PMID- 35873122
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220726
IS  - 1011-6842 (Print)
IS  - 1011-6842 (Linking)
VI  - 38
IP  - 4
DP  - 2022 Jul
TI  - Effects of Addition of Inspiratory Muscle Training to Exercise-Based Cardiac 
      Rehabilitation on Inspiratory Muscle Strength, Peak Oxygen Consumption, and 
      Selected Hemodynamics in Chronic Heart Failure.
PG  - 485-494
LID - 10.6515/ACS.202207_38(4).20220117A [doi]
AB  - BACKGROUND: Evidence supports the clinical benefits of isolated inspiratory 
      muscle training (IMT) in patients with chronic heart failure (CHF); however, the 
      rationale of IMT in combination with exercise training in cardiac rehabilitation 
      settings for CHF has yet to be confirmed. OBJECTIVE: This study aimed to assess 
      the effect of the addition of IMT in combination with aerobic/resistance training 
      (AT/RT) on maximal inspiratory pressure (PImax), peak oxygen consumption 
      (VO(2peak)), selected hemodynamic variables, and health-related quality of life 
      (HRQoL) compared to sham-IMT combined with AT/RT in patients with CHF. METHODS: 
      Twenty-five male patients with CHF completed a 6-month cardiac rehabilitation 
      program of either a sham-IMT/AT/RT program (control group, 51.84 +/- 4.56 years 
      old, n(1) = 13), or a real-IMT/AT/RT program (study group, 51.75 +/- 4.73 years 
      old, n(2) = 12). Inclusion criteria were ischemic heart failure, New York Heart 
      Association (NYHA) class II-III, and reduced ejection fraction. Outcome measures 
      were PImax, VO(2peak), resting heart rate (RHR), heart rate (HR) reserve, rate 
      pressure product (RPP), left-ventricular ejection fraction, and Minnesota Living 
      with Heart Failure Questionnaire (MLwHFQ). Absolute mean changes from baseline 
      (Delta) in the outcome measures were statistically analyzed as independent outcomes. 
      RESULTS: DeltaPImax, DeltaRHR, DeltaHR reserve, and DeltaMLwHFQ total score were significantly 
      greater in the study group than in the control group (p < 0.05). In addition, 
      DeltaRPP showed an observed difference in favor of the study group with a tendency 
      towards statistical significance (p = 0.07). CONCLUSIONS: IMT could be a 
      successful complementary intervention to exercise-based cardiac rehabilitation 
      programs comprising AT/RT, yielding greater improvements in PImax, RHR, HR 
      reserve, and HRQoL in male patients with ischemic heart failure (NYHA class 
      II-III).
FAU - Ahmad, Ahmad Mahdi
AU  - Ahmad AM
AD  - Department of Physical Therapy for Cardiovascular and Respiratory Disorders, 
      Faculty of Physical Therapy, Cairo University.
FAU - Hassan, Mai Helmy
AU  - Hassan MH
AD  - Department of Physiotherapy, National Heart Institute, Giza, Egypt.
LA  - eng
PT  - Journal Article
PL  - China (Republic : 1949- )
TA  - Acta Cardiol Sin
JT  - Acta Cardiologica Sinica
JID - 101687085
PMC - PMC9295030
OTO - NOTNLM
OT  - Cardiac rehabilitation
OT  - Chronic heart failure
OT  - Exercise
OT  - Inspiratory muscle training
OT  - Quality of life
EDAT- 2022/07/26 06:00
MHDA- 2022/07/26 06:01
PMCR- 2022/07/01
CRDT- 2022/07/25 03:31
PHST- 2021/09/12 00:00 [received]
PHST- 2022/01/17 00:00 [accepted]
PHST- 2022/07/25 03:31 [entrez]
PHST- 2022/07/26 06:00 [pubmed]
PHST- 2022/07/26 06:01 [medline]
PHST- 2022/07/01 00:00 [pmc-release]
AID - 10.6515/ACS.202207_38(4).20220117A [doi]
PST - ppublish
SO  - Acta Cardiol Sin. 2022 Jul;38(4):485-494. doi: 
      10.6515/ACS.202207_38(4).20220117A.