Inspiratory muscle training using an incremental endurance test alleviates dyspnea and improves functional status in patients with chronic heart failure

European Journal of Preventive Cardiology

Volumn 11, Issue 6, 2004, Pages 489-496

  Laoutaris, Ioannis ^a   Dritsas, Athanasios ^a   Brown, Margaret D ^b   Manginas, Athanasios ^a   Alivizatos, Peter A ^a   Cokkinos, Dennis V ^a  

^a ONASSIS CARDIAC SURGERY CENTER   (Greece)

^b UNIVERSITY OF BIRMINGHAM   (United Kingdom)

Author keywords

exercise; heart failure; respiratory muscles

Indexed keywords

ADULT; ARTICLE; BREATHING MUSCLE; CLINICAL ARTICLE; DAILY LIFE ACTIVITY; DISEASE SEVERITY; DYSPNEA; ENDURANCE; EXERCISE TEST; FATIGUE; FEMALE; FUNCTIONAL ASSESSMENT; HEART FAILURE; HUMAN; LUNG CAPACITY; LUNG FUNCTION; MALE; MUSCLE ATROPHY; MUSCLE TRAINING; PRIORITY JOURNAL; QUALITY OF LIFE; RATING SCALE; RISK ASSESSMENT; RISK BENEFIT ANALYSIS;

BREATHING EXERCISES; DYSPNEA; EXERCISE TEST; FEMALE; FORCED EXPIRATORY VOLUME; HEART FAILURE, CONGESTIVE; HEART RATE; HUMANS; INSPIRATORY CAPACITY; MALE; MANOMETRY; MIDDLE AGED; OXYGEN CONSUMPTION; PHYSICAL ENDURANCE; PROSPECTIVE STUDIES; QUALITY OF LIFE; RESPIRATORY MUSCLES; STROKE VOLUME; TREATMENT OUTCOME; VENTRICULAR DYSFUNCTION, LEFT; VITAL CAPACITY;

EID: 11844256421     PISSN: 20474873     EISSN: 20474881     Source Type: Journal    
DOI: 10.1097/01.hjr.0000152242.51327.63     Document Type: Article

References (28)

1. Drexler H, Riede U, Munzel T, Konig H, Funke E, Just H. Alterations of skeletal muscle in chronic heart failure. Circulation 1992; 85: 1751–1759.
2. Okita K, Yonezawa K, Nishijima H, Hanada A, Ohtsubo M, Kohya T, et al. Skeletal muscle metabolism limits exercise capacity in patients with chronic heart failure. Circulation 1998; 98: 1886–1891.
3. Hughes PD, Polkey MI, Harris ML, Coats AJS, Moxham J, Green M. Diaphragm strength in chronic heart failure. Am J Respir Crit Care Med 1999; 160: 529–534.
4. McParland C, Krishnan B, Wang Y, Gallagher CG. Inspiratory muscle weakness and dyspnea in chronic heart failure. Am Rev Respir Dis 1992; 146: 467–472.
5. Nishimura Y, Maeda H, Tanaka K, Nakamura H, Hashimoto Y, Yokohama M. Respiratory muscle strength and hemodynamics in chronic heart failure. Chest 1994; 105: 355–359.
6. Lindsay DC, Lovegrove CA, Dunn MJ, Bennett JG, Pepper JR, Yacoub MH, et al. Histological abnormalities of muscle limb, thorax and diaphragm in chronic heart failure. Eur Heart J 1996; 17: 1230–1250.
7. Tikunov B, Levine S, Mancini D. Chronic congestive heart failure elicits adaptations of endurance exercise in diaphragmatic muscle. Circulation 1997; 95: 910–916.
8. Mancini DM, Henson D, La Manca J, Levine S. Evidence of reduced respiratory muscle endurance in patients with heart failure. JACC 1994; 24: 972–981.
9. Mitch WE, Goldberg AL. Mechanisms of muscle wasting: the role of the ubiquitin-proteasome pathway. N Engl J Med 1996; 335: 1897–1905.
10. Mancini DM, Ferraro N, Nazzaro D, Chance B, Wilson JR. Respiratory muscle deoxygenation during exercise in patients with heart failure demonstrated with near-infrared spectroscopy. J Am Coll Cardiol 1991; 18: 492–498.
11. Mancini DM, Henson D, La Manca J, Lenine S. Respiratory muscle function and dyspnea in patients with chronic congestive heart failure. Circulation 1992; 86: 909–918.
12. Mancini DM, Henson D, La Manca J, Donchez L, Levine S. Benefit of selective respiratory muscle training on exercise capacity in patients with chronic congestive heart failure. Circulation 1995; 91: 320–329.
13. Johnson PH, Cowley AJ, Kinnear WSM. A randomized controlled trial of inspiratory muscle training in stable chronic heart failure. Eur Heart J 1998; 19: 1249–1253.
14. Weiner P, Waizman J, Magadle R, Berar-Yanay N, Pelled B. The effect of specific inspiratory muscle training on the sensation of dyspnea and exercise tolerance in patients with congestive heart failure. Clin Cardiol 1999; 22: 727–732.
15. Smith K, Cook D, Guyatt GH. Respiratory muscle training in chronic airflow limitation: a meta-analysis. American Review of Respiratory Disease 1992; 145: 533–539.
16. Goldstein RS. Ventilatory muscle training. Thorax 1993; 84: 1025–1033.
17. Chatham K, Ionescu AA, Davies S, Baldwin J, Enright S, Shale D.J. Through range computer generated inspiratory muscle training in cystic fibrosis. Paediatric Pulmonology 1997; 340: S299.
18. Chatham K, Baldwin J, Griffiths H, Summers L, Enright S. Inspiratory muscle training improves shuttle run performance in healthy subjects. Physiotherapy 1999; 85: 676–683.
19. Ionescu AA, Chatham J, Davies S, Nixon L, Enright S, Shale DJ. Inspiratory muscle function and body composition in cystic fibrosis. American Journal of Critical Care Medicine 1998; 158: 1271–1276.
20. Riley M, Northridge DB, Henderson E, Stanford CF, Nicholls DP, Dargie HJ. The use of an exponential protocol for bicycle and treadmill exercise testing in patients with chronic cardiac failure. Eur Heart J 1992; 13: 1363–1367.
21. Rector TS, Kubo SH, Cohn JN. Patients' self-assessment of their congestive heart failure. Part 2. Content, reliability and validity of a new measure, the Minnesota Living with Heart Failure questionnaire. Heart Failure 1993; 3: 198–209.
22. Aldrich T. The application of muscle endurance training techniques to the respiratory muscles in COPD. Lung 1985; 163: 15–22.
23. Harms CA, Wetter TJ, Croix CM St., Pegelow DF, Dempsey JA. Effects of respiratory muscle work on exercise performance. Journal of Applied Physiology 2000; 89: 131–138.
24. Croix CM St., Morgan BJ, Wetter TJ, Dempsey JA. Fatiguing inspiratory muscle work causes reflex sympathetic activation in humans. The Journal of Physiology 2000; 529: 493–504.
25. Sheel AW, Derchak PA, Morgan BJ, Pegelow DF, Jacques J, Dempsey JA. Fatiguing inspiratory muscle work causes reflex reduction in resting leg blood flow in humans. The Journal of Physiology 2001; 537: 277–289.
26. Nanas S, Nanas J, Kassiotis C, Alexopoulos G, Samakovli A, Kanakakis J. Respiratory muscle performance is related to oxygen kinetics during maximal exercise and early recovery in patients with congestive heart failure. Circulation 1999; 100: 503–508.
27. Mancini D, Donchez L, Levine S. Acute unloading of the work of breathing extends exercise duration in patients with heart failure. J Am Coll Cardiol 1997; 29: 590–596.
28. Cabanes L, Costes F, Weber S, Regnard J, Benvenuti C, Castaigne A, et al. Improvement in exercise performance by inhalation of methoxamine in patients with left ventricular function. N Engl J Med 1992; 326: 1661–1665.