Surface respiratory electromyography and dyspnea in acute heart failure patients

Introduction and objectives: Dyspnea is the most common symptom among hospitalized patients with heart failure (HF) but besides dyspnea questionnaires (which reflect the subjective patient sensation and are not fully validated in HF) there are no measurable physiological variables providing objectiv...

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Autores: Luiso, Daniele, Villanueva, Jair A., Belarte Tornero, Laia C., Fort, Aleix, Blázquez Bermejo, Zorba, Ruiz, Sonia, Farré Ventura, Ramon, Rigau, Jordi, Martí Almor, Julio, Farré, Núria
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/175623
Acceso en línea:https://hdl.handle.net/2445/175623
Access Level:acceso abierto
Palabra clave:Dispnea
Electromiografia
Diafragma (Anatomia)
Insuficiència cardíaca
Dyspnea
Electromyography
Diaphragm
Heart failure
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spelling Surface respiratory electromyography and dyspnea in acute heart failure patientsLuiso, DanieleVillanueva, Jair A.Belarte Tornero, Laia C.Fort, AleixBlázquez Bermejo, ZorbaRuiz, SoniaFarré Ventura, RamonRigau, JordiMartí Almor, JulioFarré, NúriaDispneaElectromiografiaDiafragma (Anatomia)Insuficiència cardíacaDyspneaElectromyographyDiaphragmHeart failureIntroduction and objectives: Dyspnea is the most common symptom among hospitalized patients with heart failure (HF) but besides dyspnea questionnaires (which reflect the subjective patient sensation and are not fully validated in HF) there are no measurable physiological variables providing objective assessment of dyspnea in a setting of acute HF patients. Studies performed in respiratory patients suggest that the measurement of electromyographic (EMG) activity of the respiratory muscles with surface electrodes correlates well with dyspnea. Our aim was to test the hypothesis that respiratory muscles EMG activity is a potential marker of dyspnea severity in acute HF patients. Methods: Prospective and descriptive pilot study carried out in 25 adult patients admitted for acute HF. Measurements were carried out with a cardio-respiratory portable polygraph including EMG surface electrodes for measuring the activity of main (diaphragm) and accessory (scalene and pectoralis minor) respiratory muscles. Dyspnea sensation was assessed by means of the Likert 5 questionnaire. Data were recorded during 3 min of spontaneous breathing and after breathing at maximum effort for several cycles for normalizing data. An index to quantify the activity of each respiratory muscle was computed. This assessment was carried out within the first 24 h of admission, and at day 2 and 5. Results: Dyspnea score decreased along the three measured days. Diaphragm and scalene EMG index showed a positive and significant direct relationship with dyspnea score (p<0.001 and p = 0.003 respectively) whereas pectoralis minor muscle did not. Conclusion: In our pilot study, diaphragm and scalene EMG activity was associated with increasing severity of dyspnea. Surface respiratory EMG could be a useful objective tool to improve assessment of dyspnea in acute HF patients.Public Library of Science (PLoS)2021202120202021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion12 p.application/pdfapplication/pdfhttps://hdl.handle.net/2445/175623Articles publicats en revistes (Biomedicina)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1371/journal.pone.0232225PLoS One, 2020, vol. 15, num. 4, p. e0232225https://doi.org/10.1371/journal.pone.0232225cc-by (c) Luiso, Daniele et al., 2020http://creativecommons.org/licenses/by/3.0/esinfo:eu-repo/semantics/openAccessoai:recercat.cat:2445/1756232026-05-29T05:05:01Z
dc.title.none.fl_str_mv Surface respiratory electromyography and dyspnea in acute heart failure patients
title Surface respiratory electromyography and dyspnea in acute heart failure patients
spellingShingle Surface respiratory electromyography and dyspnea in acute heart failure patients
Luiso, Daniele
Dispnea
Electromiografia
Diafragma (Anatomia)
Insuficiència cardíaca
Dyspnea
Electromyography
Diaphragm
Heart failure
title_short Surface respiratory electromyography and dyspnea in acute heart failure patients
title_full Surface respiratory electromyography and dyspnea in acute heart failure patients
title_fullStr Surface respiratory electromyography and dyspnea in acute heart failure patients
title_full_unstemmed Surface respiratory electromyography and dyspnea in acute heart failure patients
title_sort Surface respiratory electromyography and dyspnea in acute heart failure patients
dc.creator.none.fl_str_mv Luiso, Daniele
Villanueva, Jair A.
Belarte Tornero, Laia C.
Fort, Aleix
Blázquez Bermejo, Zorba
Ruiz, Sonia
Farré Ventura, Ramon
Rigau, Jordi
Martí Almor, Julio
Farré, Núria
author Luiso, Daniele
author_facet Luiso, Daniele
Villanueva, Jair A.
Belarte Tornero, Laia C.
Fort, Aleix
Blázquez Bermejo, Zorba
Ruiz, Sonia
Farré Ventura, Ramon
Rigau, Jordi
Martí Almor, Julio
Farré, Núria
author_role author
author2 Villanueva, Jair A.
Belarte Tornero, Laia C.
Fort, Aleix
Blázquez Bermejo, Zorba
Ruiz, Sonia
Farré Ventura, Ramon
Rigau, Jordi
Martí Almor, Julio
Farré, Núria
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Dispnea
Electromiografia
Diafragma (Anatomia)
Insuficiència cardíaca
Dyspnea
Electromyography
Diaphragm
Heart failure
topic Dispnea
Electromiografia
Diafragma (Anatomia)
Insuficiència cardíaca
Dyspnea
Electromyography
Diaphragm
Heart failure
description Introduction and objectives: Dyspnea is the most common symptom among hospitalized patients with heart failure (HF) but besides dyspnea questionnaires (which reflect the subjective patient sensation and are not fully validated in HF) there are no measurable physiological variables providing objective assessment of dyspnea in a setting of acute HF patients. Studies performed in respiratory patients suggest that the measurement of electromyographic (EMG) activity of the respiratory muscles with surface electrodes correlates well with dyspnea. Our aim was to test the hypothesis that respiratory muscles EMG activity is a potential marker of dyspnea severity in acute HF patients. Methods: Prospective and descriptive pilot study carried out in 25 adult patients admitted for acute HF. Measurements were carried out with a cardio-respiratory portable polygraph including EMG surface electrodes for measuring the activity of main (diaphragm) and accessory (scalene and pectoralis minor) respiratory muscles. Dyspnea sensation was assessed by means of the Likert 5 questionnaire. Data were recorded during 3 min of spontaneous breathing and after breathing at maximum effort for several cycles for normalizing data. An index to quantify the activity of each respiratory muscle was computed. This assessment was carried out within the first 24 h of admission, and at day 2 and 5. Results: Dyspnea score decreased along the three measured days. Diaphragm and scalene EMG index showed a positive and significant direct relationship with dyspnea score (p<0.001 and p = 0.003 respectively) whereas pectoralis minor muscle did not. Conclusion: In our pilot study, diaphragm and scalene EMG activity was associated with increasing severity of dyspnea. Surface respiratory EMG could be a useful objective tool to improve assessment of dyspnea in acute HF patients.
publishDate 2020
dc.date.none.fl_str_mv 2020
2021
2021
2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/175623
url https://hdl.handle.net/2445/175623
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1371/journal.pone.0232225
PLoS One, 2020, vol. 15, num. 4, p. e0232225
https://doi.org/10.1371/journal.pone.0232225
dc.rights.none.fl_str_mv cc-by (c) Luiso, Daniele et al., 2020
http://creativecommons.org/licenses/by/3.0/es
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Luiso, Daniele et al., 2020
http://creativecommons.org/licenses/by/3.0/es
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 12 p.
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Public Library of Science (PLoS)
publisher.none.fl_str_mv Public Library of Science (PLoS)
dc.source.none.fl_str_mv Articles publicats en revistes (Biomedicina)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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