PMID- 37955376
OWN - NLM
STAT- Publisher
LR  - 20231113
IS  - 1550-5049 (Electronic)
IS  - 0889-4655 (Linking)
DP  - 2023 Nov 13
TI  - Respiratory Muscle Strength and Quality of Life in Patients With Heart Failure 
      and Their Main Correlated Factors: A Cross-sectional Study.
LID - 10.1097/JCN.0000000000001062 [doi]
AB  - BACKGROUND: Heart failure may cause peripheral and respiratory muscle 
      alterations, dyspnea, fatigue, and exercise intolerance, worsening the quality of 
      life of patients. OBJECTIVES: The aims of this study were to analyze respiratory 
      muscle strength and quality of life of patients with heart failure and correlate 
      them with clinical variables and functional classification. METHODS: This 
      cross-sectional study involved patients with heart failure. A manovacuometer 
      assessed maximum inspiratory and expiratory pressures, and quality of life was 
      assessed using the Minnesota Living with Heart Failure Questionnaire. Functional 
      classification was categorized according to the New York Heart Association (NYHA) 
      class in I, II, III, or IV. RESULTS: We included 60 patients (66.7% male) with a 
      mean age of 62.0 years and mean left ventricular ejection fraction of 42.0%. 
      Maximum inspiratory pressure and maximum expiratory pressure were close to normal 
      (>70% of predicted) in most patients; however, a subgroup composed mostly of 
      patients with dilated heart failure and NYHA class III (n = 21) presented low 
      maximum inspiratory pressure values (59.2%; 95% confidence interval, 
      55.7%-62.8%). The mean total score of the Minnesota Living with Heart Failure 
      Questionnaire was 44.4 points, being negatively correlated with left ventricular 
      ejection fraction (r = -0.29, P = .02). Patients with NYHA class III and disease 
      duration longer than 120 months presented higher total (P < .01) and physical 
      dimension scores. CONCLUSIONS: Most patients had respiratory muscle strength 
      close to normal; however, those with dilated heart failure and NYHA class III 
      presented low maximum inspiratory pressure values. Quality of life was moderately 
      compromised, mainly because of long disease duration, NYHA class III, and low 
      left ventricular ejection fraction.
CI  - Copyright (c) 2023 Wolters Kluwer Health, Inc. All rights reserved.
FAU - de Noronha, Isis Marinho
AU  - de Noronha IM
AUID- ORCID: 0000-0003-4165-0635
FAU - Almeida, Larisse Xavier
AU  - Almeida LX
AUID- ORCID: 0000-0001-6781-5595
FAU - de Souza Silva Andrade, Nina Vitoria
AU  - de Souza Silva Andrade NV
AUID- ORCID: 0000-0001-8793-5260
FAU - de Franca, Eduardo Eriko Tenorio
AU  - de Franca EET
AUID- ORCID: 0000-0001-9207-2180
FAU - de Morais Lima, Jose Heriston
AU  - de Morais Lima JH
AUID- ORCID: 0000-0002-0176-6222
FAU - Pedrosa, Rafaela
AU  - Pedrosa R
AUID- ORCID: 0000-0001-9858-2990
FAU - Siqueira, Fernanda
AU  - Siqueira F
AUID- ORCID: 0000-0003-0705-7854
FAU - Onofre, Tatiana
AU  - Onofre T
AUID- ORCID: 0000-0003-4985-1466
LA  - eng
PT  - Journal Article
DEP - 20231113
PL  - United States
TA  - J Cardiovasc Nurs
JT  - The Journal of cardiovascular nursing
JID - 8703516
SB  - IM
COIS- The authors have no funding or conflicts of interest to disclose.
EDAT- 2023/11/13 12:44
MHDA- 2023/11/13 12:44
CRDT- 2023/11/13 08:03
PHST- 2023/11/13 12:44 [medline]
PHST- 2023/11/13 12:44 [pubmed]
PHST- 2023/11/13 08:03 [entrez]
AID - 00005082-990000000-00148 [pii]
AID - 10.1097/JCN.0000000000001062 [doi]
PST - aheadofprint
SO  - J Cardiovasc Nurs. 2023 Nov 13. doi: 10.1097/JCN.0000000000001062.