启发性肌肉力量在查加斯心肌病:一个系统的范围审查
Flavia Mazzoli-Rocha1, Clara Pinto Diniz1, Daniel Pereira Redes de Rezende2
1Laboratório de Pesquisa Clínica em Doença de Chagas, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil.
Revista da Sociedade Brasileira de Medicina Tropical
|December 13, 2023
概括
慢性查加斯心肌病 (CC) 可能会降低启发性肌肉力量 (IMS). 这次审查发现有限的证据,表明心力衰竭的CC患者的IMS受损,但需要更多的研究.
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:
- 慢性查加斯病可能导致查加斯心肌病 (CC),其特点是炎症和纤维化.
- 在CC中的炎症标志物可能会对启发性肌肉强度 (IMS) 产生负面影响.
- 在CC中关于IMS的现有文献有限.
研究的目的:
- 系统地审查和总结目前关于被诊断为查加斯心肌病 (CC) 患者的启发性肌肉强度 (IMS) 的证据.
主要方法:
- 进行了文献搜索,以确定成人CC患者,有或没有心力衰竭 (HF) 的研究.
- 提取了最大吸气压的数据,并进行了描述性合成.
- 九项研究 (5项RCT,3项横截面,3项队列) 符合纳入标准.
主要成果:
- 在研究中发现了不一致的CC分类和分期.
- 启发性肌肉强度 (IMS) 主要是使用一个manovacuometer测量.
- 有证据表明,心力衰竭 (HF) 的CC患者的IMS受损.
结论:
- 需要进一步进行高质量的随机临床试验,以调查IMS和CC的鼓舞肌肉训练.
- 研究应该探索不同的CC阶段,种群和地理位置.
- 了解IMS的流行和培训效应对于CC管理至关重要.
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