Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

The Importance of the Diaphragm Muscle in Cardiac Rehabilitation after Myocardial Infarction

Bruno Davide Bordoni
* ORCID logo ,
Luca Mapelli
,
Anastasia Toccafondi
,
Francesca Di Salvo
,
Gianmarco Cannadoro
,
Matteo Gonella
,
Allan R Escher
ORCID logo
Version 1 : Received: 20 February 2024 / Approved: 20 February 2024 / Online: 21 February 2024 (09:22:11 CET)

How to cite: Bordoni, B.D.; Mapelli, L.; Toccafondi, A.; Di Salvo, F.; Cannadoro, G.; Gonella, M.; Escher, A.R. The Importance of the Diaphragm Muscle in Cardiac Rehabilitation after Myocardial Infarction. Preprints 2024, 2024021173. https://doi.org/10.20944/preprints202402.1173.v1 Bordoni, B.D.; Mapelli, L.; Toccafondi, A.; Di Salvo, F.; Cannadoro, G.; Gonella, M.; Escher, A.R. The Importance of the Diaphragm Muscle in Cardiac Rehabilitation after Myocardial Infarction. Preprints 2024, 2024021173. https://doi.org/10.20944/preprints202402.1173.v1

Abstract

Cardiovascular disease (CVD) is the leading cause of death worldwide. Cardiac rehabilitation (CR) has proven to be effective in reducing the rate of recurrence and disease as secondary prevention (evidence-based intervention) in patients who have suffered from myocardial infarction (MI). CR is a multidisciplinary path in which the patient is followed pharmacologically, from a psychological, nutritional, nursing and physiotherapy point of view. Post-MI patients present a reduction in the performance of the diaphragm muscle, the main inspiratory muscle, and this condition can become a risk factor for further relapses or for the onset of heart failure. Despite the solidity of the international guidelines for CR, the latter are lacking in specifically indicating an evaluation and training path regarding the inspiratory muscles in post-MI patients who have not undergone cardiac surgery. The article reviews the information on the adaptation of the diaphragm post-MI and highlights the need for clearer indications for a rehabilitation process that gives importance to the diaphragm.

Keywords

Myocardial infarction, diaphragm, cardiovascular disease, physiotherapy, rehabilitation, cardiac rehabilitation

Subject

Medicine and Pharmacology, Cardiac and Cardiovascular Systems

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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