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Original Article

JCDR. 2013; 4(2): 130-133


Study the mechanical pulmonary changes in patients with congestive heart failure(CHF) by impulse oscillometry

Mohammad Nourizadeh, Yunose Ghelich, Ahmad Amin, Esmaeel Eidani, Yousef Gholampoor,Mahsa Asadmoghadam, Najme Asadinia.


Abstract

Background: Heart failure is one of the most leading cause of death worldwide, but the mechanical
characteristics of the pulmonary system in these patients have not been studied enough. The aim of this
study was to measure mechanical pulmonary changes in patients with congestive heart failure (CHF) by
using impulse oscillometry (IOS), which can obtain data by simpler means and independently from
respiratory muscle strength.
Materials and methods: We assessed 24 CHF patients and 24 controls by spirometry and IOS using the
Jaeger IOS system. IOS measures central and peripheral airway resistances (R20, R5) and central and
peripheral reactances (X20, X5) using sound waves with different frequencies, which superimposed on
the patients respiratory tidal volume and then records reflects. P value < 0.05 was taken to be significant.
Results: The mean age of patients and controls was 61  10 and 57  7 years, respectively. The mean
ejection fraction (EF) was 37  17% for patients and 55  7% for controls. Patients had a lower X5
(0.20  0.13 vs 0.13  0.07; P < 0.05), forced expiratory volume in 1 second (FEV1; 2.26  0.68 vs
3.09  0.82: P < 0.01 L/min), and forced vital capacity (FVC; 2.55  0.86 vs 3.32  0.87; P < 0.05)
compared to the controls. They also had elevated R5: 0.37  0.21 vs 0.27  0.09; P < 0.06). X5 was
correlated with spirometric abnormalities (P < 0.05) and was lower in patients than in controls.
Conclusion: X5 was lower and R5 was higher in patients than in controls. CHF patients can be assessed by
IOS more comfortable than by spirometry. IOS can reliably measure peripheral airway resistance in this
group of patients.

Key words: Congestive heart failure Impulse oscillometry Spirometry






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