Comparison of functional exercise capacity, quality of life and respiratory and peripheral muscle strength between patients with stable angina and healthy controls

Abstract

Objective We aimed to compare functional exercise capacity, respiratory and peripheral muscle strength, pulmonary function and quality of life between patients with stable angina and healthy controls. Methods We compared 33 patients with stable angina (55.21 ± 6.12 years old, Canada Class II–III, left ventricular ejection fraction: 61.92 ± 7.55) and 30 healthy controls (52.70 ± 4.22 years old). Functional capacity (6-minute walk test (6-MWT)), respiratory muscle strength (mouth pressure device), peripheral muscle strength (dynamometer), pulmonary function (spirometer) and quality of life (Short Form 36 (SF-36)) were evaluated. Results 6-MWT distance (499.20 ± 51.91 m versus 633.05 ± 57.62 m), maximal inspiratory pressure (85.42 ± 20.52 cmH2O versus 110.44 ± 32.95 cmH2O), maximal expiratory pressure (83.33 ± 19.05 cmH2O versus 147.96 ± 54.80 cmH2O) and peripheral muscle strength, pulmonary function and SF-36 sub-scores were lower in the angina group versus the healthy controls, respectively. Conclusion Impaired peripheral and respiratory muscle strength, reduction in exercise capacity and quality of life are obvious in patients with stable angina. Therefore, these parameters should be considered in stable angina physiotherapy programmes to improve impairments.

Sitting patterns in cardiovascular disease patients compared with healthy controls and impact of cardiac rehabilitation

“…Second, unlike healthy individuals, CVD patients are also likely to engage in prolonged sitting episodes after they had engaged in higher‐than‐usual physical activity in the preceding hours. CVD patients are typically less physically fit compared with their healthy peers, for instance in terms of maximal oxygen uptake 18 . Because of this, they may experience previous physical activity as more strenuous and, as a result, they may experience a stronger subjective need to rest, which in turn prevents them from standing up while sitting 19 .…”

“…CVD patients are typically less physically fit compared with their healthy peers, for instance in terms of maximal oxygen uptake. 18 Because of this, they may experience previous physical activity as more strenuous and, as a result, they may experience a stronger subjective need to rest, which in turn prevents them from standing up while sitting. 19 CVD patients are also more frequently unemployed (71% in our current sample, compared with 38% of healthy controls, see Table 1 ), and may have different daily routines (e.g., with more opportunities for resting) compared with their healthy peers.…”

Gender, age and morphofunctional characteristics of the quality of life of patients with stable angina

“…Наявність надмірної маси тіла характеризується обмеженням фізичного та психічного компонентів здоров'я: ФФ (р = 0,010), ІБ (р = 0,008), ПЗ (р = 0,053). Це підтверджує залежність ЯЖ від обох складових та обґрунтовує вибір комплексного підходу до корекції факторів, що мають доведений ефективний вплив щодо запобігання прогресуванню СтСт [2].…”

“…Дослідження якості життя (ЯЖ) у пацієнтів зі стабільною стенокардією (СтСт) залишаються актуальними [1,5,8]. Обґрунтовано вікову залежність, вплив клінічних проявів, лікувальної тактики [2,9] на ЯЖ, але потребують вивчення морфофункціональні зміни, гендерні характеристики цієї когорти пацієнтів щодо зв'язку з рівнем ЯЖ; їх вивчення дасть змогу ефективно впливати на добробут хворих.…”

Measuring what matters in healthcare: a practical guide to psychometric principles and instrument development

“…The physician interested in tracking a patient with coronary artery disease may choose from a number of aspects to measure; biometrics, such as cardio-respiratory function, haematological markers, electrocardiogram signals or images from coronary angiography ( Gillen and Goyal, 2022 ). Coronary artery disease has a negative effect on health-related quality of life and limits exercise tolerance, while angor amini, a sense of impending doom, is a well-known symptom of acute coronary syndrome and may also be worthy of checking ( Goldbeck-Wood, 2019 ; Huzmeli et al, 2020 ). Therefore, to complete the clinical picture, the physician may need to gather data from a range of facets.…”