Cardiopulmonary Rehabilitation Enhances Heart Rate Recovery in Patients With COPD

Georgiopoulou, Vasiliki V.; Dimopoulos, Stavros; Sakellariou, Dimitrios; Papazachou, Ourania; Gerovasili, Vasiliki; Tasoulis, Athanasios; Agapitou, Varvara; Vogiatzis, Ioannis; Roussos, Charis; Nanas, Serafim

doi:10.4187/respcare.01485

Cited by 20 publications

(19 citation statements)

References 63 publications

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“…This is likely due to certain drug administration as well as augmented sympathetic drive secondary to generalized neurohumoral activation and mechanical alteration of the chest cavity that is often evident in COPD (Georgiopoulou et al, 2012). In the present study the acceleration of heart rate kinetic response observed after pulmonary rehabilitation at the onset and recovery of constant-load exercise test (Table 3) provides evidence for physiologic improvement in cardiovascular function (Gimeno-Santos et al, 2014;Puente-Maestu et al, 2000).…”

Section: Discussionsupporting

confidence: 49%

Hemodynamic effects of high intensity interval training in COPD patients exhibiting exercise-induced dynamic hyperinflation

Nasis

Kortianou

Vasilopoulou

et al. 2015

Respiratory Physiology & Neurobiology

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Section: Discussionsupporting

confidence: 49%

Hemodynamic effects of high intensity interval training in COPD patients exhibiting exercise-induced dynamic hyperinflation

Nasis

Kortianou

Vasilopoulou

et al. 2015

Respiratory Physiology & Neurobiology

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“…Importantly, however, β-blockers could be beneficial on exacerbation because of other mechanism than reduction of heart rate, because we showed that heart rate had no significant effect on non-fatal pulmonary complications. In addition, exercise therapy might achieve a lower resting heart rate [28].…”

Section: Discussionmentioning

confidence: 99%

Resting Heart Rate Is a Risk Factor for Mortality in Chronic Obstructive Pulmonary Disease, but Not for Exacerbations or Pneumonia

et al. 2014

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BackgroundAlthough it is known that patients with chronic obstructive pulmonary disease (COPD) generally do have an increased heart rate, the effects on both mortality and non-fatal pulmonary complications are unclear. We assessed whether heart rate is associated with all-cause mortality, and non-fatal pulmonary endpoints.MethodsA prospective cohort study of 405 elderly patients with COPD was performed. All patients underwent extensive investigations, including electrocardiography. Follow-up data on mortality were obtained by linking the cohort to the Dutch National Cause of Death Register and information on complications (exacerbation of COPD or pneumonia) by scrutinizing patient files of general practitioners. Multivariable cox regression analysis was performed.ResultsDuring the follow-up 132 (33%) patients died. The overall mortality rate was 50/1000 py (42–59). The major causes of death were cardiovascular and respiratory. The relative risk of all-cause mortality increased with 21% for every 10 beats/minute increase in heart rate (adjusted HR: 1.21 [1.07–1.36], p = 0.002). The incidence of major non-fatal pulmonary events was 145/1000 py (120–168). The risk of a non-fatal pulmonary complication increased non-significantly with 7% for every 10 beats/minute increase in resting heart rate (adjusted HR: 1.07 [0.96–1.18], p = 0.208).ConclusionsIncreased resting heart rate is a strong and independent risk factor for all-cause mortality in elderly patients with COPD. An increased resting heart rate did not result in an increased risk of exacerbations or pneumonia. This may indicate that the increased mortality risk of COPD is related to non-pulmonary causes. Future randomized controlled trials are needed to investigate whether heart-rate lowering agents are worthwhile for COPD patients.

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“…Recent data the researcher shows an imbalance in chronic obstructive pulmonary patients leads to an increased resting heart rate. 17 According to opinions Streuber et al, rehabilitation research beneficial effects on heart rate parameters in patients with heart failure. However, long term training programs to create significant changes in heart failure is needed that has been seen in sympathovagal patients.…”

Section: Discussionmentioning

confidence: 99%

Gender disparity of changes in heart rate during the six-minute walk test among patients with chronic obstructive airway disease

Alibakhshi¹,

Obradors²,

Fiorillo³

et al. 2017

AMJ

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Cardiopulmonary Rehabilitation Enhances Heart Rate Recovery in Patients With COPD

Abstract: In subjects with COPD, exercise-based rehabilitation improves heart rate recovery, modestly though, which indicates a degree of attenuated autonomic dysfunction. Exercise and muscular oxidative capacity, as expressed by V(O(2))/t slope, is also improved.

Cited by 20 publications

References 63 publications

Hemodynamic effects of high intensity interval training in COPD patients exhibiting exercise-induced dynamic hyperinflation

Hemodynamic effects of high intensity interval training in COPD patients exhibiting exercise-induced dynamic hyperinflation

Resting Heart Rate Is a Risk Factor for Mortality in Chronic Obstructive Pulmonary Disease, but Not for Exacerbations or Pneumonia

Gender disparity of changes in heart rate during the six-minute walk test among patients with chronic obstructive airway disease

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