Effect of low-level laser physiotherapy on left ventricular function among patients with chronic systolic heart failure

Mahmoud Abdulbasser Sayed; Rania M El-Sherif; Amira Ismail; Ahmed Essam Abou Warda; Amany R Mohamed; Ahmed A El-Sherif

doi:10.1186/s43044-023-00337-6

Effect of low-level laser physiotherapy on left ventricular function among patients with chronic systolic heart failure

Egypt Heart J. 2023 Feb 13;75(1):12. doi: 10.1186/s43044-023-00337-6.

Authors

Mahmoud Abdulbasser Sayed¹, Rania M El-Sherif², Amira Ismail², Ahmed Essam Abou Warda³, Amany R Mohamed⁴, Ahmed A El-Sherif²

Affiliations

¹ Department of Critical Care, Teacher's Hospital, Cairo, Egypt.
² Department of Critical Care Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt.
³ Department of Clinical Pharmacy, Faculty of Pharmacy, October 6 University, Giza, 12585, Egypt. ahmed.essam@o6u.edu.eg.
⁴ Department of Physiotherapy, Cairo University, Cairo, Egypt.

Abstract

Background: Low-level laser therapy (LLLT) is a promising noninvasive physiotherapeutic approach that has been demonstrated to improve cardiac performance. This study aimed to assess the impact of low-level laser therapy on cardiac functions and clinical status in patients with chronic left ventricular systolic heart failure who were not candidates for cardiac revascularization or resynchronization. A case series of 27 patients received a course of low-level laser physiotherapy, the clinical outcomes, echocardiographic parameters, and serum nitric oxide levels were evaluated before and after LLLT.

Results: Of the total patients enrolled in the study, 21 (or 77.8%) were male, with a mean age of 57.7 ± 6.89 years. NYHA classification significantly improved after low-level laser therapy, 15 patients were in class III,12 were in class IV, and no one was in class II before laser therapy while after laser therapy; 25 patients shifted to class II, two patients were in class III with P < 0.001, Six-minute walk distance test was performed, and the results showed that the mean of 6MWT was less than 200 m (148.556 ± 39.092) before the study but increased to more than 300 after laser therapy (385.074 ± 61.740), left ventricular ejection fraction before laser therapy was 26 ± 7.5 while after laser therapy it became 30 ± 8.6 but diastolic function did not change after low-level laser therapy, the mean peak TR pressure was 40.0 ± 9.0 mmHg and 33.0 ± 7.0 before and after laser therapy respectively P < 0.001. A significant change was observed in NO level from 4.1 ± 1.4 IU/ml before laser therapy to 5.2 ± 1.7 IU/ml after laser therapy P < 0.001.

Conclusions: Low-level laser therapy may add benefits to improve symptoms, clinical condition, and quality of life in patients with left ventricular systolic dysfunction, further studies are necessary to evaluate the changes in cardiac functions at a longer follow-up duration.

Keywords: 6MWT; Acupuncture; Left ventricular systolic heart failure; Low-level laser therapy; NYHA class; Nitric oxide; TDI.