Home-based inspiratory muscle training for management of older patients with heart failure with preserved ejection fraction: does baseline inspiratory muscle pressure matter?
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Otros documentos de la autoría: Palau, Patricia; Domínguez Mafé, Eloy; Ramón, José María; López, Laura; Briatore, Antonio Ernesto; Tormo, J. Pablo; Ventura, Bruno; Chorro, Francisco J.; Núñez, Julio
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https://doi.org/10.1177/1474515119855183 |
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Título
Home-based inspiratory muscle training for management of older patients with heart failure with preserved ejection fraction: does baseline inspiratory muscle pressure matter?Autoría
Fecha de publicación
2019-05-31Editor
SAGECita bibliográfica
PALAU, Patricia; RAMÓN, José María; LÓPEZ, Laura; BRIATORE, Antonio Ernesto; TORMO, J. Pablo; VENTURA, Bruno; CHORRO, Francisco J.; NÚÑEZ, Julio (2019). Home-based inspiratory muscle training for management of older patients with heart failure with preserved ejection fraction: does baseline inspiratory muscle pressure matter? European Journal of Cardiovascular Nursing, online 31/5/2019Tipo de documento
info:eu-repo/semantics/articleVersión de la editorial
https://journals.sagepub.com/doi/full/10.1177/1474515119855183Versión
info:eu-repo/semantics/publishedVersionPalabras clave / Materias
Resumen
Background:
Heart failure with preserved ejection fraction is a clinical syndrome characterised by reduced exercise capacity. Some evidence has shown that a simple and home-based programme of inspiratory muscle ... [+]
Background:
Heart failure with preserved ejection fraction is a clinical syndrome characterised by reduced exercise capacity. Some evidence has shown that a simple and home-based programme of inspiratory muscle training offers promising results in terms of aerobic capacity improvement in patients with heart failure with preserved ejection fraction. This study aimed to investigate whether the baseline inspiratory muscle function predicts the changes in aerobic capacity (measured as peak oxygen uptake; peak VO2) after a 12-week home-based programme of inspiratory muscle training in patients with heart failure with preserved ejection fraction.
Methods:
A total of 45 stable symptomatic patients with heart failure with preserved ejection fraction and New York Heart Association II–III received a 12-week home-based programme of inspiratory muscle training between June 2015 and December 2016. They underwent cardiopulmonary exercise testing and measurements of maximum inspiratory pressure pre and post-inspiratory muscle training. Maximum inspiratory pressure and peak VO2 were registered in both visits. Multivariate linear regression analysis was used to assess the association between changes in peak VO2 (Δ-peakVO2) and baseline predicted maximum inspiratory pressure (pp-MIP).
Results:
The median (interquartile range) age was 73 (68–77) years, 47% were women and 35.6% displayed New York Heart Association III. The mean peak VO2 at baseline and Δ-peakVO2 post-training were 10.4±2.8 ml/min/kg and +2.2±1.3 ml/min/kg (+21.3%), respectively. The median (interquartile range) of pp-MIP and Δ-MIP were 71% (64–92) and 39.2 (26.7–80.4) cmH2O, respectively. After a multivariate analysis, baseline pp-MIP was not associated with Δ-peakVO2 (β coefficient 0.005, 95% confidence interval −0.009–0.019, P=0.452).
Conclusions:
In symptomatic and deconditioned older patients with heart failure with preserved ejection fraction, a home-based inspiratory muscle training programme improves aerobic capacity regardless of the baseline maximum inspiratory pressure. [-]
Publicado en
European Journal of Cardiovascular Nursing (2019), online 31/5/2019Proyecto de investigación
Sociedad Española de Cardiología: Investigación Clínica en Cardiología, grant SEC 2015, CIBER CV 16/11/00420, 16/11/00403, FEDER and PIE15/00013.Derechos de acceso
http://rightsstatements.org/vocab/CNE/1.0/
info:eu-repo/semantics/restrictedAccess
info:eu-repo/semantics/restrictedAccess
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