OCTOBER 5, 2010.
Treating Heart Patients With Thin Air
High-Altitude Regimen Favored by Endurance Athletes Shows Promise in Study.
By AMY DOCKSER MARCUS
Heart-failure researchers are testing a provocative hypothesis: whether a technique used by elite athletes to improve endurance can help some of medicine's sickest patients improve their ability to exercise and function in their daily lives.
The technique simulates high-altitude training in which cyclists and other endurance-sport athletes sleep in sealed tents where oxygen levels mimic the thin air at mountain elevations in a bid to improve their performance at normal heights. Now a pilot study is under way to see if thin air is a boon to heart-failure patients as well.
.The idea may seem counter-intuitive. A common symptom of heart failure, a chronic weakening of the heart muscle that compromises its ability to pump blood, is shortness of breath. Patients often have difficulty climbing a flight of stairs or walking a block or two.
But Simon Maybaum, medical director of the Montefiore-Einstein Center for Advanced Cardiac Therapy in the Bronx, N.Y., says the problem in heart failure isn't a lack of oxygen, but poor blood flow. He thinks the physiological changes athletes gain from a "sleep-high" strategy can help improve the ability of heart-failure patients to get more oxygen to body tissue and gain endurance as a result.
"The same changes that occur in an athlete should also benefit people who have cardiac dysfunction," Dr. Maybaum says.
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