Keywords
Maximal inspiratory pressure
Muscle strength
Cardiovascular rehabilitation
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Abstract
Objective: To correlate cardiorespiratory capacity through the 6MST and 1MWT with MIP. Methods: This quantitative, cross-sectional study included 14 participants with heart failure. The assessments took place in the ICU and cardiology ward, measuring MIP, the Sit-to-Stand Test, and the Step Test. The data were statistically analyzed using SPSS. Results: There was no correlation between MIP and the functional tests. However, a strong correlation was observed between the 6MST and 1MWT (r=0.80; p=0.001), suggesting that these tests are useful for assessing the capacity and resistance of the lower limbs in patients with heart failure. Conclusion: The present study demonstrated that cardiorespiratory capacity, assessed by the 6MST and 1MWT, did not present a significant correlation with MIP in participants with heart failure. However, a strong positive correlation between 6MST and 1min TSL was observed, indicating that these functional tests are useful for assessing cardiorespiratory capacity and lower limb endurance in the hospital environment.
References
AZAMBUJA ACM, et al. Inspiratory Muscle Training in patients with Heart Failure: what is new? Systematic Review and Meta-Analysis. Physical Therapy. 2020; 100(12): 2101-2109.
BELARDINELLI R, et al. Randomized, controlled trial of long-term moderate exercise training in chronic heart failure: effects on functional capacity, quality of life, and clinical outcome. Circulation. 1999; 99(9), 1173-1182.
BOL E, et al. Cardiopulmonary exercise parameters in relation to all-cause mortality in patients with chronic heart failure. Int J Cardiol. 2000;72: 255–63.
COATS AJS, et al. Physical function and exercise training in older patients with heart failure. Nat Rev Cardiol. 2017;14(9): 550-559.
COSTA D, et al. Pressões respiratórias máximas em indivíduos saudáveis de 20 a 80 anos. Revista Brasileira de Fisioterapia. 2010; 14(2), 117-126.
DALL'AGO P, et al. Inspiratory muscle training in patients with heart failure and inspiratory muscle weakness: a randomized trial. Journal of the American College of Cardiology. 47(4), 757-763.
DEL BUONO MG, et al. Exercise intolerance in patients with heart failure: JACC state-of-the-art review. J Am Coll Cardiol. 2019;73:2209–25.
FORGIARINI JUNIOR LA, et al. Avaliação da força muscular respiratória e da função pulmonar em pacientes com insuficiência cardíaca. Arq. Bras. Cardiol. 2007; 89(1).
GANDULLO EV, et al. Inspiratory Muscle Training in patients with Chronic Obstructive Pulmonary Disease (COPD) as part of a respiratory rehabilitation program implementation of mechanical devices: a Systematic Review. Int. J. Environ. Res. Public Health. 2022; 19(9): 5564.
GHEORGHIADE M, et al. Rehospitalization for heart failure: Problems and perspectives. Journal of the American College of Cardiology. 2013; 61(4), 391-403.
GROENEWEGEN A, et al. Epidemiology of heart failure. Eur J Heart Fail. 2020;22(8):1342–56.
JAENISCH RB, et al. Respiratory muscle training improves diaphragm citrate synthase activity and hemodynamic function in rats with heart failure. Braz J Cardiovasc Surg. 2017;32:104–110.
LI H, et al. Inspiratory muscle training in patients with heart failure: A systematic review and meta-analysis. Front. Cardiovasc. Med. 2022; 18(9): 1-11.
MALHOTRA R, et al. Cardiopulmonary exercise testing in heart failure. JACC: heart failure. 2016; 4(8): 607-616.
MARINHO RS, et al. Reliability and validity of six-minute step test in patients with heart failure. Brazilian Journal of Medical and Biological Research. 2021; 54(10): e10514.
MCMURRAY JJV, PFEFFER MA. Heart failure. Lancet. 2005; 365(9476), 1877-1889.
Meyer FJ, et al. Respiratory muscle dysfunction in congestive heart failure: clinical relevance and prognostic impact. European Heart Journal. 2001; 22(5), 688-694.
NOGUEIRA IDB, et al. Capacidade funcional, força muscular e qualidade de vida na insuficiência cardíaca. Rev Bras Med Esporte. 2017; 23(3): 184-188.
PAULUS WJ, TSCHÖPE C. A novel paradigm for heart failure with preserved ejection fraction: Comorbidities drive myocardial dysfunction and remodeling through coronary microvascular endothelial inflammation. Journal of the American College of Cardiology. 2013; 62(4), 263-271.
PIEPOLI MF, et al. Exercise training in heart failure: from theory to practice. European Journal of Heart Failure. 2011; 18(2), 110-118.
PINA IL, et al. Exercise and Heart Failure: A statement from the American Heart Association Committee on Exercise, Rehabilitation, and Prevention. Circulation. 2003; 107(8): 1210-1225.
PONIKOWSKI P, et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. European Heart Journal. 2016;37(27), 2129-2200.
RITT LEF, et al. O Teste do Degrau de Seis Minutos como Preditor de Capacidade Funcional de Acordo com o Consumo de Oxigênio de Pico em Pacientes Cardíacos. Arq. Bras. Cardiol. 2021; 116(5): 889-895.
ROCHA RM, et al. Effects of inspiratory muscle training on respiratory function in heart failure patients: A meta-analysis. Heart & Lung. 2021; 50(3), 385-392.
SAVARESE G, LUND LH. Global public health burden of heart failure. Cardiac Failure Review. 2017; 3(2), 7-11.
SEKI KLM, et al. Physical capacity, respiratory and peripheral muscle strength in heart failure. Rev Bras Med Esporte. 2020; 26(4): 289-293.
STEWART RAH, et al. Physical activity and mortality in patients with stable coronary heart disease. Journal of the American College of Cardiology. 2017; 72(9), 1795-1801.
TANRIVERDI A, et al. Test–Retest Reliability and Validity of 1-Minute Sit-to-Stand Test in Patients With Chronic Heart Failure. Heart Lung and Circulation. 2023; 32(4): 518-524.
YANCY CW, et al. 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Journal of the American College of Cardiology. 2013; 62(16), e147-e239