NDLI: The Usefulness of Impedance Cardiography for Predicting Beneficial Effects of Cardiac Rehabilitation in Patients with Heart Failure

Content Provider	PubMed Central
Author	Gielerak, Grzegorz KrzesiÅ ski, PaweÅ Piotrowicz, Ewa Piotrowicz, Ryszard
Copyright Year	2013
Abstract	Aim. Cardiac rehabilitation (CR) is an important part of heart failure (HF) treatment. The aim of this paper was to evaluate if thoracic fluid content (TFC) measured by impedance cardiography (ICG) is a useful parameter for predicting the outcome of CR. Methods. Fifty HF patients underwent clinical and noninvasive haemodynamic (TFC) assessments before and after 8-week CR. Results. As a result of CR, the patients' exercise tolerance improved, especially in terms of peak VO2 (18.7 versus 20.8 mL × kg−1 × min−1; P = 0.025). TFC was found to identify patients with significantly improved peak VO2 after CR. “High TFC” patients (TFC > 27.0 kOhm−1), compared to those of “low TFC” (TFC < 27.0 kOhm−1), were found to have more pronounced increase in peak VO2 (1.3 versus 3.1 mL × kg−1 × min−1; P = 0.011) and decrease in TFC (4.0 versus 0.7 kOhm−1; P < 0.00001). On the other hand, the patients with improved peak VO2 (n = 32) differed from those with no peak VO2 improvement in terms of higher baseline TFC values (28.4 versus 25.3 kOhm−1; P = 0.039) and its significant decrease after CR (2.7 versus 0.2 kOhm−1; P = 0.012). Conclusions. TFC can be a useful parameter for predicting beneficial effects of CR worth including in the process of patients' qualification for CR.
Related Links	http://dx.doi.org/10.1155/2013/595369
Starting Page	595369
File Format	PDF
ISSN	23146133
e-ISSN	23146141
Journal	BioMed Research International
Volume Number	2013
Language	English
Publisher	Hindawi Publishing Corporation
Publisher Date	2013-01-01
Access Restriction	Open
Rights Holder	Hindawi Publishing Corporation
Subject Keyword	Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Immunology and Microbiology Medicine Biochemistry, Genetics and Molecular Biology

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