A pilot study of short‐term hemodynamic effects of negative pressure ventilation in chronic obstructive pulmonary disease assessed using electrical cardiometry
Abstract Background Pulmonary rehabilitation combined with negative pressure ventilation (NPV) demonstrated benefits in patients with chronic obstructive pulmonary disease (COPD). The effect of NPV remains unknown. This study aims to clarify the short‐term response of the hemodynamic outcome of NPV...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-09-01
|
| Series: | Annals of Noninvasive Electrocardiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/anec.12843 |
| _version_ | 1818585327289237504 |
|---|---|
| author | Ke‐Yun Chao Yasser Nassef |
| author_facet | Ke‐Yun Chao Yasser Nassef |
| author_sort | Ke‐Yun Chao |
| collection | DOAJ |
| description | Abstract Background Pulmonary rehabilitation combined with negative pressure ventilation (NPV) demonstrated benefits in patients with chronic obstructive pulmonary disease (COPD). The effect of NPV remains unknown. This study aims to clarify the short‐term response of the hemodynamic outcome of NPV in patients with COPD undergoing pulmonary rehabilitation program by electrical cardiometry. Methods This is an observational retrospective study of COPD patients who had been treated in a pulmonary rehabilitation unit with NPV between January 2018 and December 2019 that were enrolled to analyze the hemodynamic outcomes. Results Thirty patients with COPD that were undergoing a pulmonary rehabilitation program and were regularly receiving NPV were enrolled. Cardiac output (p < .001) and heart rate (p < .001) showed a significant decrease after NPV. Stroke volume did not demonstrate significant change (p = .15). There was a significant decrease in thoracic fluid content (p = .016) and a significant increase in stroke volume variation (p = .038) systemic vascular resistance (p < .001) and left ventricular ejection time (p < .001). Other hemodynamic parameters were all comparable before and after NPV. Conclusions Negative pressure ventilation demonstrated an impact on hemodynamics in patients with chronic obstructive pulmonary disease undergoing pulmonary rehabilitation. Electrical cardiometry is a feasible method of determining the hemodynamic effects of negative pressure ventilation. Thoracic fluid content significantly decreased immediately after the NPV. |
| first_indexed | 2024-12-16T08:35:18Z |
| format | Article |
| id | doaj.art-9d9a5b9e3594498bb1a817f2d88efe39 |
| institution | Directory Open Access Journal |
| issn | 1082-720X 1542-474X |
| language | English |
| last_indexed | 2024-12-16T08:35:18Z |
| publishDate | 2021-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Annals of Noninvasive Electrocardiology |
| spelling | doaj.art-9d9a5b9e3594498bb1a817f2d88efe392022-12-21T22:37:47ZengWileyAnnals of Noninvasive Electrocardiology1082-720X1542-474X2021-09-01265n/an/a10.1111/anec.12843A pilot study of short‐term hemodynamic effects of negative pressure ventilation in chronic obstructive pulmonary disease assessed using electrical cardiometryKe‐Yun Chao0Yasser Nassef1Department of Respiratory Fu Jen Catholic University Hospital Fu Jen Catholic University New Taipei City TaiwanInstitute of Medicine Chung Shan Medical University Taichung TaiwanAbstract Background Pulmonary rehabilitation combined with negative pressure ventilation (NPV) demonstrated benefits in patients with chronic obstructive pulmonary disease (COPD). The effect of NPV remains unknown. This study aims to clarify the short‐term response of the hemodynamic outcome of NPV in patients with COPD undergoing pulmonary rehabilitation program by electrical cardiometry. Methods This is an observational retrospective study of COPD patients who had been treated in a pulmonary rehabilitation unit with NPV between January 2018 and December 2019 that were enrolled to analyze the hemodynamic outcomes. Results Thirty patients with COPD that were undergoing a pulmonary rehabilitation program and were regularly receiving NPV were enrolled. Cardiac output (p < .001) and heart rate (p < .001) showed a significant decrease after NPV. Stroke volume did not demonstrate significant change (p = .15). There was a significant decrease in thoracic fluid content (p = .016) and a significant increase in stroke volume variation (p = .038) systemic vascular resistance (p < .001) and left ventricular ejection time (p < .001). Other hemodynamic parameters were all comparable before and after NPV. Conclusions Negative pressure ventilation demonstrated an impact on hemodynamics in patients with chronic obstructive pulmonary disease undergoing pulmonary rehabilitation. Electrical cardiometry is a feasible method of determining the hemodynamic effects of negative pressure ventilation. Thoracic fluid content significantly decreased immediately after the NPV.https://doi.org/10.1111/anec.12843cardiac outputchronic obstructive pulmonary diseaseelectrical cardiometrynegative pressure ventilationpulmonary rehabilitation |
| spellingShingle | Ke‐Yun Chao Yasser Nassef A pilot study of short‐term hemodynamic effects of negative pressure ventilation in chronic obstructive pulmonary disease assessed using electrical cardiometry Annals of Noninvasive Electrocardiology cardiac output chronic obstructive pulmonary disease electrical cardiometry negative pressure ventilation pulmonary rehabilitation |
| title | A pilot study of short‐term hemodynamic effects of negative pressure ventilation in chronic obstructive pulmonary disease assessed using electrical cardiometry |
| title_full | A pilot study of short‐term hemodynamic effects of negative pressure ventilation in chronic obstructive pulmonary disease assessed using electrical cardiometry |
| title_fullStr | A pilot study of short‐term hemodynamic effects of negative pressure ventilation in chronic obstructive pulmonary disease assessed using electrical cardiometry |
| title_full_unstemmed | A pilot study of short‐term hemodynamic effects of negative pressure ventilation in chronic obstructive pulmonary disease assessed using electrical cardiometry |
| title_short | A pilot study of short‐term hemodynamic effects of negative pressure ventilation in chronic obstructive pulmonary disease assessed using electrical cardiometry |
| title_sort | pilot study of short term hemodynamic effects of negative pressure ventilation in chronic obstructive pulmonary disease assessed using electrical cardiometry |
| topic | cardiac output chronic obstructive pulmonary disease electrical cardiometry negative pressure ventilation pulmonary rehabilitation |
| url | https://doi.org/10.1111/anec.12843 |
| work_keys_str_mv | AT keyunchao apilotstudyofshorttermhemodynamiceffectsofnegativepressureventilationinchronicobstructivepulmonarydiseaseassessedusingelectricalcardiometry AT yassernassef apilotstudyofshorttermhemodynamiceffectsofnegativepressureventilationinchronicobstructivepulmonarydiseaseassessedusingelectricalcardiometry AT keyunchao pilotstudyofshorttermhemodynamiceffectsofnegativepressureventilationinchronicobstructivepulmonarydiseaseassessedusingelectricalcardiometry AT yassernassef pilotstudyofshorttermhemodynamiceffectsofnegativepressureventilationinchronicobstructivepulmonarydiseaseassessedusingelectricalcardiometry |