Enhanced external counterpulsation as a measure of non-drug treatment of patients with severe and moderate ventilation disorders


DOI: https://dx.doi.org/10.18565/therapy.2023.6.8-14

Nikolaeva N.A., Belenkov Yu.N., Lishuta A.S., Voronkova O.O., Rogova E.F., Buyanova O.E., Abdullaeva G.B.

I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov university)
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.
Keywords: increased external counterpulsation, ventilation disorders, chronic pulmonary diseases
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About the Autors

Nadezhda A. Nikolaeva, resident physician of the Department of hospital therapy No. 1 of the Institute of clinical medicine named after N.V. Sklifosovsky, I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov university). Address: 119435, Moscow, 6/1 Bolshaya Pirogovskaya Str. E-mail: nadnikolya@yandex.ru. ORCID: https://orcid.org/0000-0001-8907-8370
Yuri N. Belenkov, MD, professor, academician of RAS, head of the Department of hospital therapy No. 1 of the Institute of clinical medicine named after N.V. Sklifosovsky, I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov university). Address: 119435, Moscow, 6/1 Bolshaya Pirogovskaya Str.
E-mail: belenkov_yu_n@staff.sechenov.ru. ORCID: https://orcid.org/0000-0002-3014-6129
Aleksey S. Lishuta, PhD in Medical Sciences, professor of the Department of hospital therapy No. 1 of the Institute of clinical medicine named after N.V. Sklifosovsky, I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov university). Address: 119435, Moscow, 6/1 Bolshaya Pirogovskaya Str.
E-mail: alexeylish@gmail.com. ORCID: https://orcid.org/0000-0003-3391-0193
Olga O. Voronkova, PhD in Medical Sciences, assistant at the Department of hospital therapy No.1 of the Institute of clinical medicine named after N.V. Sklifosovsky, I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov university). Address: 119435, Moscow, 6/1 Bolshaya Pirogovskaya Str.
E-mail: voronkova.oo@gmail.com. ORCID: https://orcid.org/0000-0002-4705-8037
Elena F. Rogova, pulmonologist, head of the Department of pulmonology of the Clinic of hospital therapy of the University clinical hospital No. 1, I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov university). Address: 119435, Moscow, 6/1 Bolshaya Pirogovskaya Str. E-mail: rogovaef@yandex.ru
Olga E. Buyanova, pulmonologist at the Department of pulmonology of the Clinic of hospital therapy of the University clinical hospital No. 1, I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov university). Address: 119435, Moscow, 6/1 Bolshaya Pirogovskaya Str. E-mail: shveda65@mail.ru
Gulnara B. Abdullaeva, pulmonologist at the Department of pulmonology of the Clinic of hospital therapy of the University clinical hospital No. 1, I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov university). Address: 119435, Moscow, 6/1 Bolshaya Pirogovskaya Str. E-mail: goulik@yandex.ru


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