aa25796db https://doi.org/10.7759/cureus.111898

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Effect of a 12-Week Structured Exercise Program on Aerobic Capacity and Flexibility in Cardiac Physiologic Pacing Pacemaker Patients

Key Points

Structured PICO

Main Result

Limitations

Discussion

Implication

Cite This Study

Effect of a 12-Week Structured Exercise Program on Aerobic Capacity and Flexibility in Cardiac Physiologic Pacing Pacemaker Patients

Key Points

Structured PICO

Main Result

Limitations

Discussion

Implication

Cite This Study

Also Consider

Also Consider