Six-Month Aerobic Exercise Training Ameliorates Central Sleep Apnea in Patients With Chronic Heart Failure
| Autor: | Hideo Yamamoto, Kenji Miyata, Masahiro Mohri, Kaoru Shimada, Umpei Yamamoto, Koji Ito, Kohtaro Abe, Hideki Origuchi |
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| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Central sleep apnea Polysomnography medicine.medical_treatment Interquartile range Internal medicine medicine Humans Aerobic exercise Aged Heart Failure Rehabilitation Ejection fraction business.industry Sleep apnea Middle Aged medicine.disease Sleep Apnea Central Exercise Therapy Treatment Outcome Breath Tests Heart failure Exercise Test Breathing Cardiology Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Journal of Cardiac Failure. 13:825-829 |
| ISSN: | 1071-9164 |
| Popis: | Sleep-disordered breathing (SDB) is common in patients with heart failure and carries an independent risk for poor long-term prognosis. We aimed to study the effects of supervised, aerobic exercise training for 6 months on SDB in patients with chronic heart failure.We enrolled 18 patients having both systolic dysfunction (left ventricular ejection fraction45%) and SDB (apnea-hypopnea index [AHI]10). The exercise group comprised 10 patients who participated in our cardiac rehabilitation program for 6 months, and the remaining 8 patients served as control. AHI (median [interquartile range]) was unchanged in the control group patients at 6-month intervals (30.4 [19.9-36.3] versus 36.6 [8.6-39.4], NS). In contrast, AHI was significantly decreased in the exercise group from 24.9 [19.2-37.1] to 8.8 [5.3-10.1] (P.01). In the exercise group, the numbers of central sleep apnea per night was significantly decreased (152 [124-244] versus 50 [24-67], P.01) after exercise training, but those of obstructive apnea/hypopnea were unchanged (42 [7-94] versus 18 [7-54], NS). In addition, exercise training significantly increased peak oxygen consumption and decreased minute ventilation to carbon dioxide production slope (both P.01).Six-month, aerobic exercise training increased exercise capacity and improved central sleep apnea in patients with chronic heart failure from systolic dysfunction. |
| Databáze: | OpenAIRE |
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