Kalp Yetersizliğinde Nefes Egzersizleri ve Etkili Egzersiz Terapileri

Year 2020, Volume: 1 Issue: 2, 84 - 93, 30.06.2020

Kübra Çaylan Aynur Otağ

Abstract

Kalp yetersizliği mortalite ve morbitide oranı yüksek olan multisistemik bir sendromdur. Kalp yetersizliğinde dispne, egzersiz intoleransı yorgunluk ve azalmış fonksiyonel kapasite gibi semptomlar görülür. Fiziksel egzersizler ve nefes egzersizlerin yapılması sonucunda oluşan semptomlarda iyileşme sağlanmıştır. Bu yazının amacı kalp yetersizliği bulunan hastalarda kardiyak rehabilitasyonda uygulanması gereken fiziksel egzersizler ve nefes egzersizleri vurgulanmak istenmiştir.

Keywords

Kalp yetersizliği, Egzersiz tedavisi, Rehabilitasyon

Project Number

yok

References

• AKKAN, H., & YÜREKDELER ŞAHİN, N. (2019). Investigation of Low Back Pain Attitudes and Beliefs in Physiotherapy Students. Journal of Traditional Medical Complementary Therapies, 2(1), 10–16. https://doi.org/10.5336/jtracom.2019-64838
• Ballesta García, I., Rubio Arias, J. Á., Ramos Campo, D. J., Martínez González-Moro, I., & Carrasco Poyatos, M. (2019). High-intensity Interval Training Dosage for Heart Failure and Coronary Artery Disease Cardiac Rehabilitation. A Systematic Review and Meta-analysis. Revista Española de Cardiología (English Edition), 72(3), 233–243. https://doi.org/10.1016/j.rec.2018.02.015
• Bittencourt, H. S., Cruz, C. G., David, B. C., Rodrigues-Jr, E., Abade, C. M., Junior, R. A., … Gomes Neto, M. (2017). Addition of non-invasive ventilatory support to combined aerobic and resistance training improves dyspnea and quality of life in heart failure patients: A randomized controlled trial. Clinical Rehabilitation, 31(11), 1508–1515. https://doi.org/10.1177/0269215517704269
• Bozkurt, B., & Khalaf, S. (2017, October 1). Heart Failure in Women. Methodist DeBakey Cardiovascular Journal, Vol. 13, pp. 216–223. https://doi.org/10.14797/mdcj-13-4-216
• Cahalin, L. P., & Arena, R. A. (2015, January 1). Breathing exercises and inspiratory muscle training in heart failure. Heart Failure Clinics, Vol. 11, pp. 149–172. https://doi.org/10.1016/j.hfc.2014.09.002
• Chen, X., Hou, L., Zhang, Y., Liu, X., Shao, B., Yuan, B., … Guo, Q. (2019). The effects of five days of intensive preoperative inspiratory muscle training on postoperative complications and outcome in patients having cardiac surgery: a randomized controlled trial. Clinical Rehabilitation, 33(5), 913–922. https://doi.org/10.1177/0269215519828212
• Cordeiro, A. L. L., de Melo, T. A., Neves, D., Luna, J., Esquivel, M. S., Guimarães, A. R. F., … Petto, J. (2016). Inspiratory muscle training and functional capacity in patients undergoing cardiac surgery. Brazilian Journal of Cardiovascular Surgery, 31(2), 140–144. https://doi.org/10.5935/1678-9741.20160035
• Dall’Ago, P., Chiappa, G. R. S., Guths, H., Stein, R., & Ribeiro, J. P. (2006). Inspiratory muscle training in patients with heart failure and inspiratory muscle weakness: A randomized trial. Journal of the American College of Cardiology, 47(4), 757–763. https://doi.org/10.1016/j.jacc.2005.09.052
• Ding, R. (2017). Exercise-based rehabilitation for heart failure: Clinical evidence. In Advances in Experimental Medicine and Biology (Vol. 1000, pp. 31–49). https://doi.org/10.1007/978-981-10-4304-8_3
• Gedela, M., Khan, M., & Jonsson, O. (2015, September 1). Heart Failure. South Dakota Medicine : The Journal of the South Dakota State Medical Association, Vol. 68. S D Med.
• Giallauria, F., Piccioli, L., Vitale, G., & Sarullo, F. M. (2018). Exercise training in patients with chronic heart failure: A new challenge for cardiac rehabilitation community. Monaldi Archives for Chest Disease, 88(3), 38–44. https://doi.org/10.4081/monaldi.2018.987
• Gomes Neto, M., Ferrari, F., Helal, L., Lopes, A. A., Carvalho, V. O., & Stein, R. (2018). The impact of high-intensity inspiratory muscle training on exercise capacity and inspiratory muscle strength in heart failure with reduced ejection fraction: a systematic review and meta-analysis. Clinical Rehabilitation, 32(11), 1482–1492. https://doi.org/10.1177/0269215518784345
• Gomes Neto, M., Martinez, B. P., Reis, H. F. C., & Carvalho, V. O. (2017). Pre- and postoperative inspiratory muscle training in patients undergoing cardiac surgery: Systematic review and meta-analysis. Clinical Rehabilitation, Vol. 31, pp. 454–464. https://doi.org/10.1177/0269215516648754
• Hamazaki, N., Masuda, T., Kamiya, K., Matsuzawa, R., Nozaki, K., Maekawa, E., … Ako, J. (2019). Respiratory muscle weakness increases dead-space ventilation ratio aggravating ventilation–perfusion mismatch during exercise in patients with chronic heart failure. Respirology, 24(2), 154–161. https://doi.org/10.1111/resp.13432
• Huynh, K. (2017, July 1). Heart failure: HF-induced diaphragmatic atrophy and weakness. Nature Reviews Cardiology, Vol. 14, p. 383. https://doi.org/10.1038/nrcardio.2017.85
• Janardan, C., & Dr. K. Madhavi, MPT (CT), Ph.D., F. (2016). INFLUENCE OF MUSIC THERAPY AND BREATHING EXERCISES ON ANXIETY IN POST-OPERATIVE CARDIAC DISEASED INDIVIDUALS. Int J Physiother, Vol 3(1), 22–28.
• Karanfil, E. O. T., & Møller, A. M. (2018, March 1). Preoperative inspiratory muscle training prevents pulmonary complications after cardiac surgery – a systematic review. Danish Medical Journal, Vol. 65. Danish Medical Association.
• Kawauchi, T. S., Umeda, I. I. K., Braga, L. M., Mansur, A. de P., Rossi-Neto, J. M., Guerra de Moraes Rego Sousa, A., … Nakagawa, N. K. (2017). Is there any benefit using low-intensity inspiratory and peripheral muscle training in heart failure? A randomized clinical trial. Clinical Research in Cardiology, 106(9), 676–685. https://doi.org/10.1007/s00392-017-1089-y
• Kelley, R. C., & Ferreira, L. F. (2017). Diaphragm abnormalities in heart failure and aging: mechanisms and integration of cardiovascular and respiratory pathophysiology. Heart Failure Reviews, 22(2), 191–207. https://doi.org/10.1007/s10741-016-9549-4
• Kurzaj, M., Dziubek, W., Porębska, M., & Rożek-Piechura, K. (2019). Can inspiratory muscle training improve exercise tolerance and lower limb function after myocardial infarction? Medical Science Monitor, 25, 5159–5169. https://doi.org/10.12659/MSM.914684
• Lage, S. M., Britto, R. R., Brandão, D. C., Pereira, D. A. G., Andrade, A. D. de, & Parreira, V. F. (2018). Can diaphragmatic breathing modify chest wall volumes during inspiratory loaded breathing in patients with heart failure? Brazilian Journal of Physical Therapy, 22(6), 452–458. https://doi.org/10.1016/j.bjpt.2018.04.005
• Laveneziana, P., O’Donnell, D. E., Ofir, D., Agostoni, P., Padeletti, L., Ricciardi, G., … Scano, G. (2009). Effect of biventricular pacing on ventilatory and perceptual responses to exercise in patients with stable chronic heart failure. Journal of Applied Physiology, 106(5), 1574–1583. https://doi.org/10.1152/japplphysiol.90744.2008
• Laviolette, L., & Laveneziana, P. (2014). Dyspnoea: A multidimensional and multidisciplinary approach. European Respiratory Journal, Vol. 43, pp. 1750–1762. https://doi.org/10.1183/09031936.00092613
• Lopes, C. P., Danzmann, L. C., Moraes, R. S., Vieira, P. J. C., Meurer, F. F., Soares, D. S., … Biolo, A. (2018). Yoga and breathing technique training in patients with heart failure and preserved ejection fraction: Study protocol for a randomized clinical trial. Trials, 19(1). https://doi.org/10.1186/s13063-018-2802-5
• Mcmurray JJV, Adamopoulos S, Anker SD, Auricchio A, Böhm M, Dickstein K Al., E. (2012). Türk Kardiyoloji Derneği Arşivi.
• Mello, P. R., Guerra, G. M., Borile, S., Rondon, M. U., Alves, M. J., Negrão, C. E., … Consolim-Colombo, F. M. (2012). Inspiratory muscle training reduces sympathetic nervous activity and improves inspiratory muscle weakness and quality of life in patients with chronic heart failure. Journal of Cardiopulmonary Rehabilitation and Prevention, 32(5), 255–261. https://doi.org/10.1097/HCR.0b013e31825828da
• Montemezzo, D., Fregonezi, G. A., Pereira, D. A., Britto, R. R., & Reid, W. D. (2014). Influence of inspiratory muscle weakness on inspiratory muscle training responses in chronic heart failure patients: A systematic review and meta-analysis. Archives of Physical Medicine and Rehabilitation, Vol. 95, pp. 1398–1407. https://doi.org/10.1016/j.apmr.2014.02.022
• Nakagawa, N. K., Diz, M. A., Kawauchi, T. S., de Andrade, G. N., Umeda, I. I. K., Murakami, F. M., … Cahalin, L. P. (2020). Risk Factors for Inspiratory Muscle Weakness in Chronic Heart Failure. Respiratory Care, 65(4), 507–516. https://doi.org/10.4187/respcare.06766
• Palau, P., Domínguez, E., López, L., Ramón, J. M., Heredia, R., González, J., … Núñez, J. (2019). Inspiratory Muscle Training and Functional Electrical Stimulation for Treatment of Heart Failure With Preserved Ejection Fraction: The TRAINING-HF Trial. Revista Española de Cardiología (English Edition), 72(4), 288–297. https://doi.org/10.1016/j.rec.2018.01.010
• Sadek, Z., Salami, A., Joumaa, W. H., Awada, C., Ahmaidi, S., & Ramadan, W. (2018, November 1). Best mode of inspiratory muscle training in heart failure patients: a systematic review and meta-analysis. European Journal of Preventive Cardiology, Vol. 25, pp. 1691–1701. https://doi.org/10.1177/2047487318792315
• Schindler, M. J., Adams, V., & Halle, M. (2019, August 15). Exercise in Heart Failure—What Is the Optimal Dose to Improve Pathophysiology and Exercise Capacity? Current Heart Failure Reports, Vol. 16, pp. 98–107. https://doi.org/10.1007/s11897-019-00428-z
• Seo, Y., Yates, B., Laframboise, L., Pozehl, B., Norman, J. F., & Hertzog, M. (2016). A Home-Based Diaphragmatic Breathing Retraining in Rural Patients With Heart Failure. Western Journal of Nursing Research, 38(3), 270–291. https://doi.org/10.1177/0193945915584201
• Tanai, E., & Frantz, S. (2016). Pathophysiology of heart failure. Comprehensive Physiology, 6(1), 187–214. https://doi.org/10.1002/cphy.c140055
• Taylor, R. S., Dalal, H., Jolly, K., Moxham, T., & Zawada, A. (2010). Home-based versus centre-based cardiac rehabilitation. In Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd007130.pub2
• Tkaczyszyn, M., Drozd, M., Węgrzynowska-Teodorczyk, K., Flinta, I., Kobak, K., Banasiak, W., … Jankowska, E. A. (2018). Depleted iron stores are associated with inspiratory muscle weakness independently of skeletal muscle mass in men with systolic chronic heart failure. Journal of Cachexia, Sarcopenia and Muscle, 9(3), 547–556. https://doi.org/10.1002/jcsm.12282
• Uzun, M. (2014). Kardiyak ve Pulmoner Rehabilitasyon (1.baskı). İstanbul Tıp Kitabevi.
• Vatwani, A. (2019). Pursed Lip Breathing Exercise to Reduce Shortness of Breath. Archives of Physical Medicine and Rehabilitation, 100(1), 189–190. https://doi.org/10.1016/j.apmr.2018.05.005
• Wang, M.-H., & Yeh, M.-L. (2019). Respiratory training interventions improve health status of heart failure patients: A systematic review and network meta-analysis of randomized controlled trials. World Journal of Clinical Cases, 7(18), 2760–2775. https://doi.org/10.12998/wjcc.v7.i18.2760
• Wang, M. H., & Yeh, M. L. (2019). Respiratory training interventions improve health status of heart failure patients: A systematic review and network meta-analysis of randomized controlled trials. World Journal of Clinical Cases, 7(18), 2760–2775. https://doi.org/10.12998/wjcc.v7.i18.2760
• Westerdahl, E. (2015, June 1). Optimal technique for deep breathing exercises after cardiac surgery. Minerva Anestesiologica, Vol. 81, pp. 678–683. Minerva Anestesiol.
• Westerdahl, Elisabeth, Urell, C., Jonsson, M., Bryngelsson, I. L., Hedenström, H., & Emtner, M. (2014). Deep breathing exercises performed 2 months following cardiac surgery: A randomized controlled trial. Journal of Cardiopulmonary Rehabilitation and Prevention, 34(1), 34–42. https://doi.org/10.1097/HCR.0000000000000020
• Zeren, M., Demir, R., Yigit, Z., & Gurses, H. N. (2016). Effects of inspiratory muscle training on pulmonary function, respiratory muscle strength and functional capacity in patients with atrial fibrillation: a randomized controlled trial. Clinical Rehabilitation, 30(12), 1165–1174. https://doi.org/10.1177/0269215515628038
• Ziaeian, B., & Fonarow, G. C. (2016, June 1). Epidemiology and aetiology of heart failure. Nature Reviews Cardiology, Vol. 13, pp. 368–378. https://doi.org/10.1038/nrcardio.2016.25
• Zou, Y., Zhao, X., Hou, Y. Y., Liu, T., Wu, Q., Huang, Y. H., & Wang, X. H. (2017). Meta-Analysis of Effects of Voluntary Slow Breathing Exercises for Control of Heart Rate and Blood Pressure in Patients With Cardiovascular Diseases. American Journal of Cardiology, 120(1), 148–153. https://doi.org/10.1016/j.amjcard.2017.03.247