在接受心肺运动测试的患者中,与感知和实现的运动能力脱相关的因素
Kaivalya Dandamudi1, Adarsh Mallepally2, Teymur Zavar3
1Department of Internal Medicine, Virginia Commonwealth University, Richmond, Virginia.
The American journal of cardiology
|May 7, 2025
概括
大多数患者在心肺运动测试 (CPET) 之前使用杜克活动状态指数 (DASI) 过高估计运动能力. 老年,女性性别和心脏病与这种高估有关.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
背景情况:
- 杜克活动状态指数 (DASI) 旨在标准化运动不耐受性评估.
- 影响DASI不准确的运动能力评估的因素尚未确定.
研究的目的:
- 使用DASI识别与不准确的运动能力估计相关的患者特征.
- 将DASI预测的代谢任务等价值 (MET) 与心肺运动测试 (CPET) 中测量的MET进行比较.
主要方法:
- 在2022-2023年期间对512名接受DASI和跑步机CPET的患者进行分析.
- 通过DASI,通过DASI高估和低估运动能力的患者之间的临床特征的比较.
- 斯皮尔曼相关性和后勤回归用于识别与高估相关的因素.
主要成果:
- 82%的患者高估了他们使用DASI的运动能力.
- 根据DASI预测的MET与CPET测量的MET有适度的相关性 (rho = +0.620).
- 过高估计与年龄较大,女性性别,黑人种族,β-阻断剂使用,较高的BMI和心脏并发症有关.
结论:
- 大多数患者在使用DASI时高估了运动能力.
- 老年,女性性别,心力衰竭和先天性心脏病与DASI过高估计有很强的关联.
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