Predictive Capability of Cardiopulmonary and Exercise Parameters From Day 1 to 6 Months After Acute Pulmonary Embolism.

Clin Med Insights Circ Respir Pulm Med

Klinik für Innere Medizin B: Kardiologie, Abteilung für Pneumologie, Universität Greifswald, Greifswald, Germany.

Published: August 2018

We hypothesized that the slope of relation ventilation to carbon dioxide output (E/CO2-slope) could be predictive already during the very first days after submassive pulmonary embolism (PE) to right ventricular systolic pressure (RV by echocardiography) after 6 months. We evaluated 21 hemodynamically stable patients at admittance, at days 3, 7, 90, and 180 by cardiopulmonary exercise testing and echocardiography. E/CO2-slope (48.4 ± 10.8) decreased within the first week (43.0 ± 9.8 at day 7) and normalized until follow-up at 6 months (35.0 ± 11.3;  < 10), p(a-ET)CO remained abnormal between days 1 and 3 (5.0 ± 3.9 to 6.7 ± 5.3 mmHg). RV declined from 41.7 ± 14.3 to 26.3±13.1 mmHg ( < 10) at 6 months. E/CO2-slope (²= 0.27;  < .02) and RV (² = 0.28;  = .03) at day 7 correlated with RV at 6 months. pCO, pO, D/T were not related to RV after 6 months. RV 6 months after acute PE is positively correlated with the E/CO2-slope at day 7.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300767PMC
http://dx.doi.org/10.1177/1179548418794155DOI Listing

Publication Analysis

Top Keywords

cardiopulmonary exercise
8
pulmonary embolism
8
predictive capability
4
capability cardiopulmonary
4
exercise parameters
4
parameters day
4
day months
4
months acute
4
acute pulmonary
4
embolism hypothesized
4

Similar Publications

For effective exercise prescription for patients with cardiovascular disease, it is important to determine the target heart rate at the level of the anaerobic threshold (AT-HR). The AT-HR is mainly determined by cardiopulmonary exercise testing (CPET). The aim of this study is to develop a machine learning (ML) model to predict the AT-HR solely from non-exercise clinical features.

View Article and Find Full Text PDF

This study addresses the growing interest in nutritional supplements that improve athletic performance in endurance sports. Previous research suggests that nitrates in beetroot juice enhance blood vessel dilation and oxygen delivery to muscles. However, the effects of these nitrates on cardiopulmonary performance in female athletes remain underexplored.

View Article and Find Full Text PDF

Background: Little evidence is available about heart rate (HR) response to exercise as well as its relationship with functional capacity in amyloid cardiomyopathy. Then, in a multicentre cohort of patients with amyloid cardiomyopathy, we investigated the prevalence of chronotropic incompetence (CI) and its relationships with cardiopulmonary exercise testing (CPET) variables.

Methods: Data from 172 outpatients with amyloid cardiomyopathy who performed a maximal CPET and who had no significant rhythm disorders were analysed.

View Article and Find Full Text PDF

Iron Deficiency and Exercise Capacity in LVAD Patients.

J Card Fail

January 2025

Department of Cardiology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.

View Article and Find Full Text PDF

Background: Platinum-based chemotherapy provides curative treatment to more than 95% of patients with testicular germ cell tumor but it has negative cardiometabolic and neurological effects. Regular exercise can alleviate late chemotherapy-related toxicities. We examined the impact of a 6-month supervised aerobic-strength training on cognitive and cardiometabolic health and residual level of platinum in cancer survivors.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!