Respiratory muscle function and exercise intolerance in heart failure

被引：21

作者：

Ribeiro J.P. ^{[1
]}

Chiappa G.R. ^{[1
]}

Neder A.J. ^{[1
]}

Frankenstein L. ^{[1
]}

机构：

[1] Hospital de Clínicas de Porto Alegre, Porto Alegre, RS 90035-007

来源：

Current Heart Failure Reports | 2009年 / 6卷 / 2期

基金：

巴西圣保罗研究基金会;

关键词：

Chronic Heart Failure; Respiratory Muscle; Chronic Heart Failure Patient; Inspiratory Muscle; Mitral Valve Disease;

D O I：

10.1007/s11897-009-0015-7

中图分类号：

学科分类号：

摘要：

Inspiratory muscle weakness (IMW) is prevalent in patients with chronic heart failure (CHF) caused by left ventricular systolic dysfunction, which contributes to reduced exercise capacity and the presence of dyspnea during daily activities. Inspiratory muscle strength (estimated by maximal inspiratory pressure) has independent prognostic value in CHF. Overall, the results of trials with inspiratory muscle training (IMT) indicate that this intervention improves exercise capacity and quality of life, particularly in patients with CHF and IMW. Some benefit from IMT may be accounted for by the attenuation of the inspiratory muscle metaboreflex. Moreover, IMT results in improved cardiovascular responses to exercise and to those obtained with standard aerobic training. These findings suggest that routine screening for IMW is advisable in patients with CHF, and specific IMT and/or aerobic training are of practical value in the management of these patients. © Current Medicine Group, LLC 2009.

引用

页码：95 / 101

页数：6

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