身体囊造影 - - 在患有先天性心脏病的患者中,关于运动能力的额外信息?
Julia Hock1, Mohammed Bessar2, Peter Ewert2,3
1Department of Pediatric Cardiology and Congenital Heart Disease, Deutsches Herzzentrum München, Technische Universität München, Lazarettstr. 36, 80636, Munich, Germany. hock@dhm.mhn.de.
概括
肺功能测试如螺旋计与先天性心脏缺陷 (CHD) 患者的运动能力相关. 在这个群体中,体缩图为预测运动能力提供了有限的额外价值.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 运动生理学 运动生理学
背景情况:
- 患有先天性心脏缺陷 (CHD) 的患者经常表现出肺部体积受损.
- 心肺运动测试 (CPET) 对于评估运动能力至关重要.
- 静止螺旋测量是一种标准的预测程序.
研究的目的:
- 调查心脏病患者肺体积和CPET参数之间的相关性.
- 为了确定身体囊造影是否为这些患者提供了除了螺旋计之外的大量额外信息.
主要方法:
- 对102名心脏病患者 (年龄为23.8±10.4年) 的数据进行了回顾性分析.
- 患者接受了螺旋测量 (FVC,FEV1),身体囊造影 (TLC) 和CPET.
- 使用斯皮尔曼的rho相关性分析数据.
主要成果:
- 45%的患者有正常的氧气吸收峰值.
- 肺功能受损与较低的运动能力显著相关 (p=0.028).
- 在FVC z值,FEV1 z值和TLC z值之间发现了显著的正相关性,其中%是预测的峰值VO2 (分别p<0.001,p=0.001,p=0.012).
- 在FEV1/FVC z值和%预测的峰值VO2 (p=0.670) 之间没有相关性.
结论:
- 螺旋计结果与心脏病患者的运动能力有积极的相关性.
- 身体囊造影并没有为运动能力提供显著的额外预测价值.
- 只有在值得注意的螺旋计检查结果时,才建议进行体囊造影,以排除其他肺部疾病.
更多相关视频
12:37Surgical Placement of Catheters for Long-term Cardiovascular Exercise Testing in Swine
Published on: February 9, 2016
13.4K
07:09Assessment of Pulmonary Capillary Blood Volume, Membrane Diffusing Capacity, and Intrapulmonary Arteriovenous Anastomoses During Exercise
Published on: February 20, 2017
13.1K
相关概念视频
Exercise and Cardiac Output
1.0K
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
Sustained exercise increases the muscles' oxygen demand, which can be...
1.0K
Imbalances in Cardiac Output
1.4K
The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
1.4K
Pulse
816
The pulse is one of the most fundamental physiological indicators of the body's cardiovascular health. It is the rhythmic expansion and contraction of the arterial walls in response to the pressure generated by the heart's pumping action.
Pulse Rate and its Significance
Pulse rate, often measured in beats per minute (bpm), reflects the heart rate (HR), which is influenced by numerous factors such as stress, physical activity, and hormonal changes. A normal resting adult pulse rate falls...
Pulse Rate and its Significance
Pulse rate, often measured in beats per minute (bpm), reflects the heart rate (HR), which is influenced by numerous factors such as stress, physical activity, and hormonal changes. A normal resting adult pulse rate falls...
816
Exercise and Cardiovascular Response
812
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
812
Pathophysiology of Cardiac Performance
663
Typical heart performance is influenced by heart rate, rhythm, myocardial contraction, and metabolism or blood flow. The cardiac muscle exhibits distinct electrophysiological features, including pacemaker activity and calcium channel control, which play a vital role in the heart's response to various drugs. The autonomic nervous system, comprising the sympathetic and parasympathetic branches, regulates heart rate. Sympathetic activation increases heart rate, while parasympathetic activation...
663
