Comparison of functional and maximal exercise capacity, respiratory and peripheral muscle strength, dyspnea, and fatigue in patients with heart failure with pacemakers and healthy controls: a cross-sectional study.
Physiother Theory Pract
; 37(2): 295-306, 2021 Feb.
Article
en En
| MEDLINE
| ID: mdl-31204872
ABSTRACT
Background:
Despite major breakthroughs that have recently been made in pacemakers implanted in patients with heart failure (HF), it is clear that functional impairments and symptoms often remain. However, only limited studies have investigated exercise capacity, muscle strength, pulmonary function, dyspnea, and fatigue in these patients. Therefore, we aimed to compare aforementioned outcomes in patients and healthy controls.Methods:
A cross-sectional study. Fifty patients with HF with pacemakers (58.90 ± 10.69 years, NYHA II-III, LVEF 30.79 ± 8.78%) and 40 controls (56.33 ± 5.82 years) were compared. Functional (6-Minute Walking test (6-MWT)) and maximal exercise capacity (Incremental Shuttle Walk test (ISWT)), respiratory (Mouth pressure device) and peripheral muscle strength (Dynamometer), pulmonary function (Spirometry), dyspnea (Modified Medical Research Council Dyspnea scale), and fatigue (Fatigue Severity scale) were evaluated. ClinicalTrial number NCT03701854.Results:
6-MWT (412.62 ± 96.51 m versus 610.16 ± 59.48 m) and ISWT (279.97 m versus 655 m) distances (p Ë 0.001), pulmonary function (pË0.001), respiratory and peripheral muscle strength (p Ë 0.001) were significantly lower; dyspnea (p Ë 0.001) and fatigue (p = .030) scores were higher in patients compared with controls.Conclusion:
Maximal and functional exercise capacity is impaired in the majority of patients with HF with pacemakers, respiratory and peripheral muscles are weakened, dyspnea and fatigue perceptions are increased. Patients with pacemakers have to be included in cardiac rehabilitation programs to improve impairments.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Marcapaso Artificial
/
Músculos Respiratorios
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Tolerancia al Ejercicio
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Disnea
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Fuerza Muscular
/
Fatiga
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Insuficiencia Cardíaca
Tipo de estudio:
Observational_studies
/
Prevalence_studies
Límite:
Aged
/
Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Physiother Theory Pract
Asunto de la revista:
MEDICINA FISICA
Año:
2021
Tipo del documento:
Article
País de afiliación:
Turquía