Effects of surgical and FFP2 masks on cardiopulmonary exercise capacity in patients with heart failure.
<h4>Aims</h4>Surgical and FFP2 masks are recommended to reduce transmission of SARS-CoV-2. The cardiopulmonary effects of facemasks in patients with chronic heart failure are unknown. This prospective, cross-over study quantified the effects of wearing no mask (nm), surgical mask (sm), a...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0269470 |
| _version_ | 1811302525806051328 |
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| author | Alexander Kogel Pierre Hepp Tina Stegmann Adrienn Tünnemann-Tarr Roberto Falz Patrick Fischer Felix Mahfoud Ulrich Laufs Sven Fikenzer |
| author_facet | Alexander Kogel Pierre Hepp Tina Stegmann Adrienn Tünnemann-Tarr Roberto Falz Patrick Fischer Felix Mahfoud Ulrich Laufs Sven Fikenzer |
| author_sort | Alexander Kogel |
| collection | DOAJ |
| description | <h4>Aims</h4>Surgical and FFP2 masks are recommended to reduce transmission of SARS-CoV-2. The cardiopulmonary effects of facemasks in patients with chronic heart failure are unknown. This prospective, cross-over study quantified the effects of wearing no mask (nm), surgical mask (sm), and FFP2 mask (ffpm) in patients with stable heart failure.<h4>Methods</h4>12 patients with clinically stable chronic heart failure (HF) (age 63.8±12 years, left ventricular ejection fraction (LVEF) 43.8±11%, NTProBNP 573±567 pg/ml) underwent spiroergometry with and without masks in a randomized sequence. Comfort/discomfort was assessed using a standardized questionnaire.<h4>Results</h4>Maximum power was reduced with both types of masks (nm: 108.3 W vs. sm: 101.2 W vs. ffpm: 95.6 W, p<0.01). Maximum respiratory oxygen uptake (1499ml/min vs. 1481 ml/min vs. 1300 ml/min, p = 0.95 and <0.01), peak ventilation (62.1 l/min vs. 56.4 l/min vs. 50.3 l/min, p = 0.15 and p<0.05) and O2-pulse (11.6 ml/beat vs. 11.8 ml/beat vs. 10.6 ml/beat, p = 0.87 and p<0.01) were significantly changed with ffpm but not sm. Discomfort was moderately but significantly increased (nm: 1.6 vs. sm: 3.4 vs. ffpm: 4.4, p<0.05).<h4>Conclusion</h4>Both surgical and FFP masks reduce exercise capacity in heart failure patients, while FFP2 masks reduce oxygen uptake and peak ventilation. This reduction in cardiopulmonary performance should be considered in heart failure patients whose daily life activities are often just as challenging as exercise is for healthy adults. |
| first_indexed | 2024-04-13T07:30:40Z |
| format | Article |
| id | doaj.art-d548660b495f424ab2da97c755c8268b |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-13T07:30:40Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-d548660b495f424ab2da97c755c8268b2022-12-22T02:56:22ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01178e026947010.1371/journal.pone.0269470Effects of surgical and FFP2 masks on cardiopulmonary exercise capacity in patients with heart failure.Alexander KogelPierre HeppTina StegmannAdrienn Tünnemann-TarrRoberto FalzPatrick FischerFelix MahfoudUlrich LaufsSven Fikenzer<h4>Aims</h4>Surgical and FFP2 masks are recommended to reduce transmission of SARS-CoV-2. The cardiopulmonary effects of facemasks in patients with chronic heart failure are unknown. This prospective, cross-over study quantified the effects of wearing no mask (nm), surgical mask (sm), and FFP2 mask (ffpm) in patients with stable heart failure.<h4>Methods</h4>12 patients with clinically stable chronic heart failure (HF) (age 63.8±12 years, left ventricular ejection fraction (LVEF) 43.8±11%, NTProBNP 573±567 pg/ml) underwent spiroergometry with and without masks in a randomized sequence. Comfort/discomfort was assessed using a standardized questionnaire.<h4>Results</h4>Maximum power was reduced with both types of masks (nm: 108.3 W vs. sm: 101.2 W vs. ffpm: 95.6 W, p<0.01). Maximum respiratory oxygen uptake (1499ml/min vs. 1481 ml/min vs. 1300 ml/min, p = 0.95 and <0.01), peak ventilation (62.1 l/min vs. 56.4 l/min vs. 50.3 l/min, p = 0.15 and p<0.05) and O2-pulse (11.6 ml/beat vs. 11.8 ml/beat vs. 10.6 ml/beat, p = 0.87 and p<0.01) were significantly changed with ffpm but not sm. Discomfort was moderately but significantly increased (nm: 1.6 vs. sm: 3.4 vs. ffpm: 4.4, p<0.05).<h4>Conclusion</h4>Both surgical and FFP masks reduce exercise capacity in heart failure patients, while FFP2 masks reduce oxygen uptake and peak ventilation. This reduction in cardiopulmonary performance should be considered in heart failure patients whose daily life activities are often just as challenging as exercise is for healthy adults.https://doi.org/10.1371/journal.pone.0269470 |
| spellingShingle | Alexander Kogel Pierre Hepp Tina Stegmann Adrienn Tünnemann-Tarr Roberto Falz Patrick Fischer Felix Mahfoud Ulrich Laufs Sven Fikenzer Effects of surgical and FFP2 masks on cardiopulmonary exercise capacity in patients with heart failure. PLoS ONE |
| title | Effects of surgical and FFP2 masks on cardiopulmonary exercise capacity in patients with heart failure. |
| title_full | Effects of surgical and FFP2 masks on cardiopulmonary exercise capacity in patients with heart failure. |
| title_fullStr | Effects of surgical and FFP2 masks on cardiopulmonary exercise capacity in patients with heart failure. |
| title_full_unstemmed | Effects of surgical and FFP2 masks on cardiopulmonary exercise capacity in patients with heart failure. |
| title_short | Effects of surgical and FFP2 masks on cardiopulmonary exercise capacity in patients with heart failure. |
| title_sort | effects of surgical and ffp2 masks on cardiopulmonary exercise capacity in patients with heart failure |
| url | https://doi.org/10.1371/journal.pone.0269470 |
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