الفهرس 
Antiremodeling effect of aerobic interval and inspiratory muscle training on atrial fibrillation asscoiated with chronic heart failure
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Abstract
Was to evaluate the effect of combined High-intensity interval
training and inspiratory muscle training as anti-remodeling therapy in
managing permanent atrial fibrillation patients with chronic heart failure.
Methods: Fifty male cardiac patients were recruited in this study from the
National Heart Institute outpatient clinic and Ainshams University Hospital
Cardiology Department and aged from 40 to 55 years old , with permanent
atrial fibrillation and heart failure with reduced ejection fraction and randomly
divided into 2 equal groups, 1) study group (A) who received medical
intervention plus High-intensity interval training and inspiratory muscle
training. 2) control group (B) received medical intervention only. The study
was conducted for 6 months for each patient, in Cardiac Rehabilitation Unit
Ainshams University Hospitals. Results: There was a significant increase in
EF, MIP, 6MWTD and MHR with percent of changes (-21.6, -36.7, -33.3 and
-3.6)% respectively and a significant decrease in LVIDS,LVIDD,LAD and
RHR with percent of changes (21.4, 14, 16.7, 10)% respectively. With
significant improvement in 36 SHQOL (<0.001), all of that in favor of the
study group in comparison to the control
Conclusion: Combined exercise of HIIT with IMT leads to a significant
improvement in the study groups (CHF with AF). Exercise – based
rehabilitation for these patients should considered as a viable option to repeated
resynchronization in the future