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IJHSR. 2015; 5(6): 682-694


The Effect Of Expiratory Muscle Training In Chronic Heart Failure Patient: A Case Report.

Filip Dosbaba, Petra Ĺ˝urková, Ladislav BaĹĄalík, Hana Dosbaba, Ilona PaĹ™enicová, Marián Felšöci,OndĹ™ejLudka, JindĹ™ich Špinar.

Abstract
Background: Chronic systolic heart failure (CSHF) is a serious disease with very bad prognosis. Modern cardiovascular rehabilitation reduces the symptoms of CHF and thus improves the quality of life.
The main symptom presented by the patients with CHF is exercise-induced dyspnea and fatigue, which limits their ability to perform activities of daily life. Respiratory muscles function can be affected by heart diseases when the patients display weakness and respiratory muscle deterioration.
A specific respiratory muscles training program improves muscle strength, functional capacity and quality of life for CHF patients with weakened inspiratory and expiratory muscles.
Aim: In this set of case studies, the authors demonstrate the benefit of expiratory muscle training with the Threshold PEP® aid in a patient suffering from CHF and they compare the patient with another patient without respiratory intervention.
Methods: On the basis of dilated cardiomyopathy with left ventricular ejection fraction (EF LV) 30%, NYHA III, a resting initial and leaving spirometry and body plethysmography was performed on a 47-year-old patient with systolic CHF, blood gases levels were determined and the patient also completed a modified Medical Research Council dyspnea questionnaire. In accordance with the discovered occlusion expiratory pressure, an expiratory resistance in centimeters of water column (cm H2O) was precisely set to meet the patient's needs. This expiratory resistance was then increased during the training. The respiratory training was drawn up for the period of 10 weeks.
Results and Conclusion: After ten-week long training with Threshold PEP® respiratory aid, a significant change in ventilatory parameters has occurred. That is why we can indicate that EMT is helpful to patients suffering from CHF. However, it is necessary to focus on these problems in more detail in the future.

Key words: heart failure, expiratory muscle, Threshold PEP®, cardiovascular rehabilitation.



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