Respiratory muscle endurance is limited by lower ventilatory efficiency in post-myocardial infarction patients



Título del documento: Respiratory muscle endurance is limited by lower ventilatory efficiency in post-myocardial infarction patients
Revista: Brazilian journal of physical therapy
Base de datos: PERIÓDICA
Número de sistema: 000377240
ISSN: 1809-9246
Autores: 1
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Instituciones: 1Universidade Federal de Sao Carlos, Nucleo de Pesquisa em Exercicio Fisico, Sao Carlos, Sao Paulo. Brasil
Año:
Periodo: Ene-Feb
Volumen: 18
Número: 1
Paginación: 1-8
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Experimental
Resumen en inglés 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
Disciplinas: Medicina
Palabras clave: Neumología,
Sistema cardiovascular,
Terapéutica y rehabilitación,
Infarto al miocardio,
Cardiopatías,
Tolerancia al ejercicio,
Terapia física,
Músculos respiratorios,
Fatiga muscular
Keyword: Medicine,
Cardiovascular system,
Pneumology,
Therapeutics and rehabilitation,
Myocardial infarction,
Cardiopathies,
Exercise tolerance,
Physical therapy,
Respiratory muscles,
Muscle fatigue
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