Chronic Heart Failure
Conditions
Keywords
Chronic heart failure, exercise training, Sympathetic modulation, arterial baroreflex control
Brief summary
The purpose of this study is to verify the effects of exercise training on sympathetic modulation and arterial baroreflex control in patients with chronic heart failure.
Detailed description
Retrospective study. Patients were recruited by database from Rehabilitation Unit of Cardiovascular Rehabilitation and Exercise Physiology of the Heart Institute (InCor). The aim of this study is to assess the effects of exercise training on sympathetic modulation and arterial baroreflex control in patients with chronic heart failure. The investigators studied twenty-six chronic heart failure outpatients, age 30 to 70 years, functional class II to III of New York Heart Association, left ventricular ejection fraction (LVEF) ≤40% and peak oxygen uptake (VO2) ≤20. The exclusion criteria were recent myocardial infarction or unstable angina (\<3 months), heart failure duration (\<3 months), permanent pacemaker dependence, atrial fibrillation, skeletal muscle abnormality (e.g., arthritis) and participation in a regular exercise program. They were assigned to 2 groups: Untrained (n=13) and trained (n=13).
Interventions
exercise training
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with chronic heart failure * Age 30 to 70 years * Functional class II to III of New York Heart Association * Left ventricular ejection fraction (LVEF) ≤40% * Peak oxygen uptake (VO2) ≤20
Exclusion criteria
* Recent myocardial infarction or unstable angina (\<3 months) * heart failure duration (\<3 months) * Permanent pacemaker dependence * Atrial fibrillation * Skeletal muscle abnormality (e.g., arthritis) * Participation in a regular exercise program
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Autonomic control | 4 months | To asses the effects of exercise training on sympathetic modulation by analyze of autonomic control in chronic heart failure patients after 4 months protocol.Time series of muscle sympathetic nerve activity and systolic arterial pressure were analyzed by autoregressive spectral analysis |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Arterial baroreflex control | 4 months | To asses the effects of exercise training on arterial baroreflex by analyze of arterial baroreflex control in chronic heart failure patients after 4 months. The arterial baroreflex control was analyzed by bivariate autoregressive. |
Countries
Brazil