使用单项运动问卷预测了经历压力PET-MPI患者的预后风险
Keiichiro Kuronuma1, Alan Rozanski2, Donghee Han3
1Department of Imaging, Medicine, and Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA; Department of Cardiology, Nihon University, Tokyo, Japan.
概括
在接受PET心肌输液成像的患者中,较高的运动活动与更好的心脏功能和降低死亡或心脏病发作风险有关. 一个简单的问卷可以识别这些患者.
科学领域:
- 心脏病学 心脏病学
- 核医学是一种核医学.
- 预防性心脏病学 预防性心脏病学
背景情况:
- 运动可以改善心血管健康和风险因素,如心肌流量储备 (MFR) 和慢性反应能力.
- 在PET MPI患者中,运动,MFR,HRR和临床风险之间的关系尚未得到充分证实.
- 这项研究调查了接受PET MPI的患者的运动活动,MFR和心率反应 (HRR).
研究的目的:
- 评估运动活动,MFR和HRR之间的关系.
- 确定运动活动是否预测 PET MPI 患者的纵向临床风险.
- 评估单项问卷对评估运动活动的有用性.
主要方法:
- 包括1686名接受了rubidium-82 PET MPI的门诊患者.
- 运动活动是自报的,使用0-10级问卷.
- 计算了心率反应 (HRR),主要结果是死亡或心肌梗塞.
主要成果:
- 随着更高水平的运动活动,MFR和HRR的增加.
- 患者被分为四个运动组:没有/最小,低,中等和高.
- 在对临床和PET MPI变量进行调整后,运动活动独立预测了硬性临床事件 (HR 0.95 [0.910.99];P=0.028).
结论:
- 通过简单问卷评估的更高的运动活动与改善的MFR和HRR相关.
- 运动活动是接受PET MPI的患者不良临床结果的独立预测因素.
- 单项练习问卷是一个实用的工具,用于压力MPI设置.
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