Effects of Neuromuscular Electrical Stimulation and Aerobic
Exercise Training on Arterial Stiffness and Autonomic Functions
in Patients With Chronic Heart Failure

J 2012

Effects of Neuromuscular Electrical Stimulation and Aerobic Exercise Training on Arterial Stiffness and Autonomic Functions in Patients With Chronic Heart Failure

DOBŠÁK, Petr, Josef TOMANDL, Lenka ŠPINAROVÁ, Jiří VÍTOVEC, Ladislav DUŠEK et. al.

Základní údaje

Originální název

Effects of Neuromuscular Electrical Stimulation and Aerobic Exercise Training on Arterial Stiffness and Autonomic Functions in Patients With Chronic Heart Failure

Autoři

DOBŠÁK, Petr (203 Česká republika, garant), Josef TOMANDL (203 Česká republika, domácí), Lenka ŠPINAROVÁ (203 Česká republika), Jiří VÍTOVEC (203 Česká republika), Ladislav DUŠEK (203 Česká republika, domácí), Marie NOVÁKOVÁ (203 Česká republika, domácí), Jiří JARKOVSKÝ (203 Česká republika, domácí), Jan KREJČÍ (203 Česká republika), Petr HUDE (203 Česká republika, domácí), Tomáš HONEK (203 Česká republika), Jarmila SIEGELOVÁ (203 Česká republika) a Pavel HOMOLKA (203 Česká republika)

Vydání

Artificial organs, USA, WILEY-BLACKWELL, 2012, 0160-564X

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 1.964

Kód RIV

RIV/00216224:14110/12:00057790

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1111/j.1525-1594.2012.01474.x

UT WoS

000309447900010

Klíčová slova anglicky

Exercise; Electrical stimulation; Heart failure; Arterial stiffness; Heart rate variability

Příznaky

Mezinárodní význam

Změněno: 23. 4. 2013 01:22, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Neuromuscular electrical stimulation (NMES) of leg muscles has been introduced in clinical practice as a rehabilitation (RHB) method in patients with chronic heart failure (CHF); however, the role of NMES on the reduction of arterial stiffness and autonomic disbalance in these patients has not yet been studied. Sixty-one patients with stable CHF (mean age 58.9 [2.1] years; mean ejection fraction 31 [4.2]%, New York Heart Association IIIII) were randomly assigned into two groups. Patients in (i) exercise training group (ET; n = 30) underwent 12 weeks of bicycle ET (3 x 40 min/week); (ii) group NMES (n = 31) performed 12 weeks of NMES of quadriceps and calf muscles (frequency 10 Hz, mode 20 s on20 s off, intensity 60 mA), 2 x 60 min/day. Noninvasive assessment of arterial stiffness was done using the cardio-ankle vascular index (CAVI). CAVI and heart rate variability (HRV) and were evaluated before and after RHB program. Both types of RHB reduced significantly CAVI (ET from 9.6 [0.2] to 8.9 [0.2], P < 0.012; NMES from 9.3 [0.2] to 8.7 [0.2], P < 0.013), increased high frequency (HF) component of HRV (+65.6%; P = 0.001) and decreased ratio of low frequency (LF) component with HF component (LF/HF ratio) in group ET (-39.8%; P < 0.001). Changes of HRV parameters in group NMES were not significant; however, a marked tendency to autonomic stabilization was present. Both types of RHB led also to significant increase of (ET from 18.7 [0.7] to 20.8 [0.7] mL/kg/min, P < 0.004; NMES from 17.3 [0.7] to 19.0 [0.7] mL/kg/min, P < 0.001). ET or NMES has been shown to improve significantly arterial stiffness and to stabilize autonomic balance.

Návaznosti

GAP102/12/2034, projekt VaV

Název: Analýza vztahu mezi elektrickými ději a průtokem krve u srdečních komor

Investor: Grantová agentura ČR, Analýza vztahu mezi elektrickými ději a průtokem krve u srdečních komor

NS10096, projekt VaV

Název: Zvýšení účinnosti rehabilitace vlivem kombinovaného aerobního tréninku doplněného o elektromyostimulaci u nemocných s chronickým srdečním selháním

Investor: Ministerstvo zdravotnictví ČR, Zvýšení účinnosti rehabilitace vlivem kombinovaného aerobního tréninku doplněného o elektromyostimulaci u nemocných s chronickým srdečním selhání

Přiložené soubory

Dobsak-2012.pdf

Požádat o autorskou verzi souboru

Citovat

DOBŠÁK, Petr, Josef TOMANDL, Lenka ŠPINAROVÁ, Jiří VÍTOVEC, Ladislav DUŠEK, Marie NOVÁKOVÁ, Jiří JARKOVSKÝ, Jan KREJČÍ, Petr HUDE, Tomáš HONEK, Jarmila SIEGELOVÁ a Pavel HOMOLKA. Effects of Neuromuscular Electrical Stimulation and Aerobic Exercise Training on Arterial Stiffness and Autonomic Functions in Patients With Chronic Heart Failure. Artificial organs. USA: WILEY-BLACKWELL, 2012, roč. 36, č. 10, s. 920-930. ISSN 0160-564X. Dostupné z: https://dx.doi.org/10.1111/j.1525-1594.2012.01474.x.

@article{1072419,
   author = {Dobšák, Petr and Tomandl, Josef and Špinarová, Lenka and Vítovec, Jiří and Dušek, Ladislav and Nováková, Marie and Jarkovský, Jiří and Krejčí, Jan and Hude, Petr and Honek, Tomáš and Siegelová, Jarmila and Homolka, Pavel},
   article_location = {USA},
   article_number = {10},
   doi = {http://dx.doi.org/10.1111/j.1525-1594.2012.01474.x},
   keywords = {Exercise; Electrical stimulation; Heart failure; Arterial stiffness; Heart rate variability},
   language = {eng},
   issn = {0160-564X},
   journal = {Artificial organs},
   title = {Effects of Neuromuscular Electrical Stimulation and Aerobic Exercise Training on Arterial Stiffness and Autonomic Functions in Patients With Chronic Heart Failure},
   volume = {36},
   year = {2012}
}

TY  - JOUR
ID  - 1072419
AU  - Dobšák, Petr - Tomandl, Josef - Špinarová, Lenka - Vítovec, Jiří - Dušek, Ladislav - Nováková, Marie - Jarkovský, Jiří - Krejčí, Jan - Hude, Petr - Honek, Tomáš - Siegelová, Jarmila - Homolka, Pavel
PY  - 2012
TI  - Effects of Neuromuscular Electrical Stimulation and Aerobic Exercise Training on Arterial Stiffness and Autonomic Functions in Patients With Chronic Heart Failure
JF  - Artificial organs
VL  - 36
IS  - 10
SP  - 920-930
EP  - 920-930
PB  - WILEY-BLACKWELL
SN  - 0160564X
KW  - Exercise
KW  - Electrical stimulation
KW  - Heart failure
KW  - Arterial stiffness
KW  - Heart rate variability
N2  - Neuromuscular electrical stimulation (NMES) of leg muscles has been introduced in clinical practice as a rehabilitation (RHB) method in patients with chronic heart failure (CHF); however, the role of NMES on the reduction of arterial stiffness and autonomic disbalance in these patients has not yet been studied. Sixty-one patients with stable CHF (mean age 58.9 [2.1] years; mean ejection fraction 31 [4.2]%, New York Heart Association IIIII) were randomly assigned into two groups. Patients in (i) exercise training group (ET; n = 30) underwent 12 weeks of bicycle ET (3 x 40 min/week); (ii) group NMES (n = 31) performed 12 weeks of NMES of quadriceps and calf muscles (frequency 10 Hz, mode 20 s on20 s off, intensity 60 mA), 2 x 60 min/day. Noninvasive assessment of arterial stiffness was done using the cardio-ankle vascular index (CAVI). CAVI and heart rate variability (HRV) and were evaluated before and after RHB program. Both types of RHB reduced significantly CAVI (ET from 9.6 [0.2] to 8.9 [0.2], P < 0.012; NMES from 9.3 [0.2] to 8.7 [0.2], P < 0.013), increased high frequency (HF) component of HRV (+65.6%; P = 0.001) and decreased ratio of low frequency (LF) component with HF component (LF/HF ratio) in group ET (-39.8%; P < 0.001). Changes of HRV parameters in group NMES were not significant; however, a marked tendency to autonomic stabilization was present. Both types of RHB led also to significant increase of (ET from 18.7 [0.7] to 20.8 [0.7] mL/kg/min, P < 0.004; NMES from 17.3 [0.7] to 19.0 [0.7] mL/kg/min, P < 0.001). ET or NMES has been shown to improve significantly arterial stiffness and to stabilize autonomic balance.
ER  -

DOBŠÁK, Petr, Josef TOMANDL, Lenka ŠPINAROVÁ, Jiří VÍTOVEC, Ladislav DUŠEK, Marie NOVÁKOVÁ, Jiří JARKOVSKÝ, Jan KREJČÍ, Petr HUDE, Tomáš HONEK, Jarmila SIEGELOVÁ a Pavel HOMOLKA. Effects of Neuromuscular Electrical Stimulation and Aerobic Exercise Training on Arterial Stiffness and Autonomic Functions in Patients With Chronic Heart Failure. \textit{Artificial organs}. USA: WILEY-BLACKWELL, 2012, roč.~36, č.~10, s.~920-930. ISSN~0160-564X. Dostupné z: https://dx.doi.org/10.1111/j.1525-1594.2012.01474.x.

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