在患有ST升高心肌梗塞的患者中,右室功能和运动耐受性
Denisse Guzman-Ramirez1, Anival Trujillo-Garcia1, Meredith Lopez-Rincon1
1Instituto Mexicano del Seguro Social Delegacion Nuevo Leon - Hospital de Cardiologia UMAE - Departamento de Ecocardiografía, Monterrey, Nuevo Leon - México.
Arquivos brasileiros de cardiologia
|September 13, 2023
概括
在ST段升高心肌梗塞患者的右室功能障碍限制了运动能力. 心脏康复计划可能需要对这些人进行调整,以改善功能结果.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 康复医学 康复医学 康复医学
背景情况:
- 患有心脏功能障碍的ST段升高心肌梗塞 (STEMI) 幸存者体验身体活动限制.
- 右心室 (RV) 功能对于提高STEMI后的功能能力至关重要.
- 心脏康复 (CR) 是这些患者康复的重要组成部分.
研究的目的:
- 在接受CR的STEMI患者中调查RV功能和运动耐受性之间的关系.
- 确定CR前的RV功能是否预测CR后的运动能力改善.
主要方法:
- 对109名STEMI患者 (2019年) 的回顾性队列研究.
- 在16个会议的CR计划之前对VR功能进行心声学评估.
- 心肺运动 (CPX) 测试在CR前和之后进行,以测量运动耐受性 (峰值VO2等价值).
主要成果:
- 发现了3.7%的全球,10.1%的辐射和11%的纵向RV功能障碍.
- 辐射和纵向RV功能障碍与缺乏心肺呼吸能力改善相关 (p=0.028,p=0.008).
- RV功能障碍 (全球,纵向) 与较低的初始,最终和改善的峰值VO2等价值 (p<0.05) 有显著的关联.
结论:
- 右心室功能障碍与STEMI患者的运动能力降低有关.
- 定制或扩展CR计划可能对VR功能障碍患者有益.
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