Pulmonary function and respiratory muscle strength in chronic heart failure: comparison between ischaemic and idiopathic dilated cardiomyopathy
M Daganou, I Dimopoulou, P A Alivizatos, G E Tzelepis
Pulmonary and
Critical Care Section and Clinic for Heart and Lung Transplantation,
Onassis Cardiac Centre, 356 Sygrou Avenue, Athens 17674, Greece
Correspondence to: Dr Tzelepis.
Accepted for publication 15 December 1998
OBJECTIVE
To compare
pulmonary function and respiratory muscle strength in patients with
ischaemic and idiopathic dilated cardiomyopathy, well matched for
indices of heart failure.
METHODSThe study
involved 30 patients with ischaemic cardiomyopathy and 30 with
idiopathic dilated cardiomyopathy. The groups were well matched for
age, weight, and clinical severity of cardiac dysfunction as assessed
by ejection fraction and the New York Heart Association functional
class. There were more smokers in the ischaemic group (p < 0.05),
but indices of pulmonary function were comparable.
RESULTSMean (SD)
maximum static inspiratory pressure was lower in dilated cardiomyopathy
than in ischaemic cardiomyopathy (73 (20) v
84 (22) cm H2O, p < 0.05), as was the maximum static
expiratory pressure (90 (20) v 104 (21) cm
H2O, p < 0.05).
CONCLUSIONSFor a
given degree of cardiac dysfunction, the respiratory muscles are weaker
in patients with idiopathic dilated cardiomyopathy than in those with
ischaemic cardiomyopathy.
Keywords: respiratory muscles; congestive heart failure; pulmonary function; cardiomyopathy
© 1999 by Heart
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
-
Hawkins, N. M., Petrie, M. C., Jhund, P. S., Chalmers, G. W., Dunn, F. G., McMurray, J. J.V.
(2009). Heart failure and chronic obstructive pulmonary disease: diagnostic pitfalls and epidemiology. Eur J Heart Fail
11: 130-139
[Abstract] [Full Text] -
Olson, T. P., Beck, K. C., Johnson, J. B., Johnson, B. D.
(2006). Competition for intrathoracic space reduces lung capacity in patients with chronic heart failure: a radiographic study.. Chest
130: 164-171
[Abstract] [Full Text] -
Sirak, T. E., Jelic, S., Le Jemtel, T. H.
(2004). Therapeutic update: Non-selective beta- and alpha-adrenergic blockade in patients with coexistent chronic obstructive pulmonary disease and chronic heart failure. J Am Coll Cardiol
44: 497-502
[Abstract] [Full Text] -
Gehlbach, B. K., Geppert, E.
(2004). The Pulmonary Manifestations of Left Heart Failure. Chest
125: 669-682
[Abstract] [Full Text] -
Laghi, F., Tobin, M. J.
(2003). Disorders of the Respiratory Muscles. Am. J. Respir. Crit. Care Med.
168: 10-48
[Abstract] [Full Text] -
Witte, K K A, Thackray, S D R, Nikitin, N P, Cleland, J G F, Clark, A L
(2003). Pattern of ventilation during exercise in chronic heart failure. Heart
89: 610-614
[Abstract] [Full Text]
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
- Citation Map
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
