Examinando por Autor "Lista Paz, Ana"

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    Aportaciones de la fisioterapia respiratoria como terapia adyuvante en pacientes con COVID-19 ingresados en UCI: una oportunidad de desarrollo
    (Academia de Ciencias Medicas de Bilbao, 2020-06) Franco Arizaga, Aitor Santi; Arbillaga Etxarri, Ane; Lista Paz, Ana; Martínez Ruiz, Alberto
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    Effects of cardiovascular rehabilitation on myocardial perfusion and functional exercise capacity in patients with stable coronary artery disease and myocardial ischemia
    (2025-03) Mazzucco, Guillermo; Pilón, Leonardo; Torres Castro, Rodrigo; Lista Paz, Ana; López, Silvana; Chichizola, Nicolás; Zapata, Gerardo; López, Jorge; Berenguel Senén, Alejandro; Arbillaga Etxarri, Ane
    PURPOSE: Myocardial ischemia is prevalent in chronic heart diseases. Cardiac rehabilitation (CR) offers non-pharmacological benefits to reduce hospitalization and mortality, yet its impact on coronary vascular changes remains unclear. We assessed the effects of CR on myocardial perfusion and exercise capacity in patients with stable coronary artery disease and exercise-induced ischemia. METHODS: We conducted a retrospective observational study in individuals with stable coronary artery disease and myocardial ischemia enrolled in a CR program. Inclusion criteria required a minimum of 3 months of supervised CR and cardiac single-photon emission computed tomography (SPECT) imaging before and after the program. Blinded analysis and interpretation of the SPECT studies was carried out by nuclear cardiologists. The primary outcome was a change in myocardial perfusion via SPECT analysis. Secondary outcomes included changes in exercise capacity, electrocardiographic changes during treadmill stress tests, and evaluation of adverse effects during training. Cinecoronariographies reports were collected for further cardiac status assessment. RESULTS: Of 394 patients, 22 with myocardial ischemia were analyzed (96% males, 61.5 ± 9.5 yr). Number of CR sessions ranged from 42 to 73. Stress-induced ischemia significantly decreased (P = .019), with improvements in exercise capacity, including absolute peak oxygen uptake (mL/min, P = .027), relative oxygen uptake (mL/kg/min, P = .044), maximum metabolic equivalent of task (P = .019), and exercise duration (P < .001). No adverse events occurred. CONCLUSION: After a structured CR program of at least 3 months in patients with stable coronary artery disease and exercise-induced ischemia, there was a notable reduction in stress-induced ischemia and enhancements in exercise capacity, highlighting the safety and efficacy of CR in improving myocardial perfusion and exercise tolerance.
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    Fisioterapia respiratoria post-COVID-19: algoritmo de decisión terapéutica
    (Elsevier Espana S.L.U, 2022-01) Arbillaga Etxarri, Ane; Lista Paz, Ana; Alcaraz Serrano, Victoria; Escudero Romero, Raúl; Herrero Cortina, Beatriz; Balañá, Ana; Sebio, Raquel; Vilaró, Jordi; Gimeno Santos, Elena
    La pandemia causada por la enfermedad de la COVID-19 ha supuesto un gran reto para los profesionalesdel sistema sociosanitario, intensificándose con el manejo y atención de las manifestaciones clínicas quepotencialmente pueden presentarse de manera persistente en las personas que han superado la enferme-dad. Para ello, la fisioterapia respiratoria se presenta como piedra angular dentro del modelo de abordajeinterdisciplinar que requiere esta población. Dado que la implementación de esta opción terapéuticacontinúa siendo limitada en Espa˜na, es imprescindible realizar una evaluación integral y exhaustiva de lapersona que nos permita establecer criterios de selección a fin de optimizar el uso de los recursos huma-nos y materiales existentes. Para ello, se propone un algoritmo de decisión terapéutica basado en pruebasde evaluación validadas y objetivas de las posibles manifestaciones clínicas del paciente. La aplicación deeste algoritmo, en cualquier nivel asistencial (atención especializada y atención primaria/comunitaria)junto con la atención centrada en la persona, el impulso del uso de los espacios comunitarios verdes yazules de las ciudades y un adecuado uso de las tecnologías de la comunicación y la información, nospermitirá optimizar el modelo de atención de fisioterapia respiratoria en el contexto actual, marcado porla COVID-19.
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    Fisioterapia respiratoria post-COVID-19: algoritmo de decisión terapéutica
    (Elsevier España S.L.U., 2022-01) Arbillaga Etxarri, Ane; Lista Paz, Ana; Alcaraz Serrano, Victoria; Escudero Romero, Raúl ; Herrero Cortina, Beatriz; Balañá, Ana; Sebio García, Raquel; Vilaró, Jordi ; Gimeno Santos, Elena
    The outbreak of COVID-19 has posed a great challenge for the healthcare system which has been later aggravated by the need of managing clinical manifestations and potential sequelae in COVID-19 survivors. In this context, respiratory Physiotherapy emerges as a cornerstone in the interdisciplinary management warranted in this population. Given that the implementation and resources available for the interdisciplinary therapeutic interventions in Spain is scarce, it is essential to perform a comprehensive, exhaustive and personalised assessment. This will allow us to establish more accurate selection criteria in order to optimise the use of existing human and material resources. To this end, we propose here a decision-making algorithm for clinical practice to assess the clinical manifestations in people recovered from COVID-19 based on well-established, validated tests and assessment tools. This algorithm can be used at any clinical practice environment (primary care/community or hospital-based), combined with a patient-centered model and the use of community and e-Health resources and its application to improve the Physiotherapy care of these patients in the COVID-19 era.
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    Is non-invasive ventilation effective in improving the exercise capacity in patients with cardiac heart failure?: a randomised crossover trial
    (Public Library of Science, 2025-07-01) Mazzucco, Guillermo; Torres Castro, Rodrigo; Intelangelo, Leonardo; Lista Paz, Ana; Escalante, Juan Pablo; Zumeta Olaskoaga, Lore; Veiga, Gonzalo; Arbillaga Etxarri, Ane
    Introduction Heart failure (HF) is a prevalent global health issue, characterized by the heart’s inability to effectively pump or fill with blood, leading to inadequate cardiac output. Despite advances in medical treatments, exercise intolerance remains a significant challenge, impacting their quality of life and contributing to frequent hospitalizations. Recent studies suggest that non-invasive ventilation (NIV) may further enhance exercise performance by reducing ventilatory workload and fatigue. However, limited research has directly compared different ventilatory modes during exercise in patients with heart failure. This study aims to evaluate the effects of two NIV devices on exercise capacity. Methods A randomised crossover trial was conducted in patients with HF, reduced ejection fraction (≤ 40%), New York Heart Association functional class I-III and clinically stable. All participants underwent an initial assessment followed by an incremental exercise test to determine maximum aerobic velocity. They were then randomized to perform three constant work rate tests on separate days under three conditions: (1) with Continuous Positive Airway Pressure (CPAP), (2) with pressure support (PS) and (3) without NIV. The primary outcome was time to exhaustion. Key physiological variables were recorded during each test. Participants were recruited and completed all testing between April 29 and July 18, 2022. ClinicalTrials.gov registration number: NCT05433610. Results A total of 11 patients (mean age: 67±9.6 years) completed the study. Exercise duration was significantly longer in the pressure support group (9.8±6.2 minutes) compared to the CPAP group (8.9±6.0 minutes) and the control group (7.3±6.2 minutes) (p=0.043). No significant differences were found in average heart rate (HR), final HR, or oxygen saturation (SpO2) between the groups (p>0.05). Similarly, dyspnea and leg fatigue (modified Borg scale) showed no statistically significant differences between conditions (p>0.05). Conclusion The use of NIV, particularly the PS mode, during exercise significantly improved exercise duration in patients with HF compared to CPAP or no ventilatory support.
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    Maximal respiratory pressure reference equations in healthy adults and cut-off points for defining respiratory muscle weakness
    (Sociedad Espanola de Neumologia y Cirugia Toracica (SEPAR), 2023-12) Lista Paz, Ana; Langer, Daniel; Barral Fernández, Margarita; Quintela del Río, Alejandro; Gimeno Santos, Elena; Arbillaga Etxarri, Ane; Torres Castro, Rodrigo; Vilaró, Jordi; Varas de la Fuente, Ana B.; Serrano Veguillas, Cristina; Bravo Cortés, Pilar; Martín Cortijo, Concepción; García Delgado, Esther; Herrero Cortina, Beatriz; Valera, José Luis; Fregonezi, Guilherme A.F.; González Montañez, Carolina; Martín Valero, Rocío; Francín Gallego, Marina; Sanesteban Hermida, Yolanda; Giménez Moolhuyzen, Esther; Álvarez Rivas, Jorge; Ríos Cortés, Antonio Tomás; Souto-Camba, Sonia; González Doniz, Luz
    Introduction: Maximal inspiratory and expiratory pressures (PImax/PEmax) reference equations obtained in healthy people are needed to correctly interpret respiratory muscle strength. Currently, no clear cut-off points defining respiratory muscle weakness are available. We aimed to establish sex-specific reference equations for PImax/PEmax in a large sample of healthy adults and to objectively determine cut-off points for respiratory muscle weakness. Methods: A multicentre cross-sectional study was conducted across 14 Spanish centres. Healthy non-smoking volunteers aged 18–80 years stratified by sex and age were recruited. PImax/PEmax were assessed using uniform methodology according to international standards. Multiple linear regressions were used to obtain reference equations. Cut-off points for respiratory muscle weakness were established by using T-scores. Results: The final sample consisted of 610 subjects (314 females; 48 [standard deviation, SD: 17] years). Reference equations for PImax/PEmax included body mass index and a squared term of the age as independent variables for both sexes (p < 0.01). Cut-off points for respiratory muscle weakness based on T-scores ≥2.5 SD below the peak mean value achieved at a young age were: 62 and 83 cmH2O for PImax and 81 and 109 cmH2O for PEmax in females and males, respectively. Conclusion: These reference values, based on the largest dataset collected in a European population to date using uniform methodology, help identify cut-off points for respiratory muscle weakness in females and males. These data will help to better identify the presence of respiratory muscle weakness and to determine indications for interventions to improve respiratory muscle function.