心不全の運動能力:結局のところ,心臓の出力は重要ですか?
A J Cowley1, L J Fullwood, A F Muller
1Department of Medicine, University Hospital, Queen's Medical Centre, Nottingham, UK.
Lancet (London, England)
|March 30, 1991
まとめ
心臓の出力は,自己ペースの散歩を行うとき,心不全患者の運動能力に影響しますが,ラボのトレッドミルのテストではそうではありません. この発見は,心不全患者の運動制限を理解するのに役立ちます.
科学分野:
- 心臓病学 心臓病学
- 運動生理学 運動生理学
背景:
- 運動能力の評価は,重度の慢性心不全の管理に不可欠です.
- 心臓の出力は,心血管機能の重要な指標です.
研究 の 目的:
- 重度の慢性心不全の患者における心電量と運動耐性の関係を調査する.
- 異なる方法を用いた運動能力評価を,心臓出力測定と比較する.
主な方法:
- 重度の慢性心不全の39人の患者は,様々な運動テストを受けた.
- 運動耐性は,トレッドミールテストと自己走行走廊での散歩で測定されました.
- 慣習的な活動は,ステップカウントを使用して評価されました.
- すべての運動量は,心指数 (体表面積に正常化された心電量) と比較された.
主要な成果:
- 心臓指数とトレッドミールで評価された運動耐性 (r = 0.191,p = 0.245) の間には悪い相関が見られた.
- 心臓指数と自己走行走廊歩行テスト (r = -0.404から -0.516,p = 0.001-0.015) の間には適度な相関が観察されました.
- 習慣的な活動のためのステップカウントは,心臓指数 (r = 0.537,p < 0.001) とのよりよい相関を示しました.
結論:
- 患者の歩行ペースを自己選択するときに,心臓の出力は運動能力の重要な要因であるようです.
- 心臓の出力は,この集団における標準化されたラボレーター・トレッドミルのテストにおいて,運動能力を正確に反映しない場合があります.
- 自律的な活動測定は,重度の慢性心不全における機能能力のより適切な評価を提供することができます.
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