人类活动概况问卷:在患有查加斯心肌病症的患者中对缩功能障碍的功能评估和查
Lucas Frois Fernandes Oliveira1, Matheus Ribeiro Ávila1,2, Whesley Tanor Silva1,3
1Universidade Federal dos Vales do Jequitinhonha e Mucuri, Programa de Pós-Graduação em Reabilitação e Desempenho Funcional, Diamantina, MG, Brasil.
Revista da Sociedade Brasileira de Medicina Tropical
|August 13, 2025
概括
人类活动概况 (HAP) 在慢性查加斯心肌病 (CCC) 患者中有效识别左心室 (LV) 缩功能障碍. 较低的HAP分数表明LV缩功能障碍的可能性更高,有助于功能评估.
科学领域:
- 心脏病学 心脏病学
- 医学诊断 医学诊断 医学诊断
- 公共卫生 公共卫生
背景情况:
- 慢性查加斯心肌病 (CCC) 损害功能,导致疲劳和呼吸障碍.
- 目前在CCC中评估功能障碍和左心室 (LV) 缩功能障碍的方法有限.
- 人类活动概况 (HAP) 对评估CCC患者的功能能力充满希望.
研究的目的:
- 在CCC患者中分析HAP,功能参数和LV缩功能障碍之间的关联.
- 为了确定HAP在识别LV缩功能障碍方面的准确性.
- 探索HAP在评估CCC中的功能障碍方面的实用性.
主要方法:
- 126名患有CCC (NYHA I-III) 的患者接受了心声回声,60秒的坐立测试 (STS60) 和HAP问卷.
- 此外,还测量了步行速度和手握强度.
- 使用二进制逻辑回归和ROC曲线分析来评估HAP与LV缩功能障碍的关联.
主要成果:
- HAP分数与步行速度,STS60和手握强度相关联.
- HAP评分是唯一与LV缩功能障碍相关的功能变量.
- 患有LV系统功能障碍的患者HAP得分明显较低 (p <0.01),最佳切断值为<56点 (AUC=0.713).
结论:
- 在CCC中,HAP得分与LV缩功能障碍有显著的关联.
- HAP显示了可接受的辨别能力,用于识别LV缩功能障碍.
- HAP提供了一种有价值的,简单的工具,用于功能评估和识别CCC中的缩功能障碍.
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