Respiratory muscle trainings as a way of physical rehabilitation for old patients with complicated myocardial infarction
| Autor: | Rylova Ak, V. I Lobzeva, Elena Kolesnikova, G P Arutyunov, N V Rylova |
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| Rok vydání: | 2013 |
| Předmět: | |
| Zdroj: | European Heart Journal. 34:P5786-P5786 |
| ISSN: | 1522-9645 0195-668X |
| DOI: | 10.1093/eurheartj/eht310.p5786 |
| Popis: | Background: Physical exercises are well known to be an important part of comprehensive cardiac rehabilitation (CR), but many protocols of physical exercises are not applicable for the old patients for many reasons. Purpose: To study the possibility of respiratory muscles trainings (RMT) in old patients with myocardial infarction (MI) and heart failure (HF) as a way of physical rehabilitation. Methods: 63 patients 84,3±5,2 years old with MI and NYHA II- III HF were randomized to either an exercise training group (EG) (32pts) or to a control group (CG). The CG patients had standard CR according to the national guidelines. The EG participated additionally in a RMT with gradual increase of inspire and expire resistance. At hospital stage, 10 to 12 trainings were held for 20 minutes twice a day with following trainings at home by themselves for 12 months. Peak oxygen consumption (VO2peak) during 6 minute walking test (6 MWT), maximal inspiratory mouth pressures (PI max) and heath related quality of life by SF-36 were measured at baseline and in 12 months. Results: After 12 weeks there was significant increase in results of 6 MWT in EG (167,6±9,37 m in EG vs 168,2±9,12 m in CG at baseline, p>0,05; after 12 months 185±8,76m vs 179,3±8,85 m p 0,05; after 12 months 8,18±1,46 ml/kg/min vs 6,35±1,11 ml/kg/min, p |
| Databáze: | OpenAIRE |
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