在老年患者中,运动耐受性和运动诱导的舒张功能障碍的预后值被转诊进行运动应激心声学
Christopher N Matthews1, Alaa Mabrouk Salem Omar2, Mohammad I Khan1
1Department of Medicine, Mount Sinai Morningside and West at the Icahn School of Medicine, New York, NY, USA.
运动能力和与运动相关的透缩功能障碍 (Ex-DD) 预测老年患者的结果不佳. 将减少运动能力与Ex-DD相结合,显著增加死亡率和心血管住院风险.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 诊断成像 诊断成像 诊断成像
背景情况:
- 评估运动耐受性和运动相关透析功能障碍 (Ex-DD) 的预后价值,在接受运动应激心声扫描 (ExE) 的老年患者中.
- 专注于60岁及以上的患者,转诊为ExE.
研究的目的:
- 在老年人中评估运动耐受性和Ex-DD的预后意义.
- 确定运动能力下降和Ex-DD对临床结果的综合影响.
主要方法:
- 研究包括674名患者 (≥60岁),他们使用布鲁斯协议接受了ExE.
- 运动耐受性 (METs) 和Ex-DD被评估为预后因素.
- 对所有原因死亡和心血管住院治疗的复合终点的随访.
主要成果:
- 18%的患者有Ex-DD,结合后果的发病率更高.
- 与A组 (没有Ex-DD,METs≥8.5) 相比,C组 (Ex-DD和METs<8.5) 的死亡率,心血管住院和结局风险相结合显著增加 (没有Ex-DD,METs≥8.5).
- 组B (Ex-DD或METs<8.5) 显示了组合结果的风险增加.
结论:
- 减少运动能力和Ex-DD独立地与老年患者的不良结果有关.
- 运动能力下降和Ex-DD的存在使得预后不佳的风险最高.
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