Abstract | PURPOSE: METHODS: Twenty-one male CHF patients, age 68+/-7 (mean+/-DS) years; ejection fraction 32+/-9. NYHA II-III were enrolled. Eleven pts were randomized to combined training (CT) group performing HT+ET and 10 patients to ET group (ET only). At baseline and after 24 weeks all patients underwent: 6-minute walking test (6MWT), assessment of quadriceps maximal voluntary contraction (MVC) and peak torque (PT), blood pressure and heart rate (HR), echocardiography and non-invasive hemodynamic evaluation. HT was performed 3 times/week in upright position at up to the xyphoid process at a temperature of 31°C. ET was performed 3 times/week. RESULTS: Exercise was well tolerated. No patients had adverse events. Distance at 6MWT improved in both groups (CT group: 150+/-32 m; ET group:105+/-28 m) with significant intergroup differences (p 0.001). On land diastolic BP and HR significantly decreased in the CT group while remained unchanged in the ET group (-11 mmHg+/-2, p 0.04; e - 12 bpm, p 0.03; respectively) CO and SV had a relative despite no significant increase in CT group TPR on land significantly decreased in CT group (-23+/-3 mmHg/l/m; p 0.01) while remained unchanged in ET group. Patients of CT group had no significant higher increase of both MVC and PT than ET group. CONCLUSIONS: CT training, significantly improves exercise tolerance and hemodynamic profile of patients with CHF.
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Authors | Giuseppe Caminiti, Maurizio Volterrani, Giuseppe Marazzi, Anna Cerrito, Rosalba Massaro, Barbara Sposato, Arianna Arisi, Giuseppe Rosano |
Journal | International journal of cardiology
(Int J Cardiol)
Vol. 148
Issue 2
Pg. 199-203
(Apr 14 2011)
ISSN: 1874-1754 [Electronic] Netherlands |
PMID | 19942303
(Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
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Copyright | Copyright © 2009 Elsevier Ireland Ltd. All rights reserved. |
Topics |
- Aged
- Chronic Disease
- Exercise Therapy
(methods)
- Exercise Tolerance
(physiology)
- Heart Failure
(physiopathology, rehabilitation, therapy)
- Hemodynamics
(physiology)
- Humans
- Hydrotherapy
(methods)
- Immersion
- Male
- Middle Aged
- Muscle Strength
(physiology)
- Physical Endurance
(physiology)
- Physical Fitness
(physiology)
- Pilot Projects
- Treatment Outcome
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