Obstructive Lung Diseases |

Is Exercise Training Effective for Patients With Chronic Obstructive Pulmonary Disease and Chronic Ischemic Heart Disease? FREE TO VIEW

Corina Cozma Dima, PhD; Clementina Doina Cojocaru, PhD; Paraschiva Postolache, PhD
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"Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania

Chest. 2014;145(3_MeetingAbstracts):373A. doi:10.1378/chest.1836621
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SESSION TITLE: COPD Rehabilitation Posters

SESSION TYPE: Poster Presentations

PRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PM

PURPOSE: In elderly patients the association between chronic obstructive pulmonary disease (COPD) and ischemic heart disease (IHD) is common and predisposes to severe complications and marked restrictions of daily activity. The aim was to evaluate the results of exercise training of the rehabilitation programs in patients with mild or moderate COPD and stable chronic ischemic heart disease (CIHD).

METHODS: 56 patients (36 men and 20 women, mean age 63 ± 3.4 years) with mild or moderate COPD (GOLD 2012) and CIHD (with signs of left heart failure class II-III according to NYHA) were followed for 10 weeks in rehabilitation program, which included exercise training. They performed 3-5 sessions of exercise per week, involving specific exercises for respiratory muscles stretching associated with treadmill and ergometer sessions. At the beginning and end of exercise training was evaluated the effort capacity assessed by 6-minutes walking test and by cycloergometer exercise test at 80% of maximum capacity. The variables analyzed were: peak heart rate, peak systolic blood pressure, dyspnea on the Borg scale, breathing frequency, oxygen maximal uptake, ventilatory and echocardiographic parameters (ejection fraction, estimated systolic pulmonary arterial pressure) before and after 10 weeks training program.

RESULTS: Our study showed that maximal oxygen consumption increased from 27,5 ± 6,5 ml/kg/min to 34,3 ± 7,1(p<0,01) and treadmill exercise distance was 506 ± 153 meters and increase to 572 ± 162 meters (p<0,01) after 10 weeks of exercise training. The hemodynamic parameters like ejection fraction (EF) was unchanged (53 ± 4.2% vs 55 ± 3.7%), and the systolic pressure in pulmonary artery had a mild decrease, statistically insignificant (50 ± 4.7 mmHg vs 45 ± 3.8 mmHg).

CONCLUSIONS: The rehabilitation program by exercise training is effective and could be addressed to patients with both cardiovascular and pulmonary chronic diseases. Further research will establish the long-term results of comprehensive rehabilitation programs for patients with both COPD and IHD.

CLINICAL IMPLICATIONS: A better approach of the rehabilitation programs for patients with COPD and associated IHD.

DISCLOSURE: The following authors have nothing to disclose: Corina Cozma Dima, Clementina Doina Cojocaru, Paraschiva Postolache

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