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ASSESSMENT OF CHANGES OF QUALITY OF LIFE AFTER DIAPHRAGMATIC BREATHING EXERCISE IN CHRONIC HEART FAILURE PATIENTS
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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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Keywords
heart failure, respiratory rehabilitation, exercises capacity
References
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