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EXERCISE RESISTANCE EFFECT ON ADVERSE REACTION RATE IN HEART FAILURE

EFEITO DE RESISTÊNCIA AO EXERCÍCIO NA TAXA DE REAÇÃO ADVERSA DA INSUFICIÊNCIA CARDÍACA

EFECTO DE LA RESISTENCIA AL EJERCICIO EN LA TASA DE REACCIÓN ADVERSA EN LA INSUFICIENCIA CARDÍACA

ABSTRACT

Introduction:

Heart Failure is a common disease in the elderly. In the end stage, patients usually accompany a reduction in fat content and lean body mass in addition to heart failure.

Objective:

Study the exercise resistance effects and adverse reaction rate in patients with heart failure.

Methods:

52 patients with chronic heart failure (38 males, age 67 ± 2.2 years) were randomly divided into two groups. According to New York Heart Association Functional Classification, 27 patients with grade II and 25 with grade I was randomly divided. The experimental group was submitted to aerobic exercises under heart rate control for seven months and the control group with no exercise prescription. In the comparison, the 6-minute walk test and a cardiac function test were employed by Agilent 4500 EcoDoppler at a frequency of 2.5MHz. The indices of systolic and left ventricular function were recorded on ECG simultaneously using the improved Simpsons method, and the following indices were measured: left ventricular systolic and end-diastolic; left ventricular ejection fraction; left ventricular diastolic function; early, late peak velocity and its ratio; mitral valve diastole.

Results:

Compared to the control group, heart rate decreased to different degrees (P < 0.05), exercise endurance increased significantly (P < 0.01), and left ventricular function index improved significantly (P < 0.01).

Conclusion:

We observed a positive impact of aerobic exercise directed at the rehabilitation of the cardiovascular system and mental health in elderly patients. Evidence Level II; Therapeutic Studies – Investigating the results.

Keywords:
Heart Failure; Exercise; Elderly

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