Comparison of functional and maximal exercise capacity, respiratory and peripheral muscle strength, dyspnea, and fatigue in patients with heart failure with pacemakers and healthy controls: a cross-sectional study

dc.authoridbargi, gulsah/0000-0002-5243-3997
dc.authoridBosnak Guclu, Meral/0000-0002-3861-9912
dc.contributor.authorGuclu, Meral Bosnak
dc.contributor.authorBargi, Gulsah
dc.contributor.authorKatayifci, Nihan
dc.contributor.authorSen, Fatih
dc.date.accessioned2024-09-18T20:26:35Z
dc.date.available2024-09-18T20:26:35Z
dc.date.issued2021
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractBackground: Despite major breakthroughs that have recently been made in pacemakers implanted in patients with heart failure (HF), it is clear that functional impairments and symptoms often remain. However, only limited studies have investigated exercise capacity, muscle strength, pulmonary function, dyspnea, and fatigue in these patients. Therefore, we aimed to compare aforementioned outcomes in patients and healthy controls. Methods: A cross-sectional study. Fifty patients with HF with pacemakers (58.90 +/- 10.69 years, NYHA II-III, LVEF: 30.79 +/- 8.78%) and 40 controls (56.33 +/- 5.82 years) were compared. Functional (6-Minute Walking test (6-MWT)) and maximal exercise capacity (Incremental Shuttle Walk test (ISWT)), respiratory (Mouth pressure device) and peripheral muscle strength (Dynamometer), pulmonary function (Spirometry), dyspnea (Modified Medical Research Council Dyspnea scale), and fatigue (Fatigue Severity scale) were evaluated. ClinicalTrial number: NCT03701854. Results: 6-MWT (412.62 +/- 96.51 m versus 610.16 +/- 59.48 m) and ISWT (279.97 m versus 655 m) distances (p < 0.001), pulmonary function (p<0.001), respiratory and peripheral muscle strength (p < 0.001) were significantly lower; dyspnea (p < 0.001) and fatigue (p = .030) scores were higher in patients compared with controls. Conclusion: Maximal and functional exercise capacity is impaired in the majority of patients with HF with pacemakers, respiratory and peripheral muscles are weakened, dyspnea and fatigue perceptions are increased. Patients with pacemakers have to be included in cardiac rehabilitation programs to improve impairments.en_US
dc.identifier.doi10.1080/09593985.2019.1630878
dc.identifier.endpage306en_US
dc.identifier.issn0959-3985
dc.identifier.issn1532-5040
dc.identifier.issue2en_US
dc.identifier.pmid31204872en_US
dc.identifier.scopus2-s2.0-85067855564en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage295en_US
dc.identifier.urihttps://doi.org/10.1080/09593985.2019.1630878
dc.identifier.urihttps://hdl.handle.net/20.500.12483/10416
dc.identifier.volume37en_US
dc.identifier.wosWOS:000472272100001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTaylor & Francis Incen_US
dc.relation.ispartofPhysiotherapy Theory and Practiceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHeart failureen_US
dc.subjectpacemakeren_US
dc.subjectexercise testen_US
dc.subjectmuscle strengthen_US
dc.subjectfatigueen_US
dc.subjectdyspneaen_US
dc.titleComparison of functional and maximal exercise capacity, respiratory and peripheral muscle strength, dyspnea, and fatigue in patients with heart failure with pacemakers and healthy controls: a cross-sectional studyen_US
dc.typeArticleen_US

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