在心力衰竭患者中,运动的时间行为,振荡式通风和呼吸肌性能
Marlus Karsten1, Pietro Palermo2, Irene Mattavelli2
1Research Group on Cardiovascular Health and Exercise (GEPCardio), Physiotherapy Graduate Program, Department of Physiotherapy, Universidade do Estado de Santa Catarina (UDESC), Florianopolis, SC, Brazil; Centro Cardiologico Monzino, IRCCs, Milan, Italy.
International journal of cardiology
|June 7, 2025
概括
在心力衰竭 (HF) 患者中,持续的运动振荡通风 (EOV) 与较差的运动能力和呼吸肌肉衰弱有关. 这一发现突显了EOV持久性在HF管理中的临床意义.
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:
- 运动振荡通风 (EOV) 是心力衰竭 (HF) 的公认负面预后指标.
- 在运动期间,EOV可以消失 (D-EOV) 或持续 (P-EOV),具有明显的临床影响.
- 在HF患者中,呼吸道肌肉衰弱和持续EOV之间的联系需要进一步调查.
研究的目的:
- 探索呼吸道肌肉衰弱和持续性EOV之间的关系.
- 调查EOV持久性对HF患者运动表现和肌肉功能的影响.
主要方法:
- 包括98名临床稳定的HF患者,其左心室喷射分数 (LVEF) 减少.
- 测量了心肺运动测试 (CPET),最大吸入压力 (MIP) 和最大呼气压力 (MEP).
- EOV被归类为D-EOV或P-EOV,并与灵感肌肉衰弱 (IMW) 相比进行分析.
主要成果:
- 患有P-EOV的患者年龄较大,BMI较低,运动表现较差 (峰值工作量和pVO2较低).
- 在P-EOV患者中,呼吸道肌肉强度较弱 (MIP和MEP较低).
- 在P-EOV患者中,IMW的比例更高,这些患者的运动能力和表现更差.
结论:
- 持久的EOV与HF患者的运动表现下降有关.
- 呼吸道肌肉衰弱与持续的EOV有关.
- 在心力衰竭患者中,持久的EOV可能表明潜在的肉症.
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