Time of the low-level cardiopulmonary exercise test does not affect the evaluation of acute myocardial infarction in stable status
IntroductionCardiopulmonary exercise test (CPET) provides the means to evaluate the cardiopulmonary function and guide cardiac rehabilitation. The performance of acute myocardial infarction (AMI) patients at different times is different on CPET.Materials and methodsThis was a cross-sectional study....
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| Format: | Article |
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Frontiers Media S.A.
2022-12-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.1092787/full |
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| author | Lanting Zhao Yuanwei Liu Siyuan Li Ying Xie Yajun Xue Yifang Yuan Yifang Yuan Rong He Fei She Tingting Lv Ping Zhang |
| author_facet | Lanting Zhao Yuanwei Liu Siyuan Li Ying Xie Yajun Xue Yifang Yuan Yifang Yuan Rong He Fei She Tingting Lv Ping Zhang |
| author_sort | Lanting Zhao |
| collection | DOAJ |
| description | IntroductionCardiopulmonary exercise test (CPET) provides the means to evaluate the cardiopulmonary function and guide cardiac rehabilitation. The performance of acute myocardial infarction (AMI) patients at different times is different on CPET.Materials and methodsThis was a cross-sectional study. Patients diagnosed as AMI in stable status were included and performed the low- level CPET (RAMP 10W). CPET variables at different times were compared among four groups.ResultsSixty and one patients with AMI conducted the low-level CPET from 3 to 15 days after AMI. Patients were stratified according to quartiles of CPET's time: 5 in 3–6 days group, 34 in 7–9 days group, 14 in 10–12 days group, 8 in 13–15 days group. Only VO2/HR at rest showed statistically different among the four groups.VO2/HR at rest in 3–6 days group and 10–12 days group were higher than in 13–15 days group (3.4 ± 0.85, 3.18 ± 0.78 vs. 2.50 ± 0.49 ml/beat, p < 0.05). Patients with complete revascularization had higher peak heart rate and blood pressure product and peak breathing reserve (BR), and lower Borg score compared with incomplete revascularization. And patients with LVEF >50% had higher peak BR compared with LVEF 40–50%.ConclusionIt was safe and efficient to conduct the low-level CPET in stable AMI patients 3 days after onset. Time was not an effector on cardiopulmonary function and exercise capacity and prognosis in AMI during CPET. Complete revascularization and normal LVEF should be good for exercise test in AMI. |
| first_indexed | 2024-04-12T00:50:19Z |
| format | Article |
| id | doaj.art-79710849737d4ed8b0e22e7456329b78 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-04-12T00:50:19Z |
| publishDate | 2022-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-79710849737d4ed8b0e22e7456329b782022-12-22T03:54:44ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-12-01910.3389/fcvm.2022.10927871092787Time of the low-level cardiopulmonary exercise test does not affect the evaluation of acute myocardial infarction in stable statusLanting Zhao0Yuanwei Liu1Siyuan Li2Ying Xie3Yajun Xue4Yifang Yuan5Yifang Yuan6Rong He7Fei She8Tingting Lv9Ping Zhang10Department of Cardiology, Beijing Tsinghua Changgung Hospital, Beijing, ChinaDepartment of Cardiology, Beijing Tsinghua Changgung Hospital, Beijing, ChinaDepartment of Cardiology, Beijing Tsinghua Changgung Hospital, Beijing, ChinaDepartment of Cardiology, Beijing Tsinghua Changgung Hospital, Beijing, ChinaDepartment of Cardiology, Beijing Tsinghua Changgung Hospital, Beijing, ChinaPeking University Clinical Research Center, Peking University First Hospital, Beijing, ChinaDepartment of Epidemiology and Biostatistics, Peking University School of Public Health, Beijing, ChinaDepartment of Cardiology, Beijing Tsinghua Changgung Hospital, Beijing, ChinaDepartment of Cardiology, Beijing Tsinghua Changgung Hospital, Beijing, ChinaDepartment of Cardiology, Beijing Tsinghua Changgung Hospital, Beijing, ChinaDepartment of Cardiology, Beijing Tsinghua Changgung Hospital, Beijing, ChinaIntroductionCardiopulmonary exercise test (CPET) provides the means to evaluate the cardiopulmonary function and guide cardiac rehabilitation. The performance of acute myocardial infarction (AMI) patients at different times is different on CPET.Materials and methodsThis was a cross-sectional study. Patients diagnosed as AMI in stable status were included and performed the low- level CPET (RAMP 10W). CPET variables at different times were compared among four groups.ResultsSixty and one patients with AMI conducted the low-level CPET from 3 to 15 days after AMI. Patients were stratified according to quartiles of CPET's time: 5 in 3–6 days group, 34 in 7–9 days group, 14 in 10–12 days group, 8 in 13–15 days group. Only VO2/HR at rest showed statistically different among the four groups.VO2/HR at rest in 3–6 days group and 10–12 days group were higher than in 13–15 days group (3.4 ± 0.85, 3.18 ± 0.78 vs. 2.50 ± 0.49 ml/beat, p < 0.05). Patients with complete revascularization had higher peak heart rate and blood pressure product and peak breathing reserve (BR), and lower Borg score compared with incomplete revascularization. And patients with LVEF >50% had higher peak BR compared with LVEF 40–50%.ConclusionIt was safe and efficient to conduct the low-level CPET in stable AMI patients 3 days after onset. Time was not an effector on cardiopulmonary function and exercise capacity and prognosis in AMI during CPET. Complete revascularization and normal LVEF should be good for exercise test in AMI.https://www.frontiersin.org/articles/10.3389/fcvm.2022.1092787/fullacute myocardial infarctioncardiopulmonary exercise test (CPET)timecardiac rehabilitationefficiency |
| spellingShingle | Lanting Zhao Yuanwei Liu Siyuan Li Ying Xie Yajun Xue Yifang Yuan Yifang Yuan Rong He Fei She Tingting Lv Ping Zhang Time of the low-level cardiopulmonary exercise test does not affect the evaluation of acute myocardial infarction in stable status Frontiers in Cardiovascular Medicine acute myocardial infarction cardiopulmonary exercise test (CPET) time cardiac rehabilitation efficiency |
| title | Time of the low-level cardiopulmonary exercise test does not affect the evaluation of acute myocardial infarction in stable status |
| title_full | Time of the low-level cardiopulmonary exercise test does not affect the evaluation of acute myocardial infarction in stable status |
| title_fullStr | Time of the low-level cardiopulmonary exercise test does not affect the evaluation of acute myocardial infarction in stable status |
| title_full_unstemmed | Time of the low-level cardiopulmonary exercise test does not affect the evaluation of acute myocardial infarction in stable status |
| title_short | Time of the low-level cardiopulmonary exercise test does not affect the evaluation of acute myocardial infarction in stable status |
| title_sort | time of the low level cardiopulmonary exercise test does not affect the evaluation of acute myocardial infarction in stable status |
| topic | acute myocardial infarction cardiopulmonary exercise test (CPET) time cardiac rehabilitation efficiency |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2022.1092787/full |
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