Exercise Training Improved Pulmonary Gas Exchange Abnormalities in Pulmonary Hypertension due to Heart Failure: A Case Report
Main Author: | |
---|---|
Publication Date: | 2021 |
Other Authors: | , , , , , |
Format: | Article |
Language: | eng |
Source: | Repositório Institucional da UNESP |
Download full: | http://dx.doi.org/10.36660/ijcs.20180067 http://hdl.handle.net/11449/213419 |
Summary: | Heart failure (HF) is the most common cause of pulmonary hypertension (PH), and reduced exercise capacity and exertional dyspnea are the most frequent concerns in patients with PH-HF. Indeed, carbon dioxide end-tidal partial pressure (PETCO 2 ) during exercise is a well-established noninvasive marker of ventilation/perfusion ratio in PH. We aimed to evaluate the effect of aerobic exercise training on PETCO 2 response during exercise in a 59-year-old woman with PH secondary to idiopathic dilated cardiomyopathy. The patient with chronic fatigue and dyspnea at mild-to-moderate efforts was admitted to a cardiorespiratory rehabilitation program and had her cardiorespiratory response to exercise assessed during a cardiopulmonary exercise testing performed before and after three months of a thrice-weekly aerobic exercise training program. Improvements in aerobic capacity (23.9%) and endurance time (37.5%) and reduction in ventilatory inefficiency (-20.2%) was found after intervention. Post-intervention improvements in PETCO 2 at ventilatory anaerobic threshold (23.3%) and change in PETCO 2 kinetics pattern, with progressive increases from rest to peak of exercise, were also found. Patient also improved breathing pattern and timing of ventilation. This case report demonstrated for the first time that aerobic exercise training might be able to improve PETCO 2 response during exercise in a patient with PH-HF. |
id |
UNSP_398474848c83a87f2e53dcf915afb1c0 |
---|---|
oai_identifier_str |
oai:repositorio.unesp.br:11449/213419 |
network_acronym_str |
UNSP |
network_name_str |
Repositório Institucional da UNESP |
repository_id_str |
2946 |
spelling |
Exercise Training Improved Pulmonary Gas Exchange Abnormalities in Pulmonary Hypertension due to Heart Failure: A Case ReportAerobic CapacityExercise TestCardiovascular DiseasesPulmonary Gas ExchangeHigh Frequency VentilationHeart failure (HF) is the most common cause of pulmonary hypertension (PH), and reduced exercise capacity and exertional dyspnea are the most frequent concerns in patients with PH-HF. Indeed, carbon dioxide end-tidal partial pressure (PETCO 2 ) during exercise is a well-established noninvasive marker of ventilation/perfusion ratio in PH. We aimed to evaluate the effect of aerobic exercise training on PETCO 2 response during exercise in a 59-year-old woman with PH secondary to idiopathic dilated cardiomyopathy. The patient with chronic fatigue and dyspnea at mild-to-moderate efforts was admitted to a cardiorespiratory rehabilitation program and had her cardiorespiratory response to exercise assessed during a cardiopulmonary exercise testing performed before and after three months of a thrice-weekly aerobic exercise training program. Improvements in aerobic capacity (23.9%) and endurance time (37.5%) and reduction in ventilatory inefficiency (-20.2%) was found after intervention. Post-intervention improvements in PETCO 2 at ventilatory anaerobic threshold (23.3%) and change in PETCO 2 kinetics pattern, with progressive increases from rest to peak of exercise, were also found. Patient also improved breathing pattern and timing of ventilation. This case report demonstrated for the first time that aerobic exercise training might be able to improve PETCO 2 response during exercise in a patient with PH-HF.Conselho Nacional de Desenvolvimento Cientı́fico e TecnológicoSão Paulo State University, School of SciencesUltra Sports ScienceHospital Samaritano, Departamento de Reabilitação CardiorrespiratóriaSão Paulo State University, School of SciencesConselho Nacional de Desenvolvimento Cientı́fico e Tecnológico: #303399/2018-0Sociedade Brasileira de CardiologiaUniversidade Estadual Paulista (Unesp)Ultra Sports ScienceHospital SamaritanoPrado, Danilo Marcelo Leite Do [UNESP]Rocco, Enéas AntônioCampos, Júlia De Paiva Fonseca DeMiranda, Thais PellegrinoTeixeira, Amanda BarbuioStaroste, MicheleCiolac, Emmanuel Gomes [UNESP]2021-07-14T10:55:01Z2021-07-14T10:55:01Z2021-02-22info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article-application/pdfhttp://dx.doi.org/10.36660/ijcs.20180067International Journal of Cardiovascular Sciences. Sociedade Brasileira de Cardiologia, p. -, 2021.2359-48022359-5647http://hdl.handle.net/11449/21341910.36660/ijcs.20180067S2359-56472021005002201S2359-56472021005002201.pdfSciELOreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengInternational Journal of Cardiovascular Sciencesinfo:eu-repo/semantics/openAccess2024-04-24T18:53:20Zoai:repositorio.unesp.br:11449/213419Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-04-24T18:53:20Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Exercise Training Improved Pulmonary Gas Exchange Abnormalities in Pulmonary Hypertension due to Heart Failure: A Case Report |
title |
Exercise Training Improved Pulmonary Gas Exchange Abnormalities in Pulmonary Hypertension due to Heart Failure: A Case Report |
spellingShingle |
Exercise Training Improved Pulmonary Gas Exchange Abnormalities in Pulmonary Hypertension due to Heart Failure: A Case Report Prado, Danilo Marcelo Leite Do [UNESP] Aerobic Capacity Exercise Test Cardiovascular Diseases Pulmonary Gas Exchange High Frequency Ventilation |
title_short |
Exercise Training Improved Pulmonary Gas Exchange Abnormalities in Pulmonary Hypertension due to Heart Failure: A Case Report |
title_full |
Exercise Training Improved Pulmonary Gas Exchange Abnormalities in Pulmonary Hypertension due to Heart Failure: A Case Report |
title_fullStr |
Exercise Training Improved Pulmonary Gas Exchange Abnormalities in Pulmonary Hypertension due to Heart Failure: A Case Report |
title_full_unstemmed |
Exercise Training Improved Pulmonary Gas Exchange Abnormalities in Pulmonary Hypertension due to Heart Failure: A Case Report |
title_sort |
Exercise Training Improved Pulmonary Gas Exchange Abnormalities in Pulmonary Hypertension due to Heart Failure: A Case Report |
author |
Prado, Danilo Marcelo Leite Do [UNESP] |
author_facet |
Prado, Danilo Marcelo Leite Do [UNESP] Rocco, Enéas Antônio Campos, Júlia De Paiva Fonseca De Miranda, Thais Pellegrino Teixeira, Amanda Barbuio Staroste, Michele Ciolac, Emmanuel Gomes [UNESP] |
author_role |
author |
author2 |
Rocco, Enéas Antônio Campos, Júlia De Paiva Fonseca De Miranda, Thais Pellegrino Teixeira, Amanda Barbuio Staroste, Michele Ciolac, Emmanuel Gomes [UNESP] |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Ultra Sports Science Hospital Samaritano |
dc.contributor.author.fl_str_mv |
Prado, Danilo Marcelo Leite Do [UNESP] Rocco, Enéas Antônio Campos, Júlia De Paiva Fonseca De Miranda, Thais Pellegrino Teixeira, Amanda Barbuio Staroste, Michele Ciolac, Emmanuel Gomes [UNESP] |
dc.subject.por.fl_str_mv |
Aerobic Capacity Exercise Test Cardiovascular Diseases Pulmonary Gas Exchange High Frequency Ventilation |
topic |
Aerobic Capacity Exercise Test Cardiovascular Diseases Pulmonary Gas Exchange High Frequency Ventilation |
description |
Heart failure (HF) is the most common cause of pulmonary hypertension (PH), and reduced exercise capacity and exertional dyspnea are the most frequent concerns in patients with PH-HF. Indeed, carbon dioxide end-tidal partial pressure (PETCO 2 ) during exercise is a well-established noninvasive marker of ventilation/perfusion ratio in PH. We aimed to evaluate the effect of aerobic exercise training on PETCO 2 response during exercise in a 59-year-old woman with PH secondary to idiopathic dilated cardiomyopathy. The patient with chronic fatigue and dyspnea at mild-to-moderate efforts was admitted to a cardiorespiratory rehabilitation program and had her cardiorespiratory response to exercise assessed during a cardiopulmonary exercise testing performed before and after three months of a thrice-weekly aerobic exercise training program. Improvements in aerobic capacity (23.9%) and endurance time (37.5%) and reduction in ventilatory inefficiency (-20.2%) was found after intervention. Post-intervention improvements in PETCO 2 at ventilatory anaerobic threshold (23.3%) and change in PETCO 2 kinetics pattern, with progressive increases from rest to peak of exercise, were also found. Patient also improved breathing pattern and timing of ventilation. This case report demonstrated for the first time that aerobic exercise training might be able to improve PETCO 2 response during exercise in a patient with PH-HF. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-07-14T10:55:01Z 2021-07-14T10:55:01Z 2021-02-22 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.36660/ijcs.20180067 International Journal of Cardiovascular Sciences. Sociedade Brasileira de Cardiologia, p. -, 2021. 2359-4802 2359-5647 http://hdl.handle.net/11449/213419 10.36660/ijcs.20180067 S2359-56472021005002201 S2359-56472021005002201.pdf |
url |
http://dx.doi.org/10.36660/ijcs.20180067 http://hdl.handle.net/11449/213419 |
identifier_str_mv |
International Journal of Cardiovascular Sciences. Sociedade Brasileira de Cardiologia, p. -, 2021. 2359-4802 2359-5647 10.36660/ijcs.20180067 S2359-56472021005002201 S2359-56472021005002201.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
International Journal of Cardiovascular Sciences |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
- application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia |
dc.source.none.fl_str_mv |
SciELO reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1797789914660601856 |