Exercise tolerance improves after pulmonary rehabilitation in pulmonary hypertension patients

Journal of Exercise Rehabilitation
Arunabh TalwarNina Kohn

Abstract

Pulmonary rehabilitation (PR) is part of the recommended management plan of pulmonary hypertension (PHTN) and is important to better quality of life and exercise tolerance. This study aimed at determining effectiveness of PR on exercise capacity. Retrospective chart analysis was conducted on patients referred to our PHTN clinic for PR. Patients who had PHTN diagnosed on right heart catheterization (defined by mean pulmonary artery pressure>25 mmHg) and completed a standardized 12-week PR program were considered for the study. Patients' baseline exercise tolerance was recorded as speed attainable on a treadmill and duration of exercise in minutes. Demographics, age, sex, and oxygen use were obtained from chart review. Eighteen PHTN patients (5 male, 13 female; mean age 67.7±11.6 years) were considered for the study (six World Health Organization [WHO] group 1 pulmonary arterial hypertension [33.33%], eight WHO group III PHTH [44.44%], two WHO group IV and two WHO V PHTN [11.11%]). Treadmill speed improved following rehabilitation (1.3 mph [interquartile range {IQR}, 1.0-1.8 mph] to 2.2 mph [IQR, 1.3-2.8 mph]; P<0.0001, Wilcoxon signed rank test). Median exercise time improved (27 min (IQR, 22-30 min) to 30 min (IQR, 24-30 min); ...Continue Reading

References

Oct 16, 2004·The New England Journal of Medicine·Harrison W Farber, Joseph Loscalzo
Jun 9, 2006·American Journal of Respiratory and Critical Care Medicine·Linda NiciUNKNOWN ATS/ERS Pulmonary Rehabilitation Writing Committee
Jul 9, 2009·Journal of the American College of Cardiology·David B BadeschAdam Torbicki
Apr 8, 2011·American Journal of Respiratory and Critical Care Medicine·Ganesh RaghuUNKNOWN ATS/ERS/JRS/ALAT Committee on Idiopathic Pulmonary Fibrosis
Dec 21, 2013·Journal of the American College of Cardiology·Gerald SimonneauRogiero Souza
May 12, 2015·Journal of Exercise Rehabilitation·Sonu SahniArunabh Talwar

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Citations

Jan 25, 2018·Annals of Medicine·Massimo LeggioAndrea Mazza
Dec 24, 2018·The European Respiratory Journal·Ekkehard GrünigAndrew J Peacock
Aug 1, 2019·Current Opinion in Pulmonary Medicine·Christina A EichstaedtEkkehard Grünig
Sep 1, 2017·JAAPA : Official Journal of the American Academy of Physician Assistants·Katherine Alexis AthanasiouArunabh Talwar
Jul 26, 2019·Current Opinion in Pulmonary Medicine·Christina A EichstaedtEkkehard Grünig
Sep 19, 2020·Annals of the American Thoracic Society·Carol KeenKaren Sage

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Methods Mentioned

BETA
pharmacotherapy

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