Document Detail

Patient education significantly improves quality of life, exercise capacity and BNP level in stable heart failure patients.
MedLine Citation:
PMID:  21125977     Owner:  NLM     Status:  MEDLINE    
MATERIAL AND METHODS: Heart failure patients in NYHA class II/III (n = 31) on optimal medical treatment were recruited from the outpatient department. The following data were evaluated before and 2 months after the patient education: quality of life (evaluated by the Minnesota questionnaire), peak exercise oxygen consumption (VO2) and BNP level.
RESULTS: The mean general quality of life evaluation index (QoLES) decreased significantly in 2 months after the education (37.90 +/- 18.78 versus 49.39 +/- 17.86 prior to the education, P < 0.001), an improvement in quality of life. Peak exercise VO2 in 2 months after the tuition significantly increased (19.26 +/- 7.22 versus baseline 16.25 +/- 3.69 ml/kg/min; P = 0.013) as well as the anaerobic threshold (AT VO2 was 12.694 +/- 3.28 ml/kg/min versus baseline 11.197 +/- 2.47 ml/kg/min; P = 0.003). The indices reflecting external load also increased significantly: workload, duration of the exercise and METs. A significant proportion of the patients 2 months after the education moved to lower NYHA functional classes. Plasma BNP level decreased significantly in 2 months after the tuition: 224 +/- 340.36 versus baseline 348.41 +/- 471.99 ng/I; P = 0.023.
CONCLUSIONS: Patient education with the emphasis on adherence, self-care management and physical training has a reliable positive impact on the quality of life, exercise capacity and plasma levels of B-type natriuretic peptide in the population of stable moderate HF patients.
Edita Lycholip; Jelena Celutkiene; Alfredas Rudys; Rima Steponenieni; Aleksandras Laucevicius
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta cardiologica     Volume:  65     ISSN:  0001-5385     ISO Abbreviation:  Acta Cardiol     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-12-03     Completed Date:  2011-01-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370570     Medline TA:  Acta Cardiol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  549-56     Citation Subset:  IM    
Vilnius University Hospital Santariskes Clinic, Centre of Cardiology and Angiology, Vilnius, Lithuania.
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MeSH Terms
Diet, Sodium-Restricted
Exercise Tolerance*
Health Behavior
Heart Failure / blood,  physiopathology,  therapy*
Middle Aged
Natriuretic Peptide, Brain / blood*
Oxygen Consumption
Patient Education as Topic*
Quality of Life*
Reg. No./Substance:
114471-18-0/Natriuretic Peptide, Brain

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