患有Fontan循环的患者缺铁及其对运动能力的影响
Gaston van Hassel1, Sean C S Rivrud2, Frank J Timmerman2
1Center for Congential Heart Diseases, Department of Paediatric Cardiology, Beatrix Children's Hospital, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands g.van.hassel@umcg.nl.
铁缺乏症 (ID) 在Fontan循环患者中很常见,影响36%. 这种情况与运动能力降低有关,氧气吸收峰值较低 (V·O2峰值),呼吸交换比率 (RER) ≥1.1.1.的可能性降低.
科学领域:
- 心脏病学 心脏病学
- 血液学 血液学 血液学
- 运动生理学 运动生理学
背景情况:
- 铁缺乏症 (ID) 在先天性心脏病患者中被认可.
- 关于在Fontan循环中ID患病率的数据有限.
- 这项研究探讨了ID的患病率及其对Fontan患者运动能力的影响.
研究的目的:
- 为了确定铁缺乏症在Fontan循环患者中的患病率.
- 评估该人群中缺铁与运动能力之间的关联.
主要方法:
- 评估了61名Fontan患者 (51%为女性,平均年龄为29±9岁).
- 使用转林和度 (TSAT) 定义的ID≤19.8%.
- 通过对46名患者进行心肺运动测试来评估运动能力.
主要成果:
- 智障患病率为36% (22/61),女性的患病率明显更高 (52%),通常血红蛋白正常.
- 患有ID的患者表现出较低的氧气吸收峰值 (V·O2峰值) (p=0.039),尽管因性别而混.
- ID增加了不达到呼吸交换比率 (RER) ≥1.1的可能性5倍 (p=0.035).
结论:
- 铁缺乏症在Fontan循环患者中非常普遍.
- 在患有ID的Fontan患者中观察到降低的V̇O2峰值.
- 富兰顿的ID患者在运动测试中不太可能达到RER≥1.1的可能性.
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