Cardiac Rehabilitation and Noninvasive Ventilation in Heart Failure
Heart Failure
About this trial
This is an interventional treatment trial for Heart Failure focused on measuring Heart Failure, Noninvasive Ventilation, Positive- Pressure Respiration
Eligibility Criteria
Inclusion Criteria:
- Sedentary adults diagnosed with heart failure of ischemic hypertensive or alcoholic etiology;
- Ejection fraction of the left ventricle smaller than 50% (LVEF <50%) assessed by echocardiography simple;
- Recent and functional class II and III by the New York Heart Association (NYHA);
- FEV1 <80% predicted and / or FEV1 / FVC> 70% predicted;
- Clinical stability; Ex-smokers for more than five years;
- No change in the class of drugs within three months prior to the beginning of the study.
Exclusion Criteria:
- Patients with unstable angina;
- Myocardial infarction or heart surgery up to three months before the survey;
- FEV1 / FVC <70% predicted characterizing obstructive respiratory disorder;
- Respiratory diseases;
- Smoking;
- Hemodynamic instability;
- Trauma of recent face;
- Nausea and vomiting;
- Orthopedic and neurological diseases;
- Psychic changes that restrict them to respond to the questionnaire.
Sites / Locations
- Cardiopulmonary Physiotherapy Laboratory
- Hospital of the Clinics Federal University of Pernambuco
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Experimental
Experimental
Experimental
Experimental
No Intervention
Experimental
Cardiopulmonary exercise testing
ADL Glitre test
Minnesota Living with Heart Failure
Bioimpedance balance
Six-minute walk test
Metabolic ventilatory response
Assess whether people who wore noninvasive ventilation during aerobic exercise have greater functional capacity than those who did not wear.
Check that people who wore noninvasive ventilation during aerobic exercise have greater submaximal functional capacity than those who did not wear. Compare a ventilatory metabolic response of the ADL Glitre test with an six-minute walk test. .
Check if people undergoing heart rehabilitation has improved quality of life.
Check if people undergoing heart rehabilitation has improved the body composition.
Compare a ventilatory metabolic response of the six-minute walk test with an ADL Glitre test.
To verify if non-invasive ventilation during aerobic exercise modifies the ventilatory metabolic response in patients with heart failure. Check the metabolic ventilatory response during the Glittre ADL test and six-minute walk test.