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Efficacy and Safety of Acute Phase Intensive Electrical Muscle Stimulation in Frail Older Patients with Acute Heart Failure: Results from the ACTIVE-EMS Trial
As frailty in older patients with acute heart failure (AHF) has an adverse effect on clinical outcomes, the addition of electrical muscle stimulation (EMS) to exercise-based early rehabilitation may improve the effects of treatment. Post hoc analysis was performed on a randomized controlled study fo...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9032621/ https://www.ncbi.nlm.nih.gov/pubmed/35448075 http://dx.doi.org/10.3390/jcdd9040099 |
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author | Tanaka, Shinya Kamiya, Kentaro Matsue, Yuya Yonezawa, Ryusuke Saito, Hiroshi Hamazaki, Nobuaki Matsuzawa, Ryota Nozaki, Kohei Yamashita, Masashi Wakaume, Kazuki Endo, Yoshiko Maekawa, Emi Yamaoka-Tojo, Minako Shiono, Takaaki Inomata, Takayuki Ako, Junya |
author_facet | Tanaka, Shinya Kamiya, Kentaro Matsue, Yuya Yonezawa, Ryusuke Saito, Hiroshi Hamazaki, Nobuaki Matsuzawa, Ryota Nozaki, Kohei Yamashita, Masashi Wakaume, Kazuki Endo, Yoshiko Maekawa, Emi Yamaoka-Tojo, Minako Shiono, Takaaki Inomata, Takayuki Ako, Junya |
author_sort | Tanaka, Shinya |
collection | PubMed |
description | As frailty in older patients with acute heart failure (AHF) has an adverse effect on clinical outcomes, the addition of electrical muscle stimulation (EMS) to exercise-based early rehabilitation may improve the effects of treatment. Post hoc analysis was performed on a randomized controlled study for clinical outcomes and prespecified subgroups (ACTIVE-EMS: UMIN000019551). In this trial, 31 AHF patients aged ≥ 75 years with frailty (Short Physical Performance Battery [SPPB] score 4–9) were randomized 1:1 to receive treatment with an early rehabilitation program only (n = 16) or early rehabilitation with add-on EMS therapy (n = 15) for 2 weeks. Changes in physical function and cognitive function between baseline and after two weeks of treatment were assessed. There were no adverse events during the EMS period. The EMS group showed significantly greater changes in quadriceps’ isometric strength and SPPB compared to the control group, and EMS therapy showed uniform effects in the prespecified subgroups. There were no significant differences in the changes in other indexes of physical function and cognitive function between groups. There was no significant difference in the rate of heart failure hospitalization at 90 days between groups. In conclusion, older AHF patients with frailty showed greater improvement in lower extremity function with the addition of EMS therapy to early rehabilitation without adverse events. |
format | Online Article Text |
id | pubmed-9032621 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-90326212022-04-23 Efficacy and Safety of Acute Phase Intensive Electrical Muscle Stimulation in Frail Older Patients with Acute Heart Failure: Results from the ACTIVE-EMS Trial Tanaka, Shinya Kamiya, Kentaro Matsue, Yuya Yonezawa, Ryusuke Saito, Hiroshi Hamazaki, Nobuaki Matsuzawa, Ryota Nozaki, Kohei Yamashita, Masashi Wakaume, Kazuki Endo, Yoshiko Maekawa, Emi Yamaoka-Tojo, Minako Shiono, Takaaki Inomata, Takayuki Ako, Junya J Cardiovasc Dev Dis Article As frailty in older patients with acute heart failure (AHF) has an adverse effect on clinical outcomes, the addition of electrical muscle stimulation (EMS) to exercise-based early rehabilitation may improve the effects of treatment. Post hoc analysis was performed on a randomized controlled study for clinical outcomes and prespecified subgroups (ACTIVE-EMS: UMIN000019551). In this trial, 31 AHF patients aged ≥ 75 years with frailty (Short Physical Performance Battery [SPPB] score 4–9) were randomized 1:1 to receive treatment with an early rehabilitation program only (n = 16) or early rehabilitation with add-on EMS therapy (n = 15) for 2 weeks. Changes in physical function and cognitive function between baseline and after two weeks of treatment were assessed. There were no adverse events during the EMS period. The EMS group showed significantly greater changes in quadriceps’ isometric strength and SPPB compared to the control group, and EMS therapy showed uniform effects in the prespecified subgroups. There were no significant differences in the changes in other indexes of physical function and cognitive function between groups. There was no significant difference in the rate of heart failure hospitalization at 90 days between groups. In conclusion, older AHF patients with frailty showed greater improvement in lower extremity function with the addition of EMS therapy to early rehabilitation without adverse events. MDPI 2022-03-27 /pmc/articles/PMC9032621/ /pubmed/35448075 http://dx.doi.org/10.3390/jcdd9040099 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Tanaka, Shinya Kamiya, Kentaro Matsue, Yuya Yonezawa, Ryusuke Saito, Hiroshi Hamazaki, Nobuaki Matsuzawa, Ryota Nozaki, Kohei Yamashita, Masashi Wakaume, Kazuki Endo, Yoshiko Maekawa, Emi Yamaoka-Tojo, Minako Shiono, Takaaki Inomata, Takayuki Ako, Junya Efficacy and Safety of Acute Phase Intensive Electrical Muscle Stimulation in Frail Older Patients with Acute Heart Failure: Results from the ACTIVE-EMS Trial |
title | Efficacy and Safety of Acute Phase Intensive Electrical Muscle Stimulation in Frail Older Patients with Acute Heart Failure: Results from the ACTIVE-EMS Trial |
title_full | Efficacy and Safety of Acute Phase Intensive Electrical Muscle Stimulation in Frail Older Patients with Acute Heart Failure: Results from the ACTIVE-EMS Trial |
title_fullStr | Efficacy and Safety of Acute Phase Intensive Electrical Muscle Stimulation in Frail Older Patients with Acute Heart Failure: Results from the ACTIVE-EMS Trial |
title_full_unstemmed | Efficacy and Safety of Acute Phase Intensive Electrical Muscle Stimulation in Frail Older Patients with Acute Heart Failure: Results from the ACTIVE-EMS Trial |
title_short | Efficacy and Safety of Acute Phase Intensive Electrical Muscle Stimulation in Frail Older Patients with Acute Heart Failure: Results from the ACTIVE-EMS Trial |
title_sort | efficacy and safety of acute phase intensive electrical muscle stimulation in frail older patients with acute heart failure: results from the active-ems trial |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9032621/ https://www.ncbi.nlm.nih.gov/pubmed/35448075 http://dx.doi.org/10.3390/jcdd9040099 |
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