Publication details
Intervenční program u pacientů s dilatační kardiomyopatií ve Fakultní nemocnici Brno - průběžné výsledky a zkušenosti
| Title in English | Intervention programme in patients suffering from dilated cardiomyopathy in the University Hospital Brno - continuous results and experience |
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| Authors | |
| Year of publication | 2015 |
| Type | Article in Proceedings |
| Conference | FYZIOTERAPIA – VZDELÁVANIE A PRAX |
| MU Faculty or unit | |
| Citation | |
| Field | Cardiovascular diseases incl. cardiosurgery |
| Keywords | heart failure; dilated cardiomyopathy; VE/VCO2slope; cardiac rehabilitation |
| Description | Summary Aim: A number of foreign studies confirm the positive influence of motion exercise upon the quality of life and number of repeated hospitalizations, but also on morbidity. The aim of the study is to demonstrate the prognostic significance of selected clinical indicators and their incorporation into clinical practice. Sample and methods: So far, 13 patients (100% males) of an average age of 58,4 ± 14 years with ejection fraction of left ventricle 31,5 ± 5,1% have been accepted into the study. This concerned patients suffering from dilated cardiomyopathy. The patients have passed a 10 week long aerobic-resistance training programme with the frequency of 2 times per week, and for a month before the start of the programme, the patients have been clinically stable and on an established therapy. Further, they have passed entrance and final spiroergometric exercise examination, echocardiographic examination and 6-MWT examination. Results: Passing the 10 week long training programme lead to a significant increase of apical oxygen consumption (17,3 ± 3,3 vs 18,3 ± 3,0 ml/min.kg-1; p=0,056), work tolerance (109,4 ± 25,2 vs 118,2 ± 25,4 W; p= 0,004), metabolic equivalent (5,7 ± 0,8 vs 6,0 ± 0,8 J.min-1.kg-1; p= 0,049) and also 6 –MWT (480 ± 29,6 vs 543 ± 15,3 m; p=0,007). In 7 patients, a decrease of the VE/VCO2 slope value under 34 has occurred, which indicates a more positive prognosis. Conclusion: We can suggest that the intervention programme leads to improvement of prognostic markers in patients suffering from dilated cardiomyopathy. |