| Exercise training in patients with pulmonary arterial hypertension: a case report. | |
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MedLine Citation:
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PMID: 20467524 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Purpose: To describe the benefits of a feasible, outpatient exercise training program on exercise tolerance and health-related quality of life (HRQL) in individuals with pulmonary arterial hypertension (PAH). Methods: Case report on two subjects recruited from a tertiary care pulmonary hypertension clinic. Subject 1 was a 50-year-old male with idiopathic PAH. Subject 2 was a 54-year-old female with a 20+ year history of scleroderma and 6-year history of PAH. Both subjects underwent exercise training 3 times per week for 6 weeks using a cycle ergometer at workloads progressing from 50% to 80% of peak workload. Outcomes were assessed using cardiopulmonary exercise testing, six-minute walk test (6MWT), and HRQL using the Chronic Respiratory Disease Questionnaire (CRQ) and the Cambridge Pulmonary Hypertension Outcome Review (CAMPHOR). Results: Both subjects made substantial improvements in oxygen consumption and workload at anaerobic threshold (improvements of 3.8 and 4.2 mL.kg(-1).min,(-1) 26 and 18 W, respectively) and 6MWT distance (from 496 to 586m and 416 to 517m, respectively). Only Subject 1 made substantial improvements in peak oxygen consumption (from 16.0 to 18.3 mL.kg(-1).min(-1)and from 15.0 to 15.6 mL.kg(-1).min,(-1) respectively) and peak work rate (from 112 to 130W and 66 to 69W, respectively). Both subjects demonstrated improved HRQL. No adverse events were noted. CONCLUSIONS: A short and practical exercise training program can improve measures of workload, aerobic capacity, and HRQL in individuals with PAH with no adverse effects shown in these two case studies. |
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Authors:
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Michael J Shoemaker; Jeffrey L Wilt; Rajkumar Dasgupta; Ronald J Oudiz |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Cardiopulmonary physical therapy journal Volume: 20 ISSN: 1541-7891 ISO Abbreviation: Cardiopulm Phys Ther J Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2010-05-14 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101155626 Medline TA: Cardiopulm Phys Ther J Country: United States |
Other Details:
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Languages: eng Pagination: 12-8 Citation Subset: - |
Affiliation:
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Grand Valley State University, Physical Therapy Program, Grand Rapids, MI. |
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