Thermal Vasodilation Using a Portable Infrared Thermal Blanket in Decompensated Heart Failure
Adjunctive and non-pharmacological therapies, such as heat, for the treatment of heart failure patients have been proposed. Positive results have been obtained in clinically stable patients, but no studies of the use of thermal therapy in patients with decompensated heart failure (DHF) have been rep...
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| Veröffentlicht in: | International Heart Journal 2014, Vol.55(5), pp.433-439 |
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| container_title | International Heart Journal |
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| creator | Lima, Marcelo Villaça Ochiai, Marcelo E. Vieira, Kelly N. Scipioni, Airton Cardoso, Juliano N. Munhoz, Robinson T. Morgado, Paulo C. Barretto, Antonio C.P. |
| description | Adjunctive and non-pharmacological therapies, such as heat, for the treatment of heart failure patients have been proposed. Positive results have been obtained in clinically stable patients, but no studies of the use of thermal therapy in patients with decompensated heart failure (DHF) have been reported. An open randomized clinical trial was designed in patients with DHF and controls. We studied 38 patients with a mean age of 56.9 years. A total of 86.8% were men, and 71% had nonischemic myocardiopathy. All participants were using dobutamine, and the median brain natriuretic peptide (BNP) level was 1396 pg/mL. An infrared thermal blanket heated the patients, who were divided into 2 groups: group T (thermal therapy) and group C (control). Group T underwent vasodilation using the thermal blanket at 50°C for 40 minutes in addition to drug treatment. The cardiac index increased by 24.1% (P = 0.009), and systemic vascular resistance decreased by 16.0% in group T (P < 0.024) after thermal therapy. Heat as a vasodilator increased the cardiac index and lowered systemic vascular resistance in DHF patients. These data suggest thermal therapy as a therapeutic approach for the adjuvant treatment of DHF patients. |
| doi_str_mv | 10.1536/ihj.14-096 |
| format | Article |
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Positive results have been obtained in clinically stable patients, but no studies of the use of thermal therapy in patients with decompensated heart failure (DHF) have been reported. An open randomized clinical trial was designed in patients with DHF and controls. We studied 38 patients with a mean age of 56.9 years. A total of 86.8% were men, and 71% had nonischemic myocardiopathy. All participants were using dobutamine, and the median brain natriuretic peptide (BNP) level was 1396 pg/mL. An infrared thermal blanket heated the patients, who were divided into 2 groups: group T (thermal therapy) and group C (control). Group T underwent vasodilation using the thermal blanket at 50°C for 40 minutes in addition to drug treatment. The cardiac index increased by 24.1% (P = 0.009), and systemic vascular resistance decreased by 16.0% in group T (P < 0.024) after thermal therapy. Heat as a vasodilator increased the cardiac index and lowered systemic vascular resistance in DHF patients. These data suggest thermal therapy as a therapeutic approach for the adjuvant treatment of DHF patients.</description><identifier>ISSN: 1349-2365</identifier><identifier>EISSN: 1349-3299</identifier><identifier>DOI: 10.1536/ihj.14-096</identifier><identifier>PMID: 25070123</identifier><language>eng</language><publisher>Japan: International Heart Journal Association</publisher><subject>Body Temperature ; Cardiac Catheterization ; Catheterization ; Equipment Design ; Female ; Follow-Up Studies ; Heart Failure - diagnosis ; Heart Failure - physiopathology ; Heart Failure - therapy ; Hemodynamics ; Hot Temperature ; Humans ; Hyperthermia ; Hyperthermia, Induced - instrumentation ; Infrared Rays - therapeutic use ; Male ; Middle Aged ; Retrospective Studies ; Stroke Volume ; Swan-Ganz ; Thermal therapy ; Treatment Outcome ; Vascular Resistance ; Vasodilation - physiology</subject><ispartof>International Heart Journal, 2014, Vol.55(5), pp.433-439</ispartof><rights>2014 by the International Heart Journal Association</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c494t-5bf81046e82a432205bb472eedeadbc8d6d5be1baff41d2de62b627caed12b373</citedby><cites>FETCH-LOGICAL-c494t-5bf81046e82a432205bb472eedeadbc8d6d5be1baff41d2de62b627caed12b373</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1883,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25070123$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lima, Marcelo Villaça</creatorcontrib><creatorcontrib>Ochiai, Marcelo E.</creatorcontrib><creatorcontrib>Vieira, Kelly N.</creatorcontrib><creatorcontrib>Scipioni, Airton</creatorcontrib><creatorcontrib>Cardoso, Juliano N.</creatorcontrib><creatorcontrib>Munhoz, Robinson T.</creatorcontrib><creatorcontrib>Morgado, Paulo C.</creatorcontrib><creatorcontrib>Barretto, Antonio C.P.</creatorcontrib><title>Thermal Vasodilation Using a Portable Infrared Thermal Blanket in Decompensated Heart Failure</title><title>International Heart Journal</title><addtitle>Int. Heart J.</addtitle><description>Adjunctive and non-pharmacological therapies, such as heat, for the treatment of heart failure patients have been proposed. Positive results have been obtained in clinically stable patients, but no studies of the use of thermal therapy in patients with decompensated heart failure (DHF) have been reported. An open randomized clinical trial was designed in patients with DHF and controls. We studied 38 patients with a mean age of 56.9 years. A total of 86.8% were men, and 71% had nonischemic myocardiopathy. All participants were using dobutamine, and the median brain natriuretic peptide (BNP) level was 1396 pg/mL. An infrared thermal blanket heated the patients, who were divided into 2 groups: group T (thermal therapy) and group C (control). Group T underwent vasodilation using the thermal blanket at 50°C for 40 minutes in addition to drug treatment. The cardiac index increased by 24.1% (P = 0.009), and systemic vascular resistance decreased by 16.0% in group T (P < 0.024) after thermal therapy. Heat as a vasodilator increased the cardiac index and lowered systemic vascular resistance in DHF patients. These data suggest thermal therapy as a therapeutic approach for the adjuvant treatment of DHF patients.</description><subject>Body Temperature</subject><subject>Cardiac Catheterization</subject><subject>Catheterization</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart Failure - diagnosis</subject><subject>Heart Failure - physiopathology</subject><subject>Heart Failure - therapy</subject><subject>Hemodynamics</subject><subject>Hot Temperature</subject><subject>Humans</subject><subject>Hyperthermia</subject><subject>Hyperthermia, Induced - instrumentation</subject><subject>Infrared Rays - therapeutic use</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Stroke Volume</subject><subject>Swan-Ganz</subject><subject>Thermal therapy</subject><subject>Treatment Outcome</subject><subject>Vascular Resistance</subject><subject>Vasodilation - physiology</subject><issn>1349-2365</issn><issn>1349-3299</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1PwkAQhjdGI4pe_AFmzybF_WzpTUUREhI9gDezme1OoVhaslsO_nuLBS7zTjJP3mQeQu44G3At48ditR5wFbE0PiNXXKo0kiJNzw-7kLHukesQ1owprllySXqiDcaFvCLf8xX6DZT0C0LtihKaoq7oIhTVkgL9rH0DtkQ6rXIPHh094i8lVD_Y0KKir5jVmy1WAZoWmCD4ho6hKHceb8hFDmXA20P2yWL8Nh9NotnH-3T0PIsylaom0jYfcqZiHApQUgimrVWJQHQIzmZDFzttkVvIc8WdcBgLG4skA3RcWJnIPnnoejNfh-AxN1tfbMD_Gs7M3pFpHRmuTOuohe87eLuzG3Qn9CilBZ46YB0aWOIJaB8rshL_u7Q2ej-6ztMpW4E3WMk_hxd68g</recordid><startdate>2014</startdate><enddate>2014</enddate><creator>Lima, Marcelo Villaça</creator><creator>Ochiai, Marcelo E.</creator><creator>Vieira, Kelly N.</creator><creator>Scipioni, Airton</creator><creator>Cardoso, Juliano N.</creator><creator>Munhoz, Robinson T.</creator><creator>Morgado, Paulo C.</creator><creator>Barretto, Antonio C.P.</creator><general>International Heart Journal Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>2014</creationdate><title>Thermal Vasodilation Using a Portable Infrared Thermal Blanket in Decompensated Heart Failure</title><author>Lima, Marcelo Villaça ; Ochiai, Marcelo E. ; Vieira, Kelly N. ; Scipioni, Airton ; Cardoso, Juliano N. ; Munhoz, Robinson T. ; Morgado, Paulo C. ; Barretto, Antonio C.P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c494t-5bf81046e82a432205bb472eedeadbc8d6d5be1baff41d2de62b627caed12b373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Body Temperature</topic><topic>Cardiac Catheterization</topic><topic>Catheterization</topic><topic>Equipment Design</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart Failure - diagnosis</topic><topic>Heart Failure - physiopathology</topic><topic>Heart Failure - therapy</topic><topic>Hemodynamics</topic><topic>Hot Temperature</topic><topic>Humans</topic><topic>Hyperthermia</topic><topic>Hyperthermia, Induced - instrumentation</topic><topic>Infrared Rays - therapeutic use</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Stroke Volume</topic><topic>Swan-Ganz</topic><topic>Thermal therapy</topic><topic>Treatment Outcome</topic><topic>Vascular Resistance</topic><topic>Vasodilation - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lima, Marcelo Villaça</creatorcontrib><creatorcontrib>Ochiai, Marcelo E.</creatorcontrib><creatorcontrib>Vieira, Kelly N.</creatorcontrib><creatorcontrib>Scipioni, Airton</creatorcontrib><creatorcontrib>Cardoso, Juliano N.</creatorcontrib><creatorcontrib>Munhoz, Robinson T.</creatorcontrib><creatorcontrib>Morgado, Paulo C.</creatorcontrib><creatorcontrib>Barretto, Antonio C.P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>International Heart Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lima, Marcelo Villaça</au><au>Ochiai, Marcelo E.</au><au>Vieira, Kelly N.</au><au>Scipioni, Airton</au><au>Cardoso, Juliano N.</au><au>Munhoz, Robinson T.</au><au>Morgado, Paulo C.</au><au>Barretto, Antonio C.P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Thermal Vasodilation Using a Portable Infrared Thermal Blanket in Decompensated Heart Failure</atitle><jtitle>International Heart Journal</jtitle><addtitle>Int. Heart J.</addtitle><date>2014</date><risdate>2014</risdate><volume>55</volume><issue>5</issue><spage>433</spage><epage>439</epage><pages>433-439</pages><issn>1349-2365</issn><eissn>1349-3299</eissn><abstract>Adjunctive and non-pharmacological therapies, such as heat, for the treatment of heart failure patients have been proposed. Positive results have been obtained in clinically stable patients, but no studies of the use of thermal therapy in patients with decompensated heart failure (DHF) have been reported. An open randomized clinical trial was designed in patients with DHF and controls. We studied 38 patients with a mean age of 56.9 years. A total of 86.8% were men, and 71% had nonischemic myocardiopathy. All participants were using dobutamine, and the median brain natriuretic peptide (BNP) level was 1396 pg/mL. An infrared thermal blanket heated the patients, who were divided into 2 groups: group T (thermal therapy) and group C (control). Group T underwent vasodilation using the thermal blanket at 50°C for 40 minutes in addition to drug treatment. The cardiac index increased by 24.1% (P = 0.009), and systemic vascular resistance decreased by 16.0% in group T (P < 0.024) after thermal therapy. Heat as a vasodilator increased the cardiac index and lowered systemic vascular resistance in DHF patients. These data suggest thermal therapy as a therapeutic approach for the adjuvant treatment of DHF patients.</abstract><cop>Japan</cop><pub>International Heart Journal Association</pub><pmid>25070123</pmid><doi>10.1536/ihj.14-096</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; EZB-FREE-00999 freely available EZB journals |
| subjects | Body Temperature Cardiac Catheterization Catheterization Equipment Design Female Follow-Up Studies Heart Failure - diagnosis Heart Failure - physiopathology Heart Failure - therapy Hemodynamics Hot Temperature Humans Hyperthermia Hyperthermia, Induced - instrumentation Infrared Rays - therapeutic use Male Middle Aged Retrospective Studies Stroke Volume Swan-Ganz Thermal therapy Treatment Outcome Vascular Resistance Vasodilation - physiology |
| title | Thermal Vasodilation Using a Portable Infrared Thermal Blanket in Decompensated Heart Failure |
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