![]() ![]() The use of MC in more severe classes of CHF (NYHA III and IV) should be the subject of future clinical studies to select the safest and most efficient compression method as well as to select the patients who benefit most from this kind of treatment.Ĭompression treatment, including medical compression stocking (MCS), is one of the commonly used treatment methods in patients with various types of leg oedema, including primary and secondary chronic venous disease and lymphedemaĪlso among the current MCS indications are leg swelling prevention in both chronic venous disease patients and healthy individuals at risk of leg swelling (e.g. The use of local leg compression can be considered stable CHF patients without decompensated heart function for both CHF‐related oedema treatment and for treatment of the concomitant diseases leading to leg swelling occurrence. ![]() ![]() In a pilot study performed in a small cohort of CHF patients, electrical calf stimulation use resulted in a reduction in the lean mass of the legs without cardiac function worsening. In the manual lymphatic drainage study, aside from expected leg circumference reduction, no clinical worsening was observed. An application of the multilayer bandages in NYHA classes III and IV patients lead a significant increase in the right arterial pressure and lead to transient deterioration of the right and the left ventricular functions. The transient and rapid increase in the human atrial natriuretic peptide, after an application of the MC stocking in New York Heart Association (NYHA) class II patients was observed without clinical exacerbation. The use of the intermittent pneumatic compression in CHF patients significantly increases the right auricular pressure and mean pulmonary artery pressures as well as decreases systemic vascular resistance in most patients without the clinical worsening. The current evidence is based on non‐randomized studies, small study cohorts, as well as very heterogenous populations. In studies performed on CHF populations, manual lymphatic drainage, MC stocking, multilayer bandaged, as well as intermittent pneumatic compression or electric calf stimulations were used. The available studies dedicated the comprehensive management of leg swelling using MC in CHF patients published in the English language literature till December 2019 were evaluated in term of the treatment efficacy and safety. ![]() In the study, an overview of the current knowledge related to the benefits and risk of using MC in the supportive treatment of leg oedema in CHF patients is presented. Medical compression (MC) treatment is one of the basic methods of leg oedema elimination in patients with chronic venous disease and lymphedema, but it is not routinely considered in subjects with CHF‐related swelling. Check the Juxta-Fit Essentials Legging and the CompreFlex Knee High for informative videos on these products.The presence of chronic heart failure (CHF) results in a significant risk of leg oedema. If you are transitioning from compression bandages to a compression garment, a compression wrap is the best way to go!Ĭonfused about how these work or look? Many of these products feature product videos in the Video tab of the product page. If you or someone you care about has been told they need to wear compression, but could not tolerate traditional compression stockings, ask your doctor or therapist about an alternative compression garment. Dynamic compression is more comfortable to wear when you are resting, and can be worn for longer periods of time, up to 24 hours a day if necessary. This means they only provide compression when your muscles push against them. Alternative compression garments provide a different type of compression which is dynamic. They are always applying pressure to your arm or legs, whether you’re sitting, standing or laying down. Traditional compression stockings use static compression to improve your circulation. This means they can easily be adjusted at any time. Unlike conventional compression stockings, alternative compression wraps aren’t pulled on, they are attached with velcro style straps. If you suffer from any of the following: Limited hand strength Difficulty bending over A limb that fluctuates in size Unusually shaped limb Open ulcer Fragile skin Need for 24 hour compression - then an alternative compression garment may be right for you. ![]()
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