Respiratory Muscle Strength in Patients with Coronary Heart Disease and Different Musculoskeletal Disorders

1Citations
Citations of this article
22Readers
Mendeley users who have this article in their library.

Abstract

Aim. To measure respiratory muscle strength (RMS) in patients with coronary heart disease (CHD) and different musculoskeletal disorders (MSD). Material and methods. Patients were divided in four groups according to the MSD. Group I included 52 (13.4%) patients with sarcopenia, group II included 28 (7.2%) patients with osteopenia, group III included 25 (6.5%) patients with osteosarcopenia, group IV included 282 (72.9%) patients without MSD. All patients underwent the assessment of maximal expiratory (MEP) and maximal inspiratory mouth pressures (MIP). Results. The mean RMS values were lower than the normative values, and the strength of the expiratory muscles was 1.25 times lower compared to the inspiratory muscles. Both of these parameters were within the normal range in 191 (49.3%) patients, and lower values were noted in 196 (50.7%). An isolated decrease in MIP was observed in 24.8% of patients, an isolated decrease in MEP in 6.5%, a combined decrease in MIP and MEP in 19.4% of patients. Comparative analysis of MEP and MIP (depending on the MSD) did not demonstrate statistically significant differences. Lower MEP (76.9%) and MIP (75%) values were noted mainly in the group of patients with sarcopenia. A similar pattern was notes in patients with osteosarcopenia and in patients without MSD. Normative values of RMS were observed in patients with osteopenia. Correlation analysis revealed a unidirectional relationship between RMS and the parameters of muscle function (hand grip strength, muscle area and musculoskeletal index) and a multidirectional relationship between MEP and BMI (r -0.743, p=0.013), MIP and patient age (r -0.624, p=0.021). Conclusion. Respiratory muscle weakness was diagnosed in half of the patients with coronary heart disease. There were no statistically significant differences in RMS between patients with MSD and isolated CHD, despite lower values in the group with MSD. Correlation analysis revealed an association between RMS and muscle function.

Cite

CITATION STYLE

APA

Bazdyrev, E. D., Terentyeva, N. A., Galimova, N. A., Krivoshapova, K. E., & Barbarash, O. L. (2022). Respiratory Muscle Strength in Patients with Coronary Heart Disease and Different Musculoskeletal Disorders. Rational Pharmacotherapy in Cardiology, 18(4), 393–401. https://doi.org/10.20996/1819-6446-2022-08-04

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free