Enhanced external counterpulsation as a measure of non-drug treatment of patients with severe and moderate ventilation disorders
- Authors: Nikolaeva N.A.1, Belenkov Y.N.1, Lishuta A.S.1, Voronkova O.O.1, Rogova E.F.1, Buyanova O.E.1, Abdullaeva G.B.1
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Affiliations:
- I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov university)
- Issue: Vol 9, No 6 (2023)
- Pages: 8-14
- Section: ORIGINAL STUDIES
- URL: https://journal-vniispk.ru/2412-4036/article/view/258871
- DOI: https://doi.org/10.18565/therapy.2023.6.8–14
- ID: 258871
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Abstract
Chronic pulmonary diseases with ventilation disorders development are one of the main reasons for the decrease of life quality of patients and their disability.
The aim: to study the effect of enhanced external counterpulsation (EECP) in addition to optimal basic therapy on exercise tolerance and respiratory status in patients with severe and moderate ventilation disorders having a stable status of respiratory disease without exacerbation.
Material and methods. A pilot opened uncontrolled study of the effect of EECP as an additional non-pharmacological method of treatment of patients with severe and moderate ventilation disorders (n=30) was carried out. To assess the effectiveness of the course, we used data from body plethysmography, study of the lungs diffusion capacity, ergospirometry, 6-minute walking test with an assessment of dyspnea on the Borg scale obtained before and after the course of EECP.
Results. Mean age of patients in the study was 62 years. According to body plethysmography, the study patients showed an increase in total pulmonary capacity by 18% (p <0,001), largely due to vital pulmonary capacity, which increased by 24% (p <0,001). There was no significant change in the diffusion capacity of lungs. According to ergospirometry data, the time of exercise performance increased by 40% (p <0,001), while the recovery time after exercise decreased by 23% (p <0,001). Distance in the 6-minute walk test increased by 15% (p <0,001).
Conclusion. Obtained results demonstrated the efficacy of EECP method as part of the complex therapy of patients with chronic pulmonary pathology.
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##article.viewOnOriginalSite##About the authors
Nadezhda A. Nikolaeva
I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov university)
Author for correspondence.
Email: nadnikolya@yandex.ru
ORCID iD: 0000-0001-8907-8370
resident physician of the department of hospital therapy
Russian Federation, 119435, Moscow, 6/1 Bolshaya Pirogovskaya Str.Yuri N. Belenkov
I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov university)
Email: belenkov_yu_n@staff.sechenov.ru
ORCID iD: 0000-0002-3014-6129
md, professor, academician of RAS, head of the department of hospital therapy
Russian Federation, 119435, Moscow, 6/1 Bolshaya Pirogovskaya Str.Aleksey S. Lishuta
I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov university)
Email: alexeylish@gmail.com
ORCID iD: 0000-0003-3391-0193
phd in medical sciences, professor of the department of hospital therapy
Russian Federation, 119435, Moscow, 6/1 Bolshaya Pirogovskaya Str.Olga O. Voronkova
I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov university)
Email: voronkova.oo@gmail.com
ORCID iD: 0000-0002-4705-8037
phd in medical sciences, assistant at the department of hospital therapy
Russian Federation, 119435, Moscow, 6/1 Bolshaya Pirogovskaya Str.Elena F. Rogova
I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov university)
Email: rogovaef@yandex.ru
pulmonologist, head of the department of pulmonology
Russian Federation, 119435, Moscow, 6/1 Bolshaya Pirogovskaya Str.Olga E. Buyanova
I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov university)
Email: shveda65@mail.ru
pulmonologist at the department of pulmonology
Russian Federation, 119435, Moscow, 6/1 Bolshaya Pirogovskaya Str.Gulnara B. Abdullaeva
I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov university)
Email: goulik@yandex.ru
pulmonologist at the department of pulmonology
Russian Federation, 119435, Moscow, 6/1 Bolshaya Pirogovskaya Str.References
- Концевая А.В., Муканеева Д.К., Баланова Ю.А. с соавт. Экономический ущерб от болезней органов дыхания и хронической обструктивной болезни легких в Российской Федерации в 2016 году. Пульмонология. 2019; 29(2): 159–166. [Kontsevaya A.V., Mukaneeva D.K., BalanovaYu.A. et al. Economic damage from respiratory diseases and chronic obstructive pulmonary disease in the Russian Federation in 2016. Pulmonologiya = Pulmonology. 2019; 29(2): 159–166 (In Russ.)].
- http://dx.doi.org/10.18093/0869-0189-2019-29-2-159-166. EDN: KHBDDU.
- Кытикова О.Ю., Гвозденко Т.А., Антонюк М.В. Современные аспекты распространенности хронических бронхолегочных заболеваний. Бюллетень физиологии и патологии дыхания. 2017; (64): 94–100. [Kytikova O.Yu., Gvozdenko T.A., Antonyuk M.V. Modern aspects of prevalence of chronic bronchopulmonary diseases. Byulleten’ fiziologii i patologii dykhaniya = Bulletin of Physiology and Pathology of Respiration. 2017; (64): 94–100 (In Russ.)]. http://dx.doi.org/10.12737/article_5936346fdfc1f3.32482903. EDN: YTVMFD.
- Здравоохранение в России. Статистический сборник Росстата. М. 2021; 171 с. Доступ: https://rosstat.gov.ru/storage/mediabank/Zdravoohran-2021.pdf (дата обращения – 01.08.2023). [Healthcare in Russia. Statistical collection of Federal State Statistics Service (Russia). Moscow. 2021; 171 pp.
- URL: https://rosstat.gov.ru/storage/mediabank/Zdravoohran-2021.pdf (date of access – 01.08.2023) (In Russ.)].
- Мамиева З.А., Лишута А.С., Беленков Ю.Н. с соавт. Возможности применения усиленной наружной контрпульсации в клинической практике. Рациональная фармакотерапия в кардиологии. 2017; 13(2): 238–247. [Mamieva Z.A., Lishuta A.S., Belenkov Yu.N. et al. The possibilities of using enhanced external counterpulsation in clinical practice. Ratsional’naya farmakoterapiya v kardiologii = Rational Pharmacotherapy in Cardiology. 2017; 13(2): 238–247 (In Russ.)].
- http://dx.doi.org/10.20996/1819-6446-2017-13-2-238-247. EDN: YOCTIH.
- Беленков Ю.Н. Применение метода усиленной наружной контрпульсации в медицинской практике. Современное состояние проблемы. В сб. «Усиленная наружная контрпульсация». 2005; т. 2: стр. 3–4. [Belenkov Yu.N. Application of the method of enhanced external counterpulsation in medical practice. The current state of the problem. In the collection «Enhanced external counterpulsation». 2005; vol. 2: pp. 3–4 (In Russ.)].
- Zhao M., Huang Y., Li L. et al. Enhanced external counterpulsation efficacy on exercise endurance in COPD patients and healthy subjects: A pilot randomized clinical trial. Int J Chron Obstruct Pulmon Dis. 2020; 15: 25–31.
- https://dx.doi.org/10.2147/COPD.S225566.
- Sathyamoorthy M., Verduzco-Gutierrez M., Varanasi S. et al. Enhanced external counterpulsation for management of symptoms associated with long COVID. Am Heart J Plus. 2022; 13(9): 100105. https://dx.doi.org/10.1016/j.ahjo.2022.100105.
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