Suppr超能文献

择期心脏手术患者术前心肺功能较差。

Elective Cardiac Procedure Patients Have Low Preoperative Cardiorespiratory Fitness.

机构信息

Clinical Medicine, University of Turku Faculty of Medicine, Turku, Finland.

Heart Center, Kuopio University Hospital, Kuopio, Finland.

出版信息

Int J Sports Med. 2024 Jan;45(1):63-70. doi: 10.1055/a-2161-4137. Epub 2023 Aug 28.

Abstract

Preoperative cardiorespiratory fitness may influence the recovery after cardiac procedure. The aim of this study was to investigate the cardiorespiratory fitness of patients scheduled for elective cardiac procedures, using a six-minute walk test, and compare the results with a population-based sample of Finnish adults. Patients (n=234) awaiting percutaneous coronary intervention or coronary angiography, coronary artery bypass grafting, aortic valve replacement or mitral valve surgery performed the six-minute walk test. VOmax was calculated based on the walk test. The patients were compared to a population-based sample of 60-69-year-old Finnish adults from the FinFit2017 study. The mean six-minute walk test distances (meters) and VOmax (ml/kg/min) of the patient groups were: 452±73 and 24.3±6.9 (coronary artery bypass grafting), 499±84 and 27.6±7.2 (aortic valve replacement), 496±85 and 27.4±7.3 (mitral valve surgery), and 519±90 and 27.3±6.9 (percutaneous coronary intervention or coronary angiography). The population-based sample had significantly greater walk test distance (623±81) and VOmax (31.7±6.1) than the four patient groups (all p-values<0.001). All patient groups had lower cardiorespiratory fitness than the reference population of 60-69-year-old Finnish adults. Particularly the coronary artery bypass grafting group had a low cardiorespiratory fitness, and therefore might be prone to complications and challenging rehabilitation after the operation.

摘要

术前心肺适能可能会影响心脏手术后的恢复。本研究旨在使用六分钟步行试验调查拟行择期心脏手术患者的心肺适能,并将结果与芬兰成年人的人群样本进行比较。等待行经皮冠状动脉介入治疗或冠状动脉造影、冠状动脉旁路移植术、主动脉瓣置换术或二尖瓣手术的患者进行了六分钟步行试验。根据步行试验计算 VOmax。将患者与来自 FinFit2017 研究的 60-69 岁芬兰成年人的人群样本进行比较。患者组的六分钟步行试验距离(米)和 VOmax(ml/kg/min)平均值分别为:452±73 和 24.3±6.9(冠状动脉旁路移植术)、499±84 和 27.6±7.2(主动脉瓣置换术)、496±85 和 27.4±7.3(二尖瓣手术)以及 519±90 和 27.3±6.9(经皮冠状动脉介入治疗或冠状动脉造影)。人群样本的步行试验距离(623±81)和 VOmax(31.7±6.1)明显大于四个患者组(所有 p 值均<0.001)。所有患者组的心肺适能均低于 60-69 岁芬兰成年人的参考人群。特别是冠状动脉旁路移植术组的心肺适能较低,因此手术后可能容易发生并发症和康复困难。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a999/10776211/83e614559d21/10-1055-a-2161-4137-i9845-0001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验