Detailed Information on Publication Record
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.Basic information
Original name
Effects of Neuromuscular Electrical Stimulation and Aerobic Exercise Training on Arterial Stiffness and Autonomic Functions in Patients With Chronic Heart Failure
Authors
DOBŠÁK, Petr (203 Czech Republic, guarantor), Josef TOMANDL (203 Czech Republic, belonging to the institution), Lenka ŠPINAROVÁ (203 Czech Republic), Jiří VÍTOVEC (203 Czech Republic), Ladislav DUŠEK (203 Czech Republic, belonging to the institution), Marie NOVÁKOVÁ (203 Czech Republic, belonging to the institution), Jiří JARKOVSKÝ (203 Czech Republic, belonging to the institution), Jan KREJČÍ (203 Czech Republic), Petr HUDE (203 Czech Republic, belonging to the institution), Tomáš HONEK (203 Czech Republic), Jarmila SIEGELOVÁ (203 Czech Republic) and Pavel HOMOLKA (203 Czech Republic)
Edition
Artificial organs, USA, WILEY-BLACKWELL, 2012, 0160-564X
Other information
Language
English
Type of outcome
Článek v odborném periodiku
Field of Study
30201 Cardiac and Cardiovascular systems
Country of publisher
United States of America
Confidentiality degree
není předmětem státního či obchodního tajemství
Impact factor
Impact factor: 1.964
RIV identification code
RIV/00216224:14110/12:00057790
Organization unit
Faculty of Medicine
UT WoS
000309447900010
Keywords in English
Exercise; Electrical stimulation; Heart failure; Arterial stiffness; Heart rate variability
Tags
International impact
Změněno: 23/4/2013 01:22, Ing. Mgr. Věra Pospíšilíková
Abstract
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.
Links
| GAP102/12/2034, research and development project |
| ||
| NS10096, research and development project |
|