Neuromuscular electrical stimulation improves exercise tolerance in patients with advanced heart failure on continuous intravenous inotropic support userandomized controlled trial

Neuromuscular electrical stimulation improves exercise tolerance in patients with advanced heart failure on continuous intravenous inotropic support userandomized controlled trial

Author Forestieri, Patricia Autor UNIFESP Google Scholar
Bolzan, Douglas W. Autor UNIFESP Google Scholar
Santos, Vinicius B. Autor UNIFESP Google Scholar
Lopes Moreira, Rita Simone Autor UNIFESP Google Scholar
de Almeida, Dirceu Rodrigues Autor UNIFESP Google Scholar
Trimer, Renata Google Scholar
Brito, Flavio de Souza Autor UNIFESP Google Scholar
Borghi-Silva, Audrey Google Scholar
de Camargo Carvalho, Antonio Carlos Autor UNIFESP Google Scholar
Arena, Ross Google Scholar
Gomes, Walter J. Autor UNIFESP Google Scholar
Guizilini, Solange Autor UNIFESP Google Scholar
Abstract Objective: To evaluate the impact of a short-term neuromuscular electrical stimulation program on exercise tolerance in hospitalized patients with advanced heart failure who have suffered an acute decompensation and are under continuous intravenous inotropic support. Design: A randomized controlled study. Subjects: Initially, 195 patients hospitalized for decompensated heart failure were recruited, but 70 were randomized. Intervention: Patients were randomized into two groups: control group subject to the usual care (n=35)

neuromuscular electrical stimulation group (n=35) received daily training sessions to both lower extremities for around two weeks. Main measures: The baseline 6-minute walk test to determine functional capacity was performed 24hours after hospital admission, and intravenous inotropic support dose was daily checked in all patients. The outcomes were measured in two weeks or at the discharge if the patients were sent back home earlier than two weeks. Results: After losses of follow-up, a total of 49 patients were included and considered for final analysis (control group, n=25 and neuromuscular electrical stimulation group, n=24). The neuromuscular electrical stimulation group presented with a higher 6-minute walk test distance compared to the control group after the study protocol (29334.78m vs. 265.8 +/- 48.53m, P<0.001, respectively). Neuromuscular electrical stimulation group also demonstrated a significantly higher dose reduction of dobutamine compared to control group after the study protocol (2.72 +/- 1.72 mu g/kg/min vs. 3.86 +/- 1.61 mu g/kg/min, P=0.001, respectively). Conclusion: A short-term inpatient neuromuscular electrical stimulation rehabilitation protocol improved exercise tolerance and reduced intravenous inotropic support necessity in patients with advanced heart failure suffering a decompensation episode.
Keywords Cardiac rehabilitation
functional capacity
neuromuscular stimulation
heart failure
xmlui.dri2xhtml.METS-1.0.item-coverage London
Language English
Date 2018
Published in Clinical Rehabilitation. London, v. 32, n. 1, p. 66-74, 2018.
ISSN 0269-2155 (Sherpa/Romeo, impact factor)
Publisher Sage Publications Ltd
Extent 66-74
Origin http://dx.doi.org/10.1177/0269215517715762
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000418381700008
URI https://repositorio.unifesp.br/handle/11600/53963

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