症状受限的运动能力与长期生存率有关
Wei-Ming Huang1,2,3,4,5, Hao-Chih Chang2,6, Chiao-Nan Chen7
1Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Medicine
|September 29, 2023
概括
在跑步机运动测试 (TET) 中以最高代谢等值 (MET) 测量运动能力,独立预测不同患者群体和并发症的长期心血管和全因死亡率.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 运动生理学 运动生理学
背景情况:
- 运动能力是已知的预后指标在患有现有的心血管疾病的患者.
- 它在一系列并发症的独立预测价值需要进一步评估.
研究的目的:
- 评估运动能力的独立性,通过跑步机运动测试 (TET) 确定,预测长期心血管和全因死亡率.
- 调查各种子组和并发性疾病中峰值运动能力的预后影响.
主要方法:
- 分析了一组18954名参与者,这些参与者被转诊为症状有限的TET.
- 记录了高峰代谢等价物 (METs).
- 长期结果 (心血管和全因死亡率) 通过国家死亡登记处进行了跟踪.
主要成果:
- 较低的MET峰值与老年,较差的功能,较低的血红蛋白和更多的并发症有关.
- 峰值MET显著预测了心血管死亡 (HR 0.788) 和全因死亡率 (HR 0.835).
- 预后影响在各个子组中一致,包括那些患有并发症的人,在年轻人或运动诱导性缺血症患者中特别强.
结论:
- 在TET期间以峰值MET测量的运动能力是长期死亡率的强大,独立的预测指标.
- 它的预后价值是普遍的,在各种患者群体和并发症中观察到.
- 健身水平为长期存活提供了重要的见解,根据患者特征的不同预测强度.
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