Document Detail

Low-frequency electromyostimulation and chronic heart failure.
MedLine Citation:
PMID:  18550196     Owner:  NLM     Status:  MEDLINE    
Low-frequency electromyostimulation (EMS) acts on the skeletal muscle abnormalities that aggravate intolerance to effort in patients with chronic heart failure (CHF). It improves the oxidative capacity of muscles and thus enhances aerobic performance and physical capacity to almost the same degree, as does conventional physical training. No local or hemodynamic intolerance has been reported, even in cases of severe CHF. However, the presence of a pacemaker is one of the relative contra-indications (prior evaluation of tolerance is required), while that of an implanted defibrillator is one of the absolute contra-indications. EMS is an alternative to physical effort training when the latter is impossible due to a high degree of deconditioning or because there is a contra-indication, which may be temporary, due to the risk of acute decompensation and/or rhythm troubles. EMS can also be used in patients waiting for a heart transplant or in CHF patients who are unwilling to engage in physical activities. As EMS is not expensive and easy to set up, its use is likely to develop in the future.
J-M Casillas; V Gremeaux; M Labrunee; O Troigros; Y Laurent; G Deley; J-C Eicher
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Publication Detail:
Type:  Journal Article     Date:  2008-05-21
Journal Detail:
Title:  Annales de réadaptation et de médecine physique : revue scientifique de la Société française de rééducation fonctionnelle de réadaptation et de médecine physique     Volume:  51     ISSN:  0168-6054     ISO Abbreviation:  Ann Readapt Med Phys     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-08-26     Completed Date:  2009-01-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8701687     Medline TA:  Ann Readapt Med Phys     Country:  France    
Other Details:
Languages:  eng; fre     Pagination:  461-72     Citation Subset:  IM    
Pôle rééducation-réadaptation, CHU de Dijon, 23, rue Gaffarel, 21079 Dijon cedex, France.
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MeSH Terms
Chronic Disease
Electric Stimulation Therapy / methods*
Heart Failure / complications,  physiopathology,  therapy*

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