dc.contributor.author | Goulart, Cássia da Luz | |
dc.contributor.author | Caruso, Flávia Rossi | |
dc.contributor.author | Araújo, Adriana Sanches Garcia de | |
dc.contributor.author | Arêas, Guilherme Peixoto Tinoco | |
dc.contributor.author | Moura, Silvia Cristina Garcia de | |
dc.contributor.author | Catai, Aparecida Maria | |
dc.contributor.author | Mendes, Renata Gonçalves | |
dc.contributor.author | Phillips, Shane A. | |
dc.contributor.author | Arena, Ross | |
dc.contributor.author | Silva, Andréa Lúcia Gonçalves da | |
dc.contributor.author | Silva, Audrey Borghi | |
dc.date.accessioned | 2022-02-10T09:42:27Z | |
dc.date.available | 2022-02-10T09:42:27Z | |
dc.date.issued | 2020-09-25 | |
dc.identifier | https://doi.org/10.1016/j.rmed.2020.106173 | por |
dc.identifier.citation | GOULART, Cássia da Luz; CARUSO, Flávia Rossi; ARAÚJO, Adriana Sanches Garcia de; ARÊAS, Guilherme Peixoto Tinoco; MOURA, Silvia Cristina Garcia de; CATAI, Aparecida Maria; MENDES, Renata Gonçalves; PHILLIPS, Shane A.; ARENA, Ross; SILVA, Andréa Lúcia Gonçalves da; SILVA, Audrey Borghi. Non-invasive ventilation improves exercise tolerance and peripheral vascular function after high-intensity exercise in COPD-HF patients. Repositório Institucional da UFSCar, 2020. Dataset. Disponível em: https://repositorio.ufscar.br/handle/ufscar/15580. | * |
dc.identifier.uri | https://repositorio.ufscar.br/handle/ufscar/15580 | |
dc.description | Aim: Evaluate the acute effects of non-invasive positive pressure ventilation (NiPPV) during high-intensity exercise on endothelial function in patients with coexisting chronic obstructive pulmonary disease (COPD) and heart failure (HF). Methods: This is a randomized, double blinded, sham-controlled study involving 14 COPD-HF patients, who underwent a lung function test and Doppler echocardiography. On two different days, patients performed incremental cardiopulmonary exercise testing (CPET) and two constant-work rate tests (80% of CPET peak) receiving Sham or NiPPV (bilevel mode - Astral 150) in a random order until the limit of tolerance (Tlim). Endothelial function was evaluated by flow mediated vasodilation (FMD) at three time points: 1) Baseline; 2) immediately post-exercise with NiPPV; and 3) immediately post-exercise with Sham. Results: Our patients had a mean age of 70 ± 7 years, FEV1 1.9 ± 0.7 L and LVEF 41 ± 9%. NIPPV resulted in an increased Tlim (NiPPV: 130 ± 29s vs Sham: 98 ± 29s p = 0.015) and SpO2 (NiPPV: 94.7 ± 3.5% vs Sham: 92.7 ± 5.2% p = 0.03). Also, NiPPV was able to produce a significant increase in FMD (%) (NiPPV: 9.2 ± 3.1 vs Sham: 3.6 ± 0.7, p < 0.05), FMD (mm) (NiPPV: 0.41 ± 0.18 vs Sham: 0.20 ± 0.11, p < 0.05), Blood flow velocity (NiPPV: 33 ± 18 vs Baseline: 20 ± 14, p < 0.05) and Shear Stress (SS) (NiPPV: 72 ± 38 vs Baseline: 43 ± 25, p < 0.05). We found correlation between Tlim vs. ΔSS (p = 0.03; r = 0.57). Univariate-regression analysis revealed that increased SS influenced 32% of Tlim during exercise with NiPPV. Conclusion: NiPPV applied during high-intensity exercise can acutely modulate endothelial function and improve exercise tolerance in COPD-HF patients. In addition, the increase of SS positively influences exercise tolerance. | eng |
dc.description.sponsorship | Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) | por |
dc.description.sponsorship | Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) | por |
dc.description.sponsorship | Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) | por |
dc.language.iso | eng | eng |
dc.publisher | Universidade Federal de São Carlos | por |
dc.relation.uri | https://pubmed.ncbi.nlm.nih.gov/33007709 | por |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 Brazil | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/br/ | * |
dc.subject | COPD | eng |
dc.subject | Endothelial function | eng |
dc.subject | Exercise test | eng |
dc.subject | Heart failure | eng |
dc.subject | Ventilation | eng |
dc.title | Non-invasive ventilation improves exercise tolerance and peripheral vascular function after high-intensity exercise in COPD-HF patients | eng |
dc.type | Dataset | eng |
dc.publisher.initials | UFSCar | por |
dc.publisher.program | Programa de Pós-Graduação em Fisioterapia - PPGFt | por |
dc.subject.cnpq | CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL | por |
dc.description.sponsorshipId | Processo nº 2015/26501–1, Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) | por |
dc.description.sponsorshipId | Código de Financiamento 001 - CAPES | por |
dc.description.sponsorshipId | Processo nº 141803/ 2019 -3 - Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) | por |
dc.description.sponsorshipId | Processo nº 2018/03233-0, Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) | por |
dc.publisher.address | Câmpus São Carlos | por |
dc.contributor.authorlattes | http://lattes.cnpq.br/9790656360225486 | por |
dc.contributor.authorlattes | http://lattes.cnpq.br/7119400854907214 | por |
dc.contributor.authorlattes | http://lattes.cnpq.br/0104886088821769 | por |
dc.contributor.authorlattes | http://lattes.cnpq.br/0833133191438250 | por |
dc.contributor.authorlattes | http://lattes.cnpq.br/1044361149989467 | por |
dc.contributor.authorlattes | http://lattes.cnpq.br/5801652590531684 | por |
dc.contributor.authorlattes | http://lattes.cnpq.br/9634590922242052 | por |
dc.contributor.authorlattes | http://lattes.cnpq.br/5625129949363675 | por |
dc.contributor.authorlattes | http://lattes.cnpq.br/4855616925791895 | por |
dc.publisher.department | Departamento de Fisioterapia - DFisio | por |