{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T17:32:11Z","timestamp":1793640731413,"version":"4.5.1"},"reference-count":36,"publisher":null,"issue":"2","license":[{"start":{"date-parts":[[2021,2,28]],"date-time":"2021-02-28T00:00:00Z","timestamp":1614470400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/lib.ossn.ru\/jour\/about\/editorialPolicies#openAccessPolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Kardiologiia"],"abstract":"<jats:p>\n                    <jats:italic>Aim<\/jats:italic>\n                    To study the effect of various types of respiratory muscle training (RMT) in patients with functional class (FC) II-III chronic heart failure (CHF) and more than 70% preserved diaphragm muscle mass.\n                    <jats:italic>Material and methods<\/jats:italic>\n                    53 patients (28 men and 25 women) aged 50-75 years with NYHA FC II-III ischemic heart disease (IHD) and arterial hypertension with more than 70% preserved diaphragm muscle mass of &gt;70% were randomized to one of four RMT types: static loads, dynamic loads, their combination, and breathing without applied resistance as a control. Peak oxygen consumption (VO2 peak) and maximum inspiratory pressure (MIP) were evaluated at baseline and in 6 months.\n                    <jats:italic>Results<\/jats:italic>\n                    All study groups showed significant improvement of physical endurance indexes compared to baseline values (\u0440&lt;0.05). In pairwise comparison, the groups significantly differed (\u0440&lt;0.01). The greatest improvement was observed for patients of dynamic and combined training groups. Furthermore, in the combined training group, results were significantly higher than in the group of isolated dynamic loads. The most significant (\u0440 &lt;0.01), positive changes in the force of inspiratory muscles were observed in groups of dynamic and combined trainings with the best results displayed by patients of the combined training group.\n                    <jats:italic>Conclusion<\/jats:italic>\n                    With preserving more than 70\u200a% of diaphragm muscle tissue (as determined by MIP &gt;60\u2008cm H2O), a combination of static and dynamic RMT is most effective for patients with FC II-III CHF.\n                  <\/jats:p>","DOI":"10.18087\/cardio.2021.2.n1356","type":"journal-article","created":{"date-parts":[[2021,3,15]],"date-time":"2021-03-15T02:53:07Z","timestamp":1615776787000},"page":"69-75","source":"Crossref","is-referenced-by-count":4,"title":["Selection of the optimal respiratory muscle training mode in patients with class II-III chronic heart failure"],"prefix":"10.68900","volume":"61","author":[{"given":"A. G.","family":"Arutyunov","sequence":"first","affiliation":[{"name":"Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. A.","family":"Kolesnikova","sequence":"additional","affiliation":[{"name":"Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. V.","family":"Ilyina","sequence":"additional","affiliation":[{"name":"Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia\r\n\u0421ity clinical hospital \u21164, Moscow, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. K.","family":"Rylova","sequence":"additional","affiliation":[{"name":"Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. P.","family":"Arutyunov","sequence":"additional","affiliation":[{"name":"Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N. V.","family":"Scherbacova","sequence":"additional","affiliation":[{"name":"Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N. P.","family":"Kulagina","sequence":"additional","affiliation":[{"name":"\u0421ity clinical hospital \u21164, Moscow, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":null,"published-online":{"date-parts":[[2021,2,28]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Mancini DM, Henson D, La Manca J, Donchez L, Levine S. Benefit of selective respiratory muscle training on exercise capacity in patients with chronic congestive heart failure. Circulation. 1995;91(2):320\u20139. 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