在COVID-19后患有全身性动脉高血压的个体中,心脏自主功能和功能能力
Edelvita Fernanda Duarte Cunha1,2,3, Matheus Sobral Silveira1,2,4, Juliana Cristina Milan-Mattos2,5
1Programa de Pós-Graduação em Reabilitação e Desempenho Funcional (PPGRDF), Universidade de Pernambuco (UPE), Petrolina 56328-900, PE, Brazil.
Journal of personalized medicine
|September 28, 2023
概括
在COVID-19后的全身性动脉高血压 (SAH) 患者表现出功能能力 (FC) 降低,但保持了心脏自主功能 (CAF). 这表明COVID-19对SAH患者的运动能力的影响超过了心律调节.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- 系统性动脉高血压 (SAH) 是严重的COVID-19的一个危险因素.
- 了解COVID-19对SAH患者心血管健康的长期影响至关重要.
研究的目的:
- 为了比较心脏自主功能 (CAF) 和功能能力 (FC) 之间的SAH个人和没有COVID-19病史.
- 研究COVID-19对高血压患者心血管参数的影响.
主要方法:
- 40名SAH个体被分为两个组:COVID-19 (G1) 的SAH和没有COVID-19 (G2) 的SAH.
- 用心率变化 (HRV) 来评估心脏自主功能,通过对R-R间隔进行象征性分析.
- 用6分钟步行测试 (6MWT) 评估功能能力.
主要成果:
- 两组之间没有发现年龄,人类学,临床表现或药物的显著差异.
- 在COVID-19 (G1) 后的SAH个体的6MWT性能 (465m) 与对照组 (G2,522m) 相比显著降低.
- 在COVID-19后的组中没有观察到基于HRV的CAF的显著损伤.
结论:
- COVID-19感染似乎会降低系统性动脉高血压患者的功能能力.
- 在COVID-19感染后的SAH个体中,心脏自主功能相对保持良好.
- 需要进一步的研究来了解机制和长期影响.
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