Benefits of a combined protocol of physical exercise and CPAP on a patient affected by heart failure and mitral insufficiency: a case report

Objective: To describe the ideal/optimalapplication 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 Insufficienc...

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Principais autores: Brüggemann, Ana Karla, Gonzáles, Ana Inês, Sties, Sabrina Weiss, Bündchen, Daiana Cristine
Formato: Online
Idioma:eng
Publicado em: UFRN
Endereço do item:https://periodicos.ufrn.br/revistadefisioterapia/article/view/7927
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spelling oai:periodicos.ufrn.br:article-79272017-05-11T18:46:45Z Benefits of a combined protocol of physical exercise and CPAP on a patient affected by heart failure and mitral insufficiency: a case report Brüggemann, Ana Karla Gonzáles, Ana Inês Sties, Sabrina Weiss Bündchen, Daiana Cristine Cardiovascular diseases Exercise tolerance Non-invasive ventilation Rehabilitation Objective: To describe the ideal/optimalapplication 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 H2O) 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. UFRN 2016-12-15 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigo avaliado pelos Pares estudo de caso application/pdf application/msword https://periodicos.ufrn.br/revistadefisioterapia/article/view/7927 Journal of Respiratory and CardioVascular Physical Therapy; Vol. 4 No. 2 (2015); 32-36 Revista de Fisioterapia Respiratória e CardioVascular; v. 4 n. 2 (2015); 32-36 2238-4677 eng https://periodicos.ufrn.br/revistadefisioterapia/article/view/7927/8216 https://periodicos.ufrn.br/revistadefisioterapia/article/view/7927/10320 Copyright (c) 2016 Revista de Fisioterapia Respiratória e CardioVascular
institution Periódicos UFRN
collection Portal de Pediódicos Eletrônicos da UFRN
language eng
format Online
author Brüggemann, Ana Karla
Gonzáles, Ana Inês
Sties, Sabrina Weiss
Bündchen, Daiana Cristine
spellingShingle Brüggemann, Ana Karla
Gonzáles, Ana Inês
Sties, Sabrina Weiss
Bündchen, Daiana Cristine
Benefits of a combined protocol of physical exercise and CPAP on a patient affected by heart failure and mitral insufficiency: a case report
author_facet Brüggemann, Ana Karla
Gonzáles, Ana Inês
Sties, Sabrina Weiss
Bündchen, Daiana Cristine
author_sort Brüggemann, Ana Karla
title Benefits of a combined protocol of physical exercise and CPAP on a patient affected by heart failure and mitral insufficiency: a case report
title_short Benefits of a combined protocol of physical exercise and CPAP on a patient affected by heart failure and mitral insufficiency: a case report
title_full Benefits of a combined protocol of physical exercise and CPAP on a patient affected by heart failure and mitral insufficiency: a case report
title_fullStr Benefits of a combined protocol of physical exercise and CPAP on a patient affected by heart failure and mitral insufficiency: a case report
title_full_unstemmed Benefits of a combined protocol of physical exercise and CPAP on a patient affected by heart failure and mitral insufficiency: a case report
title_sort benefits of a combined protocol of physical exercise and cpap on a patient affected by heart failure and mitral insufficiency: a case report
description Objective: To describe the ideal/optimalapplication 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 H2O) 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.
publisher UFRN
publishDate 2016
url https://periodicos.ufrn.br/revistadefisioterapia/article/view/7927
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