文章基本信息

标题：Benefits of a Combined Protocol of Physical Exercise and CPAP on a Patient Affected by Heart Failure and Mitral Insufficiency: a Case Report
本地全文：下载
作者：Ana Karla Brüggemann ; Ana Inês Gonzáles ; Sabrina Weiss Sties 等
期刊名称：Journal of Respiratory and CardioVascular Physical Therapy
印刷版ISSN：2238-4677
出版年度：2016
卷号：4
期号：2
页码：32-36
语种：English
出版社：Journal of Respiratory and CardioVascular Physical Therapy
摘要：Objective : To describe the ideal/optimal application of continuous positive airway pressure (CPAP) and to evaluate its effect associated with physical exercise on functional capacity, respiratory muscle strength and quality of life in a patient with heart failure (HF) and moderate Mitral Insufficiency (MI). Methods : A 60 year old female patient, left ventricular ejection fraction (LVEF) of 33%, functional class III (NYHA), with respiratory muscle weakness (<70% predicted). Main complaints: calf pain and dyspnea with minimum exertion in daily activities, sporadic orthopnoea. Echocardiogram associated with CPAP was performed to determine ideal positive pressure. Cardiopulmonary exercise testing (CPET), six-minute walk test (6MWT), and assessment of respiratory muscle strength and of quality of life before and after two months of aerobic training were conducted. Testing was performed on a treadmill (HR between thresholds 1 and 2 of CPET) associated with CPAP (6 cm H 2 O) for 40 minutes 3x/week. Results : Increased peak oxygen consumption (11%); distance covered in the 6MWT (168m); inspiratory (158%) and expiratory (47%) muscle strength; and improved quality of life with relevant decreased swelling in the legs, decreased pain symptoms and dyspnea. Conclusion : This study has allowed us to provide more information on the optimal positive pressure used for patients with chronic HF and MI participating in a cardiovascular rehabilitation program and its benefits after eight weeks of training by increasing functional capacity, respiratory muscle strength and improved quality of life.
关键词：Cardiovascular diseases;Exercise tolerance;Non-invasive ventilation;Rehabilitation