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Effects of inspiratory muscle training in chronic heart failure patients: A systematic review and meta-analysis.
Congenit Heart Dis 2018; 13(2):194-202CH

Abstract

OBJECTIVE

The aim of this study was to evaluate the effects of inspiratory muscle training (IMT) in chronic heart failure (CHF) patients.

DESIGN

We searched MEDLINE, EMBASE, Cochrane Library, CINHAL, and CBMdisc to collect controlled trials on the application of inspiratory muscle training in CHF patients from the establishment of these databases to November 2016. Two reviewers independently screened literature according to the inclusion and exclusion criteria, extracted data, and assessed the quality of literature. Meta-analysis was conducted by software RevMan5.3.

RESULTS

Eight studies involving 302 patients were identified. Meta-analysis indicated that IMT significantly improved PImax , VE /VCO2 slope and dyspnea (weighted mean difference [WMD] = 16.52, 95% CI: 13.87-19.17, P < .01; WMD = -5.78, 95% CI: -7.72 to -3.85, P < .01; SMD = -0.95, 95% CI: -1.5 to -0.39, P < .01), and descriptive results showed that long-term IMT (≥6 weeks) can improve the quality of life of CHF patients, and patients in IMT group also have a significant improvement in 6-minute walking distance test (6-MWD).

CONCLUSION

IMT can improve pulmonary function, exercise tolerance, and quality of life of CHF patients and relieve the symptom of dyspnea.

Authors+Show Affiliations

Shanghai Jiao Tong University School of Nursing, Shanghai, People's Republic of China.Shanghai Jiao Tong University School of Nursing, Shanghai, People's Republic of China.Department of Cardiothoracic Surgery, Shanghai Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.

Pub Type(s)

Journal Article
Meta-Analysis
Review
Systematic Review

Language

eng

PubMed ID

29423938

Citation

Wu, Jing, et al. "Effects of Inspiratory Muscle Training in Chronic Heart Failure Patients: a Systematic Review and Meta-analysis." Congenital Heart Disease, vol. 13, no. 2, 2018, pp. 194-202.
Wu J, Kuang L, Fu L. Effects of inspiratory muscle training in chronic heart failure patients: A systematic review and meta-analysis. Congenit Heart Dis. 2018;13(2):194-202.
Wu, J., Kuang, L., & Fu, L. (2018). Effects of inspiratory muscle training in chronic heart failure patients: A systematic review and meta-analysis. Congenital Heart Disease, 13(2), pp. 194-202. doi:10.1111/chd.12586.
Wu J, Kuang L, Fu L. Effects of Inspiratory Muscle Training in Chronic Heart Failure Patients: a Systematic Review and Meta-analysis. Congenit Heart Dis. 2018;13(2):194-202. PubMed PMID: 29423938.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of inspiratory muscle training in chronic heart failure patients: A systematic review and meta-analysis. AU - Wu,Jing, AU - Kuang,Li, AU - Fu,Lijuan, Y1 - 2018/02/08/ PY - 2017/09/25/received PY - 2017/12/10/revised PY - 2017/12/26/accepted PY - 2018/2/10/pubmed PY - 2018/6/15/medline PY - 2018/2/10/entrez KW - chronic heart failure KW - inspiratory muscle training KW - meta-analysis SP - 194 EP - 202 JF - Congenital heart disease JO - Congenit Heart Dis VL - 13 IS - 2 N2 - OBJECTIVE: The aim of this study was to evaluate the effects of inspiratory muscle training (IMT) in chronic heart failure (CHF) patients. DESIGN: We searched MEDLINE, EMBASE, Cochrane Library, CINHAL, and CBMdisc to collect controlled trials on the application of inspiratory muscle training in CHF patients from the establishment of these databases to November 2016. Two reviewers independently screened literature according to the inclusion and exclusion criteria, extracted data, and assessed the quality of literature. Meta-analysis was conducted by software RevMan5.3. RESULTS: Eight studies involving 302 patients were identified. Meta-analysis indicated that IMT significantly improved PImax , VE /VCO2 slope and dyspnea (weighted mean difference [WMD] = 16.52, 95% CI: 13.87-19.17, P < .01; WMD = -5.78, 95% CI: -7.72 to -3.85, P < .01; SMD = -0.95, 95% CI: -1.5 to -0.39, P < .01), and descriptive results showed that long-term IMT (≥6 weeks) can improve the quality of life of CHF patients, and patients in IMT group also have a significant improvement in 6-minute walking distance test (6-MWD). CONCLUSION: IMT can improve pulmonary function, exercise tolerance, and quality of life of CHF patients and relieve the symptom of dyspnea. SN - 1747-0803 UR - https://www.unboundmedicine.com/medline/citation/29423938/Effects_of_inspiratory_muscle_training_in_chronic_heart_failure_patients:_A_systematic_review_and_meta_analysis_ L2 - https://doi.org/10.1111/chd.12586 DB - PRIME DP - Unbound Medicine ER -