Exercise tests in Chagas cardiomyopathy: an overview of functional evaluation, prognostic significance, and current challenges
Autor(a) principal: | |
---|---|
Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Sociedade Brasileira de Medicina Tropical |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100204 |
Resumo: | Abstract Patients with Chagas cardiomyopathy (ChC) usually progress with fatigue and dyspnea. Exercise tests are valuable for the functional evaluation of these patients. However, information about the applicability of the exercise tests is scattered, and no studies have systematically reviewed the results. Thus, the present review explored the general aspects and prognostic value of exercise tests in patients with ChC. A literature search of the MEDLINE, Web of Science, CINAHL, Scopus, and LILACS databases was performed to identify relevant studies. There were no data restrictions, and articles that met the objective of the study were selected. Articles written in English, Portuguese, and Spanish were considered, and 25 articles were finally included. The peak oxygen uptake (VO2peak) was correlated with demographic and echocardiographic variables. Echocardiographic features of the left ventricular diastolic function and right ventricular systolic function appeared to be determinants of functional capacity, in addition to age and sex. VO2peak was associated with higher mortality, especially in patients with dilated ChC. The minute ventilation/carbon dioxide production slope (VE/VCO2 slope) was a strong predictor of survival; however, more studies are needed to verify this observation. Field tests showed moderate to strong correlation with VO2peak and thus may be inexpensive tools for the functional evaluation of patients with ChC. However, few studies have verified their prognostic significance. While exercise tests are useful tools for functional assessment, information is scarce regarding further considerations, and many of the criteria are based on guidelines for other heart diseases. |
id |
SBMT-1_bbbecddced6b870ac7e47a93ef86667a |
---|---|
oai_identifier_str |
oai:scielo:S0037-86822020000100204 |
network_acronym_str |
SBMT-1 |
network_name_str |
Revista da Sociedade Brasileira de Medicina Tropical |
repository_id_str |
|
spelling |
Exercise tests in Chagas cardiomyopathy: an overview of functional evaluation, prognostic significance, and current challengesChagas diseaseChagas cardiomyopathyExercise testExercise toleranceEvaluationPrognosisAbstract Patients with Chagas cardiomyopathy (ChC) usually progress with fatigue and dyspnea. Exercise tests are valuable for the functional evaluation of these patients. However, information about the applicability of the exercise tests is scattered, and no studies have systematically reviewed the results. Thus, the present review explored the general aspects and prognostic value of exercise tests in patients with ChC. A literature search of the MEDLINE, Web of Science, CINAHL, Scopus, and LILACS databases was performed to identify relevant studies. There were no data restrictions, and articles that met the objective of the study were selected. Articles written in English, Portuguese, and Spanish were considered, and 25 articles were finally included. The peak oxygen uptake (VO2peak) was correlated with demographic and echocardiographic variables. Echocardiographic features of the left ventricular diastolic function and right ventricular systolic function appeared to be determinants of functional capacity, in addition to age and sex. VO2peak was associated with higher mortality, especially in patients with dilated ChC. The minute ventilation/carbon dioxide production slope (VE/VCO2 slope) was a strong predictor of survival; however, more studies are needed to verify this observation. Field tests showed moderate to strong correlation with VO2peak and thus may be inexpensive tools for the functional evaluation of patients with ChC. However, few studies have verified their prognostic significance. While exercise tests are useful tools for functional assessment, information is scarce regarding further considerations, and many of the criteria are based on guidelines for other heart diseases.Sociedade Brasileira de Medicina Tropical - SBMT2020-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100204Revista da Sociedade Brasileira de Medicina Tropical v.53 2020reponame:Revista da Sociedade Brasileira de Medicina Tropicalinstname:Sociedade Brasileira de Medicina Tropical (SBMT)instacron:SBMT10.1590/0037-8682-0100-2020info:eu-repo/semantics/openAccessCosta,Henrique SilveiraLima,Márcia Maria OliveiraFigueiredo,Pedro Henrique ScheidtLima,Vanessa PereiraÁvila,Matheus RibeiroMenezes,Kenia Kiefer Parreiras deMendonça,Vanessa AmaralLacerda,Ana Cristina RodriguesNunes,Maria Carmo PereiraMediano,Mauro Felippe FelixRocha,Manoel Otávio da Costaeng2020-06-30T00:00:00Zoai:scielo:S0037-86822020000100204Revistahttps://www.sbmt.org.br/portal/revista/ONGhttps://old.scielo.br/oai/scielo-oai.php||dalmo@rsbmt.uftm.edu.br|| rsbmt@rsbmt.uftm.edu.br1678-98490037-8682opendoar:2020-06-30T00:00Revista da Sociedade Brasileira de Medicina Tropical - Sociedade Brasileira de Medicina Tropical (SBMT)false |
dc.title.none.fl_str_mv |
Exercise tests in Chagas cardiomyopathy: an overview of functional evaluation, prognostic significance, and current challenges |
title |
Exercise tests in Chagas cardiomyopathy: an overview of functional evaluation, prognostic significance, and current challenges |
spellingShingle |
Exercise tests in Chagas cardiomyopathy: an overview of functional evaluation, prognostic significance, and current challenges Costa,Henrique Silveira Chagas disease Chagas cardiomyopathy Exercise test Exercise tolerance Evaluation Prognosis |
title_short |
Exercise tests in Chagas cardiomyopathy: an overview of functional evaluation, prognostic significance, and current challenges |
title_full |
Exercise tests in Chagas cardiomyopathy: an overview of functional evaluation, prognostic significance, and current challenges |
title_fullStr |
Exercise tests in Chagas cardiomyopathy: an overview of functional evaluation, prognostic significance, and current challenges |
title_full_unstemmed |
Exercise tests in Chagas cardiomyopathy: an overview of functional evaluation, prognostic significance, and current challenges |
title_sort |
Exercise tests in Chagas cardiomyopathy: an overview of functional evaluation, prognostic significance, and current challenges |
author |
Costa,Henrique Silveira |
author_facet |
Costa,Henrique Silveira Lima,Márcia Maria Oliveira Figueiredo,Pedro Henrique Scheidt Lima,Vanessa Pereira Ávila,Matheus Ribeiro Menezes,Kenia Kiefer Parreiras de Mendonça,Vanessa Amaral Lacerda,Ana Cristina Rodrigues Nunes,Maria Carmo Pereira Mediano,Mauro Felippe Felix Rocha,Manoel Otávio da Costa |
author_role |
author |
author2 |
Lima,Márcia Maria Oliveira Figueiredo,Pedro Henrique Scheidt Lima,Vanessa Pereira Ávila,Matheus Ribeiro Menezes,Kenia Kiefer Parreiras de Mendonça,Vanessa Amaral Lacerda,Ana Cristina Rodrigues Nunes,Maria Carmo Pereira Mediano,Mauro Felippe Felix Rocha,Manoel Otávio da Costa |
author2_role |
author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Costa,Henrique Silveira Lima,Márcia Maria Oliveira Figueiredo,Pedro Henrique Scheidt Lima,Vanessa Pereira Ávila,Matheus Ribeiro Menezes,Kenia Kiefer Parreiras de Mendonça,Vanessa Amaral Lacerda,Ana Cristina Rodrigues Nunes,Maria Carmo Pereira Mediano,Mauro Felippe Felix Rocha,Manoel Otávio da Costa |
dc.subject.por.fl_str_mv |
Chagas disease Chagas cardiomyopathy Exercise test Exercise tolerance Evaluation Prognosis |
topic |
Chagas disease Chagas cardiomyopathy Exercise test Exercise tolerance Evaluation Prognosis |
description |
Abstract Patients with Chagas cardiomyopathy (ChC) usually progress with fatigue and dyspnea. Exercise tests are valuable for the functional evaluation of these patients. However, information about the applicability of the exercise tests is scattered, and no studies have systematically reviewed the results. Thus, the present review explored the general aspects and prognostic value of exercise tests in patients with ChC. A literature search of the MEDLINE, Web of Science, CINAHL, Scopus, and LILACS databases was performed to identify relevant studies. There were no data restrictions, and articles that met the objective of the study were selected. Articles written in English, Portuguese, and Spanish were considered, and 25 articles were finally included. The peak oxygen uptake (VO2peak) was correlated with demographic and echocardiographic variables. Echocardiographic features of the left ventricular diastolic function and right ventricular systolic function appeared to be determinants of functional capacity, in addition to age and sex. VO2peak was associated with higher mortality, especially in patients with dilated ChC. The minute ventilation/carbon dioxide production slope (VE/VCO2 slope) was a strong predictor of survival; however, more studies are needed to verify this observation. Field tests showed moderate to strong correlation with VO2peak and thus may be inexpensive tools for the functional evaluation of patients with ChC. However, few studies have verified their prognostic significance. While exercise tests are useful tools for functional assessment, information is scarce regarding further considerations, and many of the criteria are based on guidelines for other heart diseases. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100204 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100204 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0037-8682-0100-2020 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Medicina Tropical - SBMT |
publisher.none.fl_str_mv |
Sociedade Brasileira de Medicina Tropical - SBMT |
dc.source.none.fl_str_mv |
Revista da Sociedade Brasileira de Medicina Tropical v.53 2020 reponame:Revista da Sociedade Brasileira de Medicina Tropical instname:Sociedade Brasileira de Medicina Tropical (SBMT) instacron:SBMT |
instname_str |
Sociedade Brasileira de Medicina Tropical (SBMT) |
instacron_str |
SBMT |
institution |
SBMT |
reponame_str |
Revista da Sociedade Brasileira de Medicina Tropical |
collection |
Revista da Sociedade Brasileira de Medicina Tropical |
repository.name.fl_str_mv |
Revista da Sociedade Brasileira de Medicina Tropical - Sociedade Brasileira de Medicina Tropical (SBMT) |
repository.mail.fl_str_mv |
||dalmo@rsbmt.uftm.edu.br|| rsbmt@rsbmt.uftm.edu.br |
_version_ |
1752122162002526208 |