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La seguridad de las pruebas de ejercicio cardiopulmonar en una población con enfermedades cardiovasculares de alto
Joseph Skalski1, Thomas G Allison, Todd D Miller
1Division of Cardiovascular Diseases and Department of Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Circulation
|October 24, 2012
Resumen
La prueba de ejercicio cardiopulmonar (CPX) es segura para pacientes cardíacos de alto riesgo. Este estudio encontró una baja tasa de eventos adversos del 0,16% durante la CPX en diversas poblaciones cardiovasculares de alto riesgo.
Área de la Ciencia:
- Cardiología Cardiología.
- Fisiología del ejercicio Fisiología del ejercicio
- Diagnóstico Clínico El diagnóstico clínico.
Sus antecedentes:
- La prueba de ejercicio cardiopulmonar (CPX) mide la absorción máxima de oxígeno (Vo2) para evaluar el deterioro funcional en la enfermedad cardiovascular.
- Los datos de seguridad existentes para el CPX provienen principalmente de pacientes con enfermedad arterial coronaria e insuficiencia cardíaca.
- Existen datos limitados sobre la seguridad del CPX en poblaciones cardíacas de alto riesgo más amplias.
Objetivo del estudio:
- Investigar la seguridad de las pruebas de ejercicio cardiopulmonar (CPX).
- Evaluar la seguridad del CPX en una cohorte heterogénea con diversos diagnósticos cardíacos de alto riesgo.
- Para determinar la incidencia de eventos adversos durante la CPX en estos pacientes.
Principales métodos:
- Revisión retrospectiva de 5060 estudios de CPX en 4250 pacientes únicos.
- Inclusión de pacientes con diversas afecciones cardíacas de alto riesgo (por ejemplo, insuficiencia cardíaca, cardiomiopatía hipertrófica, hipertensión pulmonar, estenosis aórtica).
- Análisis de los principales eventos adversos que ocurren durante las pruebas de estrés.
Principales resultados:
- Un total de 8 eventos adversos se produjeron durante el CPX, dando una baja tasa de eventos adversos del 0,16%.
- El evento adverso más frecuente fue la taquicardia ventricular sostenida (6 eventos).
- No se registraron eventos fatales durante los procedimientos del CPX.
Conclusiones:
- La prueba de ejercicio cardiopulmonar (CPX) demuestra un alto perfil de seguridad.
- El CPX es un procedimiento seguro incluso para pacientes con afecciones cardiovasculares complejas y de alto riesgo.
- Los hallazgos apoyan el uso clínico ampliado de CPX en diversos grupos de pacientes cardíacos.
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