Inspiratory muscle training after atrial fibrillation catheter ablation: A pilot study Article Swipe
Yan Li
,
Eisuke Amiya
,
Katsuhito Fujiu
,
Masanobu Taya
,
Tsukasa Oshima
,
Yu Shimizu
,
Kenichiro Yamagata
,
Eriko Hasumi
,
T. Kojima
,
Norihiko Takeda
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1097/md.0000000000043181
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1097/md.0000000000043181
Atrial fibrillation management is challenging, and traditional cardiac rehabilitation often overlooks respiratory issues. We aimed to evaluate the safety and efficacy of cardiac rehabilitation with inspiratory muscle training to enhance respiratory and cardiac functions after atrial fibrillation catheter ablation. This prospective, single-center observational study, conducted at the University of Tokyo Hospital between February 2019 and January 2020, included 5 men (average age 68.4 ± 2.58 years) who underwent initial ablation for symptomatic paroxysmal (n = 1) or non-paroxysmal (n = 4) atrial fibrillation. The participants underwent inspiratory muscle training alongside standard cardiac rehabilitation (intensity: 20% of the maximal inspiratory pressure, adjusted weekly). The pre- and post-intervention ejection fraction, left atrial volume index, and brain natriuretic peptide levels were evaluated. Inspiratory muscle training integration was associated with improvements in respiratory muscle strength and pulmonary function. The average ejection fraction improved from 62.0% to 64.4%, the left atrial volume index decreased from 39.4 mL/m 2 to 27.0 mL/m 2 , and brain natriuretic peptide levels reduced from 112.28 pg/mL to 20.98 pg/mL. The anaerobic threshold increased from a mean of 12.3 to 14.2, and the mean peak oxygen uptake increased from 16.72 mL/kg/min to 18.12 mL/kg/min. Over a 4-year follow-up, atrial fibrillation recurrence was observed in only 1 of the 5 patients. Inspiratory muscle training, when integrated with cardiac rehabilitation, could potentially improve respiratory and cardiac function in patients with post-atrial fibrillation ablation and may help reduce the likelihood of atrial fibrillation recurrence. This pilot study supports the potential of inspiratory muscle training in enhancing standard rehabilitation protocols, warranting further investigation in larger randomized trials to substantiate these findings and explore long-term benefits.
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- Type
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- Language
- en
- Landing Page
- https://doi.org/10.1097/md.0000000000043181
- OA Status
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- References
- 23
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4412080535
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4412080535Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1097/md.0000000000043181Digital Object Identifier
- Title
-
Inspiratory muscle training after atrial fibrillation catheter ablation: A pilot studyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-07-04Full publication date if available
- Authors
-
Yan Li, Eisuke Amiya, Katsuhito Fujiu, Masanobu Taya, Tsukasa Oshima, Yu Shimizu, Kenichiro Yamagata, Eriko Hasumi, T. Kojima, Norihiko TakedaList of authors in order
- Landing page
-
https://doi.org/10.1097/md.0000000000043181Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1097/md.0000000000043181Direct OA link when available
- Concepts
-
Medicine, Atrial fibrillation, Ejection fraction, Cardiology, Internal medicine, Catheter ablation, Cardiac function curve, Anesthesia, Heart failureTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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23Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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