Performance of Fixed Heart Rate Increment Targets of 20 vs 30 Beats per Minute for Exercise Rehabilitation Prescription in Outpatients With Heart Failure

Reed, Jennifer L.; Blais, Angelica; Keast, Marja-Leena; Pipe, Andrew; Reid, Robert D.

doi:10.1016/j.cjca.2017.01.022

Cited by 16 publications

(10 citation statements)

References 35 publications

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“…16 subjects of each adult and elderly population were given a session of randomized sequence of flow and volume orientated spirometers, they found a) thoracic-abdominal asynchrony was in adults with flow only where as in elderly by both flow and volume. b) Flow spirometer increased muscle activity in elderly [8]. Clinically, though flow orientated incentive spirometer imposes twice the amount of load on breathing than volume orientated incentive spirometer there is no significant hemodynamic changes seen by the use of it in Post-operative cardiac patients.…”

Section: Resultsmentioning

confidence: 96%

Effect of flow and volume-oriented incentive spirometer exercise on the hemodynamic parameters in cardiac surgery patients. Pilot interventional study

Keny¹,

Pagare²

2021

IJPR

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Background: The 2 types of incentive spirometers (flow and volume-oriented) prescribed after cardiac surgery demonstrate a difference in the pattern of breathing, diaphragm mobility, pulmonary function test. Limited research is available on effect of incentive spirometer on hemodynamic parameters. Purpose: To provide hemodynamic perspective for preference of a specific type of incentive spirometer after cardiac surgery. Method: Ideal method of performing breathing on their prescribed incentive spirometer was explained. On 2nd day post surgery, heart rate, respiratory rate, oxygen saturation and blood pressure were noted immediately before and after performing 8 breaths on incentive spirometer. Results: The intergroup comparison i.e., difference between changes caused by flow and volume-oriented incentive spirometers are statistically insignificant. The intra group comparison, the changes in hemodynamic parameters by flow and volume-oriented incentive spirometers are statistically insignificant, except for heart rate with flow-oriented incentive spirometers showed statistically significant increase. Conclusions: There is no difference in the impact of flow oriented and volume-oriented Incentive spirometers on hemodynamic parameters in post cardiac surgery patients. KEY WORDS: Incentive spirometer, Cardiac surgery, Heart rate, Blood pressure, Respiratory Rate, Oxygen saturation.

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Section: Resultsmentioning

confidence: 96%

Effect of flow and volume-oriented incentive spirometer exercise on the hemodynamic parameters in cardiac surgery patients. Pilot interventional study

Keny¹,

Pagare²

2021

IJPR

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“…This was a secondary analysis of 54 patients with HF who completed baseline and follow-up measures in a previously published study. 12 That study was conducted at the University of Ottawa Heart Institute (UOHI), a tertiary care cardiovascular institute, and received ethics approval from the UOHI Human Research Ethics Board (protocol #2011139-01H) and Ottawa Health Sciences Network Research Ethics Board (protocol #20130774-01H). All participants provided written informed consent before participating.…”

Section: Methodsmentioning

confidence: 99%

“…Information on demographic, anthropometric, and CRF measures, as well as a detailed description of the CR program, can be found elsewhere. 12 …”

Section: Methodsmentioning

confidence: 99%

Using the 6-min Walk Test to Monitor Peak Oxygen Uptake Response to Cardiac Rehabilitation in Patients With Heart Failure

Chirico

Davidson

Terada

et al. 2020

Journal of Cardiopulmonary Rehabilitation and Prevention

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“…Only 26% of the patients who were instructed to exercise at RHR +20, and 38% of the patients instructed to exercise at RHR +30 achieved 40-60% HRR, respectively [20]. Despite a low proportion of patients meeting exercise intensity guidelines, both groups demonstrated an increase in functional capacity (measured by 6 MWT) at the end of 12 weeks of cardiac rehabilitation training [20]. Collectively, these studies demonstrate that beginning exercise at RHR +20-30 will achieve target exercise intensity goals for some, but not all patients.…”

Section: Exercise Intensity Techniquesmentioning

confidence: 98%

“…Using a similar study design, Reed et al, 2017 compared RHR +20 or RHR +30 to %HRR during the first three weeks of CR in heart failure patients. Only 26% of the patients who were instructed to exercise at RHR +20, and 38% of the patients instructed to exercise at RHR +30 achieved 40-60% HRR, respectively [20]. Despite a low proportion of patients meeting exercise intensity guidelines, both groups demonstrated an increase in functional capacity (measured by 6 MWT) at the end of 12 weeks of cardiac rehabilitation training [20].…”

Section: Exercise Intensity Techniquesmentioning

confidence: 99%

Exercise Prescription Guidelines for Cardiovascular Disease Patients in the Absence of a Baseline Stress Test

Mytinger

Nelson

Zuhl

2020

JCDD

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Aerobic exercise is a core component of cardiac rehabilitation (CR). Leading organizations recommend that the exercise prescriptions should be based on a symptom limited baseline graded exercise test (GXT). However, recent evidence suggests that only ~30% of CR clinics perform baseline GXTs. Consequently, exercise prescriptions including exercise progression in CR are not following standard exercise prescription guidelines. Therefore, the purpose of this review is to provide clinicians with evidence-based techniques for prescribing exercise in the absence of a baseline GXT. Intensity indicators (e.g., heart rate, perceived exertion) are reviewed, along with special exercise considerations for various disease states (e.g., heart failure, peripheral artery disease, and coronary artery disease). Baseline exercise testing remains the gold standard approach for prescribing exercise among heart disease patients, however, clinicians must be prepared to safely develop and monitor patients when a baseline GXT is not performed.

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Performance of Fixed Heart Rate Increment Targets of 20 vs 30 Beats per Minute for Exercise Rehabilitation Prescription in Outpatients With Heart Failure

Cited by 16 publications

References 35 publications

Effect of flow and volume-oriented incentive spirometer exercise on the hemodynamic parameters in cardiac surgery patients. Pilot interventional study

Effect of flow and volume-oriented incentive spirometer exercise on the hemodynamic parameters in cardiac surgery patients. Pilot interventional study

Using the 6-min Walk Test to Monitor Peak Oxygen Uptake Response to Cardiac Rehabilitation in Patients With Heart Failure

Exercise Prescription Guidelines for Cardiovascular Disease Patients in the Absence of a Baseline Stress Test

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