Impact of Walking and Respiratory Training on Cardiopulmonary Function and Activity Endurance in Patients With Chronic Heart Failure

IF 2.4 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Clinical Cardiology Pub Date : 2025-03-30 DOI:10.1002/clc.70123

Qiu-Chen Wang, Jiang-Ying Li, Xiao-Su Ni, Wen-Wen Zhao, Xiao-Cui Wang, Li-Chun Wang

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引用次数: 0

Abstract

Objective

This study aimed to examine the impact of combining walking with respiratory training in patients with chronic heart failure (CHF).

Methods

Eighty patients with CHF, admitted to the Department of Cardiology at the Affiliated Taizhou People's Hospital of Nanjing Medical University between January 2024 and June 2024, were selected as study participants. They were randomly assigned to either a control group or an observation group, with 40 patients in each group. The control group received standard rehabilitation care, while the observation group underwent walking combined with respiratory training along with standard rehabilitation care. Cardiac function, pulmonary function, and activity tolerance were compared between the two groups.

Results

After 3 months of intervention, the observation group exhibited lower levels of heart rate (HR), left ventricular end-diastolic diameter (LVEDD), and left ventricular end-systolic diameter (LVESD) compared to the control group, while the left ventricular ejection fraction (LVEF) was significantly higher (p < 0.05). Additionally, the forced vital capacity (FVC), forced expiratory volume in 1 s (FEV₁), FEV₁/FVC ratio, and 6-min walking distance were greater in the observation group compared to the control group (p < 0.05).

Conclusion

In patients with CHF, combining walking and respiratory training significantly enhances cardiopulmonary function and activity tolerance, demonstrating potential clinical use.

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步行和呼吸训练对慢性心力衰竭患者心肺功能和活动耐力的影响

目的探讨步行联合呼吸训练对慢性心力衰竭（CHF）患者的影响。方法选择南京医科大学附属台州人民医院心内科于2024年1月至2024年6月收治的CHF患者80例作为研究对象。他们被随机分为对照组和观察组，每组40名患者。对照组患者接受标准康复治疗，观察组患者在标准康复治疗的同时进行步行结合呼吸训练。比较两组患者的心功能、肺功能和活动耐量。结果干预3个月后，观察组患者心率（HR）、左室舒张末期内径（LVEDD）、左室收缩末期内径（LVESD）均低于对照组，左室射血分数（LVEF）显著高于对照组（p < 0.05）。观察组用力肺活量（FVC）、1 s用力呼气量（FEV1）、FEV1/FVC比值、6 min步行距离均显著高于对照组（p < 0.05）。结论在慢性心力衰竭患者中，步行和呼吸训练相结合可显著提高心肺功能和活动耐量，具有潜在的临床应用价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Cardiology 医学-心血管系统

CiteScore

5.10

自引率

3.70%

发文量

189

审稿时长

4-8 weeks

期刊介绍： Clinical Cardiology provides a fully Gold Open Access forum for the publication of original clinical research, as well as brief reviews of diagnostic and therapeutic issues in cardiovascular medicine and cardiovascular surgery. The journal includes Clinical Investigations, Reviews, free standing editorials and commentaries, and bonus online-only content. The journal also publishes supplements, Expert Panel Discussions, sponsored clinical Reviews, Trial Designs, and Quality and Outcomes.