Entrenamiento selectivo de los músculos respiratorios en pacientes con insuficiencia cardíaca crónica

• Autores: Alejandro Martínez S, Carmen Lisboa B, Jorge Jalil, Víctor Muñoz D, Orlando Díaz P, Pablo Casanegra, Ramón Corbalán H, Ana María Vásquez C, Alicia Leiva G
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 129, Nº. 2, 2001, págs. 133-139
• Idioma: español
• Títulos paralelos:
  • Selective training of respiratory muscles in patients with chronic heart failure
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• Resumen

  • Background: Patients with chronic heart failure have a lower inspiratory muscle strength and fatigue endurance. Aim: To assess the effects of selective training of respiratory muscles in patients with heart failure. Patients and methods: Twenty patients with stable chronic heart failure, aged 58.3 ± 3 years with an ejection fraction of 28 ± 9%, were subjected to respiratory muscle training with threshold valves. The load was fixed in 30% of maximal inspiratory pressure (PImax) in 11 and in 10% of PImax in nine. Two sessions of 15 minutes, 6 days per week, during 6 weeks were done. Degree of dyspnea (Mahler score), maximal oxygen uptake, distance walked in 6 minutes, respiratory muscle function and left ventricular ejection fraction were measured before and after training. Results: Both training loads were associated to an improvement in dyspnea (+2.7 ± 1.8 and +2.8 ± 1.8 score points with 30% Plmax and 10% PImax respectively), maximal oxygen uptake (from 19 ± 3 to 21.6 ± 5 and from 16 ± 5 to 18.6 ± 7 ml/kg/min with 30% PImax and 10% PImax respectively, p< 0.05), PImax (from 78 ± 22 to 99 ± 22 and from 72 ± 34 to 82.3 cm H20 with 30% Plmax and 10% PImax respectively), sustained PImax (from 63 ± 18 to 90 ± 22 and from 58 ± 3 to 69 ± 3 cm H20 with 30% PImax and 10% PImax respectively), and maximal sustained load (from 120 ± 67 to 195 ± 47 and from 139 ± 120 to 192 ± 154 g with 30% PImax and 10% PImax respectively). The distance walked in 6 min only increased in subjects trained at 30% PImax (from 451 ± 78 to 486 ± 68 m). Conclusions: Selective training of respiratory muscles results in a functional improvement of patients with chronic heart failure. (Rev Med Chile 2001; 129: 133-39).