ASSESSMENT OF CHANGES OF QUALITY OF LIFE AFTER DIAPHRAGMATIC BREATHING EXERCISE IN CHRONIC HEART FAILURE PATIENTS

Đỗ Văn Chiến1,, Trần Thị Mai Liên1
1 Department of Cardiology, Military Heart Institute, 108 Central Military Hospital

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Abstract

Introduction: Patients with chronic heart failure are recommended to initiate diaphragmatic respiratory exercise to improve their conditions. However, this practice is poorly applied in management of heart failure patients. Objectives: to evaluate the effectiveness of diaphragmatic respiratory exercise in patients with chronic heart failure during hospitalization. Subjects and methods: 30 heart failure patients who were being treated at the Department of Cardiology from March to August 2020 participate in the study. Results: The average age of the study group was 60.1 ± 14.5 and 80% were men, 66.7% had heart failure NYHA grade III-IV. The majority of patients were treated with furosemide (93%), spironolactone (83.3%), ACE inhibitors or AT II receptor blockers (83.3%). The average ejection fraction (EF) on echo is 38.2%. Before starting to exercise, the patient had a 6-minute walk of 341 meters and after 30 days of exercise they reach 462 minutes. Quality of life on a EQ-5D-3L questionaire increased from 66 to 75 points. Conclusion: diaphragmatic respiratory exercise improves physical exercise capacity and enhances quality of life for patients with chronic heart failure.

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References

1. O'Connor, C. M., et al. (2009), "Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial", JAMA. 301(14), pp. 1439-50.
2. Palau, P., et al. (2019), "Inspiratory Muscle Training and Functional Electrical Stimulation for Treatment of Heart Failure With Preserved Ejection Fraction: The TRAINING-HF Trial", Rev Esp Cardiol. 72(4), pp. 288-297.
3. Stein, R., et al. (2009), "Inspiratory muscle training improves oxygen uptake efficiency slope in patients with chronic heart failure", J Cardiopulm Rehabil Prev. 29(6), pp. 392-5.
4. Weiner, P., et al. (1999), "The effect of specific inspiratory muscle training on the sensation of dyspnea and exercise tolerance in patients with congestive heart failure", Clin Cardiol. 22(11), pp. 727-32.
5. Coelho, R., et al. (2005), "Heart failure and health related quality of life", Clin Pract Epidemiol Ment Health. 1, p. 19.
6. Ponikowski, P., et al. (2016), "2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC)Developed with the special contribution of the Heart Failure Association (HFA) of the ESC", Eur Heart J.