Respiratory muscle endurance is limited by lower ventilatory efficiency in post-myocardial infarction patients
Braz. j. phys. ther. (Impr.)
;
18(1): 1-8, Jan-Feb/2014. tab, graf
Artigo
em Inglês
| LILACS
| ID: lil-704639
ABSTRACT
Background:
Reduced respiratory muscle endurance (RME) contributes to increased dyspnea upon exertion in patients with cardiovascular disease.Objective:
The objective was to characterize ventilatory and metabolic responses during RME tests in post-myocardial infarction patients without respiratory muscle weakness.Method:
Twenty-nine subjects were allocated into three groups recent myocardial infarction group (RG, n=9), less-recent myocardial infarction group (LRG, n=10), and control group (CG, n=10). They underwent two RME tests (incremental and constant pressure) with ventilatory and metabolic analyses. One-way ANOVA and repeated measures one-way ANOVA, both with Tukey post-hoc, were used between groups and within subjects, respectively.Results:
Patients from the RG and LRG presented lower metabolic equivalent and ventilatory efficiency than the CG on the second (50± 06, 50± 5 vs. 42± 4) and third part (50± 11, 51± 10 vs. 43± 3) of the constant pressure RME test and lower metabolic equivalent during the incremental pressure RME test. Additionally, at the peak of the incremental RME test, RG patients had lower oxygen uptake than the CG.Conclusions:
Post-myocardial infarction patients present lower ventilatory efficiency during respiratory muscle endurance tests, which appears to explain their inferior performance in these tests even in the presence of lower pressure overload and lower metabolic equivalent. .
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Músculos Respiratórios
/
Infarto do Miocárdio
Tipo de estudo:
Estudo observacional
/
Estudo de prevalência
/
Fatores de risco
Limite:
Adulto
/
Idoso
/
Humanos
Idioma:
Inglês
Revista:
Braz. j. phys. ther. (Impr.)
Assunto da revista:
MEDICINA FISICA E REABILITACAO
Ano de publicação:
2014
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade Federal de Sao Carlos/BR
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