40岁以上的先天性心脏病成年人的疲劳
Linda Ternrud1,2, Bengt Johansson3,4, David Sparv2
1Department of Cardiology, Skåne University Hospital, Lund, Sweden.
概括
患有复杂先天性心脏病 (CHD) 的成年人经历的严重体力疲劳率明显更高. 这种疲劳与疾病复杂性和功能限制的增加有关,这强调了需要量身定制的临床管理.
科学领域:
- 心脏病学 心脏病学
- 成人先天性心脏病 (ACHD) 研究研究
- 患者报告的结果.
背景情况:
- 疲劳是患有先天性心脏病 (CHD) 的成年患者中常见但尚未研究的症状.
- 关于疲劳在这个人群中对日常生活的流行程度和影响的研究有限.
- 了解疲劳驱动因素对于改善心血管疾病成年人的生活质量至关重要.
研究的目的:
- 为了确定与对照人群相比,40岁以上的中度复杂或复杂心血管疾病的成年人疲劳的患病率.
- 为了研究疲劳,心脏病复杂性,临床因素和纽约心脏协会 (NYHA) 自报的功能类之间的关系.
主要方法:
- 使用多维疲劳清单 (MFI-20) 来评估166名成人心脏病患者和89名对照患者的疲劳尺寸.
- MFI-20测量了一般,身体和精神疲劳,动力减少和活动减少.
- 收集了关于心脏病复杂性的数据和自我报告的NYHA类.
主要成果:
- 严重的身体疲劳在复杂的心脏病中 (52%) 与中度复杂的心脏病 (25%) 较为普遍.
- 复杂性心脏病与严重身体疲劳的几率增加了3.1倍.
- 所有疲劳维度都与较高的自我报告NYHA功能类正相关.
结论:
- 与中度复杂心脏病患者相比,患有复杂心脏病的成年人报告严重身体疲劳的可能性是中等复杂心脏病的三倍.
- 在复杂心脏病患者中观察到更高的自我报告的NYHA类.
- 心血管疾病的复杂性是影响成人的疲劳水平和功能状态的重要因素.
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