跑步机运动时间作为先发性预后查工具在患有缩性左心室功能障碍的患者中的重要性
Eileen Hsich1, Eiran Z Gorodeski, Randall C Starling
1Department of Cardiovascular Medicine, Cleveland Clinic and Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
Circulation
|June 17, 2009
概括
跑步机炼时间是一个有价值的初始查工具,用于预测心力衰竭的门诊患者的结果. 较短的运动时间表明死亡或心脏移植的风险更高.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 预测 预测 预测 预测 预测
背景情况:
- 患有系统性心力衰竭的门诊患者经常接受心肺运动测试.
- 确定可靠的初始预后查工具对于管理这些患者至关重要.
研究的目的:
- 评估跑步机炼时间的实用性,作为患有缩功能障碍的门诊患者早期预后指标.
- 为了确定运动时间是否预测死亡率和需要心脏移植.
主要方法:
- 研究了一组2231名成年静心性心力衰竭患者.
- 患者接受了心肺应力测试,使用修改后的Naughton协议.
- 跑步机运动时间被分析为其对所有死因和死亡或心脏移植的复合结果的预测价值.
主要成果:
- 跑步机炼时间显著预测了男性和女性的全因死亡和综合结果.
- 即使调整了峰值氧气消耗和其他临床因素,运动时间仍然是一个强有力的预测因素.
- 运动时间减少1分钟与死亡风险增加7%有关.
结论:
- 跑步机炼时间,利用修改后的Naughton协议,可以作为一个有价值的初始预后查工具.
- 它的实用性特别适用于可能无法立即获得全面的心肺应力测试的环境.
相关概念视频
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