Correlation between respiratory muscle strength, functional capacity and quality in congestive heart failure

Authors

DOI:

https://doi.org/10.5585/conssaude.v18n2.11401

Keywords:

Heart failure, Quality of life, Respiratory muscles, Functional capacity.

Abstract

Introduction: Congestive heart failure (CHF) is considered a systemic syndrome characterized by fatigue and dyspnea. Objective: To correlate the quality of life, functional capacity and respiratory muscle strength of patients with CHF. Methods: Patients with CHF, internal in a reference hospital, were evaluated. Functional classification was performed by the New York Heart Association (NYHA), quality of life by the Minnesota Living with Heart Failure Questionnaire (MLHFQ), and maximal inspiratory pressure (MIP) and maximum expiratory pressure (MEP) by the manovacuometry. Results: Forty-three patients were included, 26 (60.5%) men, with a mean age of 73.16 (± 10.28) years. Most patients (44.2%) were in NYHA class 3. Negative correlation was found for MIP and MEP with NYHA (rs = -0.478, rs = -0.490, respectively), and MLHFQ with MIP (rs = -0.393). Conclusion: We conclude that reduction of respiratory muscle strength leads to a decrease in quality of life and worsening of functional capacity.

Downloads

Download data is not yet available.

Author Biography

Daniela Bassi, Programa de Pós-Graduação em Gestão e Serviços de Saúde, Universidade Ceuma – UNICEUMA. São Luís, MA - Brasil

Possui Graduação em Fisioterapia pelo Centro Universitário Central Paulista (2005), Especialização em Fisioterapia Hospitalar pelo Hospital São Francisco de Ribeirão Preto (2007) e em Fisiologia do Exercício pela Universidade Federal de São Carlos (2011). É Mestre (2011), Doutora (2016) e Pós-Doutora (2016) pelo Programa de Pós-Graduação em Fisioterapia da Universidade Federal de São Carlos. Além disso, possui Doutorado Sanduíche pela University of Illinois at Chicago (2014-2015). Atualmente é Professora do Curso de graduação em Fisioterapia na Universidade Ceuma. Tem experiência na área de Fisioterapia com ênfase em Fisioterapia Hospitalar Geral, Reabilitação Cardiovascular, Respiratória e Metabólica, Exercício Físico para populações especiais incluindo diabéticos, hipertensos, cardiopatas, obesos e idosos, bem como Cirurgia Bariátrica e Disfunção Endotelial.

References

Go AS, et al. Heart disease and stroke statistics – 2014 update: a report from the American Heart Association. Circulation. 2014;129(3):e28-e292.

Roger VL. Epidemiology of Heart Failure. Circ Res. 2013;113(6):646–59.

Lessa Í. Epidemiologia da hipertensão arterial sistêmica e da insuficiência cardíaca no Brasil. Rev Bras Hipertens. 2001;8(4):383-92.

Bochi EA, et al. III Diretriz Brasileira de Insuficiência Cardíaca Crônica. Arq Bras Cardiol. 2009;93(1):3-70.

Hunt SA. ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 2001 Guidelines for the Evaluation and Management of Heart Failure). J Am Coll Cardiol. 2005;46;1-82.

Kamel CS, et al. Insuficiência Cardíaca Congestiva. Correlação entre a Classe Funcional e as Funções Sistólica e Diastólica Avaliadas pela Ecocardiografia com Doppler. Arq Bras Cardiol. 2001;76;(2):132-35.

Paulus WJ, Tschöpe C. A Novel Paradigm for Heart Failure With Preserved Ejection Fraction: Comorbidities Drive Myocardial Dysfunction and Remodeling Through Coronary Microvascular Endothelial Inflammation. J Am Coll Cardiol. 2013;62:263-71.

Rogers C, Bush N. Heart Failure Pathophysiology, Diagnosis, Medical Treatment Guidelines, and Nursing Management. Nurs Clin N Am. 2015;50:787-99.

Hammond MD, et al. Respiratory muscle strength in congestive heart failure. Chest. 1990;98(5):1091-4.

Guazzi M. Alveolar-capillary membrane dysfunction in heart failure: evidence of a pathophysiologic role. Chest. 2003;124(3):1090-102

Di Naso FG, et al. A classe da NYHA tem relação com a condição funcional e qualidade de vida na insuficiência cardíaca. Fisioterapia e pesquisa. 2011;18(2):157-63.

Carvalho VO, et al. Validação da versão em português do Minnesota Living with Heart Failure Questionnaire. Arq Bras Cardiol. 2009;93(1):39-44.

Steier J, et al. ATS/ERS Statement on respiratory muscle testing. Am J Respir Crit Care Med. 2002;166(4):518-624.

Nogueira IDB, et al. Functional capacity, muscle strength and quality of life in heart failure. Revista Brasileira de Medicina do Esporte. 2017;23(3):184-8.

Mediano MFF, et al. Reassessment of quality of life domains in patients with compensated Chagas heart failure after participating in a cardiac rehabilitation program. Rev Soc Bras Med Trop. 2017;50(3):404-7.

Dias IA, Ferreira LN. Avaliação funcional de pacientes com Insuficiência Cardíaca Congestiva através de escalas padronizadas. Revista Saúde.com. 2011;7(2):116-126.

Sane R, et al. Effect of heart failure reversal treatment as add-on therapy in patients with chronic heart failure: A randomized, open-label study. Indian Heart Journal. 2017;69:299-304.

Junior LAF, et.al. Evaluation of Respiratory Muscle Strength and Pulmonary Function in Heart Failure Patients. Arq Bras Cardiol. 2007; v89;(1): 32-36.

Lima MSM, et al. Global Longitudinal Strain or Left Ventricular Twist and Torsion? Which Correlates Best with Ejection Fraction? Arq Bras Cardiol. 2017;109(1):23-9.

Demir R, et al. Relationship of respiratory muscle strength, pulmonary function, and functional capacity with quality of life in patients with atrial fibrillation. J Int Med Res. 2018; 46(1).

Bobenko A, et al. Amount or intensity? Potential targets of exercise interventions in patients with heart failure with preserved ejection fraction. ESC Heart Failure. 2018;(5): 53-62.

Published

2019-06-30

How to Cite

1.
Silva ES da, Santos-de-Araújo AD, Silva T dos S, Lira JLF, Calles AC do N, Bassi D. Correlation between respiratory muscle strength, functional capacity and quality in congestive heart failure. Cons. Saúde [Internet]. 2019 Jun. 30 [cited 2024 Dec. 22];18(2):249-54. Available from: https://periodicos.uninove.br/saude/article/view/11401

Issue

Section

Artigos