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2030-12-31
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- INI - Artigos de Periódicos [3646]
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INSPIRATORY MUSCLE ENDURANCE IS SIMILARLY REDUCED IN THE EARLY AND LATE STAGES OF CHRONIC CHAGAS HEART DISEASE
Chagas heart disease
Heart failure
Inspiratory muscle endurance
Inspiratory muscle strength
Author
Diniz, Clara Pinto
Mediano, Mauro Felippe Felix
Rodrigues Junior, Luiz Fernando
Mendes, Fernanda de Souza Nogueira Sardinha
Saraiva, Roberto Magalhães
Veloso, Henrique Horta
Costa, Andréa Rodrigues da
Hasslocher-Moreno, Alejandro Marcel
Borghi-Silva, Audrey
Sousa, Andrea Silvestre de
Mazzoli-Rocha, Flavia
Mediano, Mauro Felippe Felix
Rodrigues Junior, Luiz Fernando
Mendes, Fernanda de Souza Nogueira Sardinha
Saraiva, Roberto Magalhães
Veloso, Henrique Horta
Costa, Andréa Rodrigues da
Hasslocher-Moreno, Alejandro Marcel
Borghi-Silva, Audrey
Sousa, Andrea Silvestre de
Mazzoli-Rocha, Flavia
Affilliation
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Chagas Disease Clinical Research Laboratory. Rio de Janeiro, RJ, Brazil.
National Institute of Cardiology. Department of Research and Education. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Chagas Disease Clinical Research Laboratory. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Chagas Disease Clinical Research Laboratory. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Chagas Disease Clinical Research Laboratory. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Chagas Disease Clinical Research Laboratory. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Chagas Disease Clinical Research Laboratory. Rio de Janeiro, RJ, Brazil.
Federal University of São Carlos. São Carlos, SP, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Chagas Disease Clinical Research Laboratory. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Chagas Disease Clinical Research Laboratory. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Chagas Disease Clinical Research Laboratory. Rio de Janeiro, RJ, Brazil.
National Institute of Cardiology. Department of Research and Education. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Chagas Disease Clinical Research Laboratory. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Chagas Disease Clinical Research Laboratory. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Chagas Disease Clinical Research Laboratory. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Chagas Disease Clinical Research Laboratory. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Chagas Disease Clinical Research Laboratory. Rio de Janeiro, RJ, Brazil.
Federal University of São Carlos. São Carlos, SP, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Chagas Disease Clinical Research Laboratory. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Chagas Disease Clinical Research Laboratory. Rio de Janeiro, RJ, Brazil.
Abstract
Objective: Inspiratory muscle strength (IMS) appears to be reduced in subjects with chronic Chagas heart disease (CHD), especially in the presence of heart failure (HF). However, only one study about IMS and inspiratory muscle endurance (IME) in those with CHD without heart failure is available. This study aimed to compare IMS and IME in subjects with CHD in the presence and absence of HF. Methods: This is a cross-sectional study in which 30 CHD adult patients were divided into CHD-CC group (initial phase of CHD, without HF; n = 15) and CHD-HF group (advanced phase of CHD, with HF; n = 15). We assessed IMS by maximum inspiratory pressure (MIP) and IME by incremental (Pthmax) and constant load (TLim) tests. Reduced IMS and IME were considered by predicted MIP values <70% and Pthmax/MIP <75%, respectively. Results: Inspiratory muscle weakness (IMW) was more frequent in CHD-HF than in CHD-CC (46.7% vs. 13.3%; p = 0.05), and both groups had high frequencies of reduced IME (93.3% CHD-CC vs. 100.0% CHD-HF; p = 0.95). Age-adjusted logistic regression analysis using HF as a dependent variable showed that HF was associated with an increased chance of IMW compared with the CHD-CC group (OR = 7.47; p = 0.03; 95% CI 1.20-46.19). Conclusion: This study suggests that, in patients with CHD, HF is associated with IMW, and that reduction of IME is already present in the initial phase, similar to the advanced phase with HF.
Keywords
Chagas diseaseChagas heart disease
Heart failure
Inspiratory muscle endurance
Inspiratory muscle strength
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