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January 1, 1994European Respiratory JournalOpen Access

Chronic heart failure was associated with significantly increased neural ventilatory drive (1.86 vs 1.4 cmH2O) and reduced maximal inspiratory pressure (79 vs 104 cmH2O) compared to controls.

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Why the study?

Does chronic heart failure alter breathing pattern, ventilatory drive, and respiratory muscle strength compared to post-myocardial infarction patients without left ventricular dysfunction?

Population

45 male inpatients with chronic heart failure and 22 sex-matched post-myocardial infarction patients without…

Design

Cross-sectional

Key result

Chronic heart failure was associated with significantly increased neural ventilatory drive (1.86 vs 1.4 cmH2O) and reduced maximal inspiratory pressure (79 vs 104 cmH2O) compared to controls.

Authors

NANicolino AmbrosinoCOCristina OpasichPCPaola Crotti

Discussion

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Overview

CHF may alter ventilatory drive and muscle strength by severity; hypothesis-generating for respiratory mechanics in advanced disease.

Study Design

Type

Observational (n=67)

Structured PICO

Does chronic heart failure alter breathing pattern, ventilatory drive, and respiratory muscle strength compared to post-myocardial infarction patients without left ventricular dysfunction?

P
Population
67 male patients, comprising 45 inpatients with chronic heart failure (NYHA class II-III) and 22 post-myocardial infarction controls without left ventricular dysfunction.
C
Comparator
22 sex-matched post-myocardial infarction patients without left ventricular dysfunction
O
Outcome
Breathing pattern, ventilatory neural drive (mouth occlusion pressure), and respiratory muscle strength (maximal inspiratory and expiratory pressures)surrogate

Main Result

Absolute Event Rate: 1.86% vs 1.4%

Chronic heart failure induces changes in neural ventilatory drive and respiratory muscle strength that correlate with the severity of the disease.

Cite This Study

Ambrosino et al. (1994) conducted an observational in Chronic heart failure (n=67). Chronic heart failure vs. Post myocardial infarction without left ventricular dysfunction was evaluated on Neural drive assessed by mouth occlusion pressure (P0.1). Chronic heart failure was associated with significantly increased neural ventilatory drive (1.86 vs 1.4 cmH2O) and reduced maximal inspiratory pressure (79 vs 104 cmH2O) compared to controls.

synapsesocial.com/papers/6a6d843d5d37378ac1db970dhttps://doi.org/10.1183/09031936.94.07010017
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Morphological and Functional Alterations of Respiratory Muscle Performance and Spirometry Parameters in Patients with Congestive Heart Failure2023 · 5 citations
  2. 2Respiratory Muscle Strength and Quality of Life in Patients With Heart Failure and Their Main Correlated Factors2023 · 1 citations
  3. 3Deep Breathing Heart Rate Variability is Associated with Inspiratory Muscle Weakness in Chronic Heart Failure2013 · 32 citations
  4. 4Influence of Cardiomegaly on Disordered Breathing During Exercise in Chronic Heart Failure2010 · 15 citations
  5. 5Is central nervous system processing altered in patients with heart failure?2004 · 32 citations