Heart failure impairs quality of life and exercise capacity, despite an optimal medical therapy. Alternative methods, like hypoxic conditioning coupled to exercise training, must be explored and describe
All heart failure patients will have a session of 45' of bicycle exercise training (in normoxia or hypoxia) AND a one hour rest session (in normoxia or hypoxia). Exercise training sessions will consist in a continue bicycle exercise test at 70 to 80 % of the maximal heart rate, while breathing (single blind) normoxia or hypoxia gaz. Rest conditioning consist in a one hour of rest, while breathing (single blind) normoxia or hypoxia gaz. For hypoxia sessions, the oxygen saturation target will be fo 85-90 % for the 4 first weeks and 80-85 % for the last 4 weeks. Three arms : * exercise training in NORMOXIA and rest conditioning in NORMOXIA * exercise training in HYPOXIA and rest conditioning in NORMOXIA * exercise training in NORMOXIA and rest conditioning in HYPOXIA
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
14
Normobaric hypoxia is generated by adding azote in normal air to decrease the oxygen availability.
University Hospital
Grenoble, France
maximal oxygen uptake in ml/min/kg
The maximal exercise capacity will be assessed by an incremental maximal bicycle exercise test
Time frame: after 8 weeks of training and conditioning
End diastolic left ventricle diameter in mm
In parasternal long axe, the end diastolic left ventricle diameter
Time frame: After 8 weeks of training and conditioning
systolic left ventricle ejection fraction in %
the systolic left ventricle ejection fraction will be assessed by Simpson's method in 4 and 2 cavity views
Time frame: After 8 weeks of training and conditioning
flow mediated dilatation (FMD) in %
The rest FMD will be assessed by echocardiography by using the % of variation of the brachial artery diameter 10 minutes after occlusion.
Time frame: After 8 weeks of training and conditioning
systolic and diastolic blood pressure control in mmHg
24 hours ambulatory blood pressure monitoring
Time frame: After 8 weeks of training and conditioning
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