Login Register Cart 0
Generic placeholder image

Current Respiratory Medicine Reviews

Editor-in-Chief

ISSN (Print): 1573-398X
ISSN (Online): 1875-6387

Back
Journal Home About Journal Editorial Board Journal Insight Current Issue Volumes/Issues
Subscribe
Research Article

Pulmonary Rehabilitation Effects on Heart Rate Recovery in Restrictive Lung Disease Patients

Author(s): José Savio Ribeiro, Darlé Ana da Silva Barros, Antônio Adolfo Mattos de Castro, Natália Cristina Vargas de Oliveira e Silva, Claudia Kumpel and Elias Ferreira Porto*

Volume 15, Issue 4, 2019

Page: [299 - 305] Pages: 7

DOI: 10.2174/1573398X15666191116105634

Price: $65

Abstract

Objective: The study aimed to evaluate heart rate recovery in subjects with restrictive lung disease (RLD) and healthy age matched subjects before and after a rehabilitation program (RP).

Methods: This is a cross-sectional study on subjects of both genders, with over 40 years old with and without any diagnosis of restrictive lung disease and who were able to perform physical tasks were included in the study. They were evaluated for sociodemographic profile, lifestyle (ILP), Framingham score, physical capacity (6MWT and treadmill incremental testing) and heart rate recovery before and after RP.

Results: 65 subjects were assigned into either G1 (patients with RLD, n=26) or G2 (healthy subjects, n= 39). Initially, patients with RLD increased their heart rate (HR) from 79 to 120bpm, and after the recovery post-exercise, the first minute they reduced HR by nine beats. In the fifth minute after the exercise, HR returned to baseline values. After the RP, mean HR was 71bpm and 79bpm in G1 and G2, respectively. Increased mean 6MWT peak HR in both the groups was seen (110bpm and 120bpm, G1 and G2, respectively). In the first minute of resting, mean HR decreased to 86bpm (- 24bpm) and 72 (-48bpm) in G1 and G2, respectively. In the fifth minute after exercise, HR recovery in both the groups was complete.

Conclusion: The RP was effective in improving the first-minute heart rate recovery in patients with restrictive lung disease and, there was an inverse correlation of heart rate recovery with disease severity.

Keywords: chronic diseases exercise, chronic diseases, exercise, on heart rate recover, pulmonary, rehabilitation, restrictive lung disease.

« Previous Next »
Graphical Abstract

[1]
Sperandio EF, Alexandre AS, Yi LC, et al. Functional aerobic exercise capacity limitation in adolescent idiopathic scoliosis. Spine J 2014; 14(10): 2366-72.
[http://dx.doi.org/10.1016/j.spinee.2014.01.041] [PMID: 24486477]
[2]
Mannino DM, Holguin F, Pavlin BI, Ferdinands JM. Risk factors for prevalence of and mortality related to restriction on spirometry: findings from the First National Health and Nutrition Examination Survey and follow-up. Int J Tuberc Lung Dis 2005; 9(6): 613-21.
[PMID: 15971387]
[3]
Nishime EO, Cole CR, Blackstone EH, Pashkow FJ, Lauer MS. Heart rate recovery and treadmill exercise score as predictors of mortality in patients referred for exercise ECG. JAMA 2000; 284(11): 1392-8.
[http://dx.doi.org/10.1001/jama.284.11.1392] [PMID: 10989401]
[4]
Imai K, Sato H, Hori M, et al. Vagally mediated heart rate recovery after exercise is accelerated in athletes but blunted in patients with chronic heart failure. J Am Coll Cardiol 1994; 24(6): 1529-35.
[http://dx.doi.org/10.1016/0735-1097(94)90150-3] [PMID: 7930286]
[5]
Barret SSM, Gazzana MB. Pulmonary hypertension: a report of six cases and updating review. J Bras Pneumol 2000; 26(6): 321-36.
[6]
Passaro LC. Resposta cardiovascular na prova de esforço: pressão arterial sistólica. Rev Bras Med Esporte 1997; 3(1): 6-10.
[http://dx.doi.org/10.1590/S1517-86921997000100003]
[7]
Nolan J, Flapan AD, Capewell S, MacDonald TM, Neilson JM, Ewing DJ. Decreased cardiac parasympathetic activity in chronic heart failure and its relation to left ventricular function. Br Heart J 1992; 67(6): 482-5.
[http://dx.doi.org/10.1136/hrt.67.6.482] [PMID: 1622699]
[8]
Britto RR, de Sousa LAP. Six-minute walk test a Brazilian normalization. Fisioter Mov 2017; 19(4)
[9]
Martinez FJ, Couser JI, Celli BR. Respiratory response to arm elevation in patients with chronic airflow obstruction. Am Rev Respir Dis 1991; 143(3): 476-80.
[http://dx.doi.org/10.1164/ajrccm/143.3.476] [PMID: 1900400]
[10]
Pereira CAC. Espirometria. J Pneumol 2002; 28(1): 01-81.
[11]
Ha D, Stephans K, Choi H, et al. Heart rate recovery and survival in patients undergoing stereotactic body radiotherapy for treatment of early-stage lung cancer. J Radiosurg SBRT 2015; 3(3): 193-201.
[PMID: 29296402]
[12]
Porto EF. New lifestyle. Lifestyle J 2015; 2(1): 9-10.
[13]
Salhi B, Troosters T, Behaegel M, Joos G, Derom E. Effects of pulmonary rehabilitation in patients with restrictive lung diseases. Chest 2010; 137(2): 273-9.
[http://dx.doi.org/10.1378/chest.09-0241] [PMID: 19858229]
[14]
van der Cammen-van Zijp MH, Ijsselstijn H, Takken T, et al. Exercise testing of pre-school children using the Bruce treadmill protocol: new reference values. Eur J Appl Physiol 2010; 108(2): 393-9.
[http://dx.doi.org/10.1007/s00421-009-1236-x] [PMID: 19821120]
[15]
Antelmi I, Chuang EY, Grupi CJ, Latorre Mdo R, Mansur AJ. Heart rate recovery after treadmill electrocardiographic exercise stress test and 24-hour heart rate variability in healthy individuals. Arq Bras Cardiol 2008; 90(6): 380-5.
[PMID: 18592090]
[16]
Cole CR, Foody JM, Blackstone EH, Lauer MS. Heart rate recovery after submaximal exercise testing as a predictor of mortality in a cardiovascularly healthy cohort. Ann Intern Med 2000; 132(7): 552-5.
[http://dx.doi.org/10.7326/0003-4819-132-7-200004040-00007] [PMID: 10744592]
[17]
Cole CR, Blackstone EH, Pashkow FJ, Snader CE, Lauer MS. Heart-rate recovery immediately after exercise as a predictor of mortality. N Engl J Med 1999; 341(18): 1351-7.
[http://dx.doi.org/10.1056/NEJM199910283411804] [PMID: 10536127]
[18]
Swigris JJ, Swick J, Wamboldt FS, et al. Heart rate recovery after 6-min walk test predicts survival in patients with idiopathic pulmonary fibrosis. Chest 2009; 136(3): 841-8.
[http://dx.doi.org/10.1378/chest.09-0211] [PMID: 19395579]
[19]
Wichrowski M, Whiteson J, Haas F, Mola A, Rey MJ. Effects of horticultural therapy on mood and heart rate in patients participating in an inpatient cardiopulmonary rehabilitation program. J Cardiopulm Rehabil 2005; 25(5): 270-4.
[http://dx.doi.org/10.1097/00008483-200509000-00008] [PMID: 16217230]
[20]
Fletcher GF, Balady G, Froelicher VF, Hartley LH, Haskell WL, Pollock ML. Writing Group. Exercise standards. A statement for healthcare professionals from the American Heart Association. Circulation 1995; 91(2): 580-615.
[http://dx.doi.org/10.1161/01.CIR.91.2.580] [PMID: 7805272]
[21]
Jolly MA, Brennan DM, Cho L. Impact of exercise on heart rate recovery. Circulation 2011; 124(14): 1520-6.
[http://dx.doi.org/10.1161/CIRCULATIONAHA.110.005009] [PMID: 21947293]
[22]
Arena R, Myers J, Abella J, et al. The prognostic value of the heart rate response during exercise and recovery in patients with heart failure: influence of beta-blockade. Int J Cardiol 2010; 138(2): 166-73.
[http://dx.doi.org/10.1016/j.ijcard.2008.08.010] [PMID: 18804882]

Rights & Permissions Print Cite
Article Metrics
10
© 2024 Bentham Science Publishers | Privacy Policy