| Cardiorespiratory effects of warm water immersion in elderly patients with chronic heart failure. | |
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MedLine Citation:
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PMID: 16268981 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Hydrotherapy might be included in the rehabilitation of patients with chronic heart failure (CHF), but little is known about the acute cardiorespiratory reaction in warm water. The aim of this study was to assess the acute cardiorespiratory effect of immersion in warm water, in a clinical setting, in elderly patients with CHF compared with healthy age and sex matched persons. METHODS: Twelve patients (three females) with CHF, NYHA II-III, age 64 +/- 6 years, and 12 healthy subjects were studied. Cardiorespiratory changes, on land and in a temperature-controlled swimming pool (33-34 degrees C) were assessed during rest and exercise, in a sitting position, using continuous gas analyses. RESULTS: There were no significant differences, land versus water, in carbon dioxide production, total ventilation, respiratory frequency, respiratory exchange ratio, heart rate or blood pressure in either of the groups. A significant difference was found in oxygen uptake, at rest, land versus water in patients with CHF in comparison with healthy subjects (-0.2 +/- 0.4 versus +0.3 +/- 0.6 ml kg(-1) min(-1), P < 0.01). Oxygen kinetics (tau) increased significantly (P = 0.01) in both groups during exercise in water. CONCLUSION: Hydrotherapy was well tolerated and the vast majority of the cardiorespiratory responses, during warm water immersion in a clinical setting, are similar in patients with CHF compared with healthy subjects. However, further larger studies, are needed to better understand the physiological reactions during hydrotherapy. |
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Authors:
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Asa Cider; Katharina Stibrant Sunnerhagen; Maria Schaufelberger; Bert Andersson |
Publication Detail:
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Type: Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Clinical physiology and functional imaging Volume: 25 ISSN: 1475-0961 ISO Abbreviation: Clin Physiol Funct Imaging Publication Date: 2005 Nov |
Date Detail:
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Created Date: 2005-11-04 Completed Date: 2006-01-23 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 101137604 Medline TA: Clin Physiol Funct Imaging Country: England |
Other Details:
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Languages: eng Pagination: 313-7 Citation Subset: IM |
Affiliation:
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Cardiovascular Institute, Department of Cardiology, Göteborg University, Göteborg, Sweden. asa.cider@fhs.gu.se |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Blood Pressure Chronic Disease Exercise Therapy / methods* Female Heart / physiopathology* Heart Failure / physiopathology*, therapy* Heart Rate Humans Hydrotherapy / methods* Immersion / physiopathology* Lung / physiopathology* Male Middle Aged Oxygen Consumption Pulmonary Ventilation Respiratory Mechanics Temperature Treatment Outcome Water |
| Chemical | |
Reg. No./Substance:
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7732-18-5/Water |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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