Evaluating respiratory musculature, quality of life, anxiety, and depression among patients with indeterminate chronic Chagas disease and symptoms of pulmonary hypertension

Detalhes bibliográficos
Autor(a) principal: Suman, Alicia Cristina [UNESP]
Data de Publicação: 2017
Outros Autores: Pellison Nunes da Costa, Erika Alessandra [UNESP], Zanati Bazan, Silmeia Garcia [UNESP], Hueb, Joao Carlos [UNESP], Carvalho, Fabio Cardoso de [UNESP], Martin, Luis Cuadrado [UNESP], Bok Yoo, Hugo Hyung [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1590/0037-8682-0198-2016
http://hdl.handle.net/11449/162850
Resumo: Introduction: Chagas disease (CD) is progressive and incapacitating, especially when cardiopulmonary function is affected. For example, respiratory muscle weakness can cause dyspnea upon exertion and fatigue, which may be exacerbated when it is associated with pulmonary hypertension (PH). The present study aimed to evaluate respiratory musculature, quality of life, anxiety, and depression among patients with indeterminate chronic CD and symptoms of PH. Methods: All individuals completed a clinical evaluation, spirometry, a 6-min walking test, respiratory musculature testing using maximum inspiratory pressure (PImax) and maximum expiratory pressure (PEmax), the Hospital Anxiety and Depression Scale, and the SF-36 questionnaire. Results: We evaluated 107 patients who were assigned to a control group with only CD (G1, 8 patients), a group with CD and possible PH (G2, 93 patients), and a group with CD and echocardiography evidence of PH (G3, 6 patients). The three groups had similar values for PImax and PEmax. Compared to the G1 and G2 groups, the G3 group covered significantly less distance during the 6-min walking test and had a significantly shorter predicted distance (p < 0.05 vs. the G1 group). All three groups had similar values for their spirometry results, Hospital Anxiety and Depression Scale scores, and SF-36 questionnaire results. Conclusions: Patients with indeterminate chronic CD and symptoms of PH did not experience significant impairment in the studied variables, with the exception of the 6-min walking test, which suggests a low exercise tolerance.
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spelling Evaluating respiratory musculature, quality of life, anxiety, and depression among patients with indeterminate chronic Chagas disease and symptoms of pulmonary hypertensionChagas diseasePulmonary hypertensionQuality of lifeRespiratory musculatureIntroduction: Chagas disease (CD) is progressive and incapacitating, especially when cardiopulmonary function is affected. For example, respiratory muscle weakness can cause dyspnea upon exertion and fatigue, which may be exacerbated when it is associated with pulmonary hypertension (PH). The present study aimed to evaluate respiratory musculature, quality of life, anxiety, and depression among patients with indeterminate chronic CD and symptoms of PH. Methods: All individuals completed a clinical evaluation, spirometry, a 6-min walking test, respiratory musculature testing using maximum inspiratory pressure (PImax) and maximum expiratory pressure (PEmax), the Hospital Anxiety and Depression Scale, and the SF-36 questionnaire. Results: We evaluated 107 patients who were assigned to a control group with only CD (G1, 8 patients), a group with CD and possible PH (G2, 93 patients), and a group with CD and echocardiography evidence of PH (G3, 6 patients). The three groups had similar values for PImax and PEmax. Compared to the G1 and G2 groups, the G3 group covered significantly less distance during the 6-min walking test and had a significantly shorter predicted distance (p < 0.05 vs. the G1 group). All three groups had similar values for their spirometry results, Hospital Anxiety and Depression Scale scores, and SF-36 questionnaire results. Conclusions: Patients with indeterminate chronic CD and symptoms of PH did not experience significant impairment in the studied variables, with the exception of the 6-min walking test, which suggests a low exercise tolerance.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Univ Estadual Paulista, Fac Med Botucatu, Programa Pos Grad Doencas Trop, Botucatu, SP, BrazilUniv Estadual Paulista, Fac Med Botucatu, Dept Doencas Trop & Diagnost Imagem, Botucatu, SP, BrazilUniv Estadual Paulista, Fac Med Botucatu, Dept Clin Med, Botucatu, SP, BrazilUniv Estadual Paulista, Fac Med Botucatu, Programa Pos Grad Doencas Trop, Botucatu, SP, BrazilUniv Estadual Paulista, Fac Med Botucatu, Dept Doencas Trop & Diagnost Imagem, Botucatu, SP, BrazilUniv Estadual Paulista, Fac Med Botucatu, Dept Clin Med, Botucatu, SP, BrazilSoc Brasileira Medicina TropicalUniversidade Estadual Paulista (Unesp)Suman, Alicia Cristina [UNESP]Pellison Nunes da Costa, Erika Alessandra [UNESP]Zanati Bazan, Silmeia Garcia [UNESP]Hueb, Joao Carlos [UNESP]Carvalho, Fabio Cardoso de [UNESP]Martin, Luis Cuadrado [UNESP]Bok Yoo, Hugo Hyung [UNESP]2018-11-26T17:34:40Z2018-11-26T17:34:40Z2017-03-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article194-198application/pdfhttp://dx.doi.org/10.1590/0037-8682-0198-2016Revista Da Sociedade Brasileira De Medicina Tropical. Brasilia: Soc Brasileira Medicina Tropical, v. 50, n. 2, p. 194-198, 2017.0037-8682http://hdl.handle.net/11449/16285010.1590/0037-8682-0198-2016S0037-86822017000200194WOS:000402536000008S0037-86822017000200194.pdf49232031684466154923203168446615492320316844661549232031684466154923203168446615492320316844661549232031684466154923203168446615492320316844661549232031684466154923203168446615Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengRevista Da Sociedade Brasileira De Medicina Tropical0,658info:eu-repo/semantics/openAccess2024-08-15T15:23:27Zoai:repositorio.unesp.br:11449/162850Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-15T15:23:27Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Evaluating respiratory musculature, quality of life, anxiety, and depression among patients with indeterminate chronic Chagas disease and symptoms of pulmonary hypertension
title Evaluating respiratory musculature, quality of life, anxiety, and depression among patients with indeterminate chronic Chagas disease and symptoms of pulmonary hypertension
spellingShingle Evaluating respiratory musculature, quality of life, anxiety, and depression among patients with indeterminate chronic Chagas disease and symptoms of pulmonary hypertension
Suman, Alicia Cristina [UNESP]
Chagas disease
Pulmonary hypertension
Quality of life
Respiratory musculature
title_short Evaluating respiratory musculature, quality of life, anxiety, and depression among patients with indeterminate chronic Chagas disease and symptoms of pulmonary hypertension
title_full Evaluating respiratory musculature, quality of life, anxiety, and depression among patients with indeterminate chronic Chagas disease and symptoms of pulmonary hypertension
title_fullStr Evaluating respiratory musculature, quality of life, anxiety, and depression among patients with indeterminate chronic Chagas disease and symptoms of pulmonary hypertension
title_full_unstemmed Evaluating respiratory musculature, quality of life, anxiety, and depression among patients with indeterminate chronic Chagas disease and symptoms of pulmonary hypertension
title_sort Evaluating respiratory musculature, quality of life, anxiety, and depression among patients with indeterminate chronic Chagas disease and symptoms of pulmonary hypertension
author Suman, Alicia Cristina [UNESP]
author_facet Suman, Alicia Cristina [UNESP]
Pellison Nunes da Costa, Erika Alessandra [UNESP]
Zanati Bazan, Silmeia Garcia [UNESP]
Hueb, Joao Carlos [UNESP]
Carvalho, Fabio Cardoso de [UNESP]
Martin, Luis Cuadrado [UNESP]
Bok Yoo, Hugo Hyung [UNESP]
author_role author
author2 Pellison Nunes da Costa, Erika Alessandra [UNESP]
Zanati Bazan, Silmeia Garcia [UNESP]
Hueb, Joao Carlos [UNESP]
Carvalho, Fabio Cardoso de [UNESP]
Martin, Luis Cuadrado [UNESP]
Bok Yoo, Hugo Hyung [UNESP]
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (Unesp)
dc.contributor.author.fl_str_mv Suman, Alicia Cristina [UNESP]
Pellison Nunes da Costa, Erika Alessandra [UNESP]
Zanati Bazan, Silmeia Garcia [UNESP]
Hueb, Joao Carlos [UNESP]
Carvalho, Fabio Cardoso de [UNESP]
Martin, Luis Cuadrado [UNESP]
Bok Yoo, Hugo Hyung [UNESP]
dc.subject.por.fl_str_mv Chagas disease
Pulmonary hypertension
Quality of life
Respiratory musculature
topic Chagas disease
Pulmonary hypertension
Quality of life
Respiratory musculature
description Introduction: Chagas disease (CD) is progressive and incapacitating, especially when cardiopulmonary function is affected. For example, respiratory muscle weakness can cause dyspnea upon exertion and fatigue, which may be exacerbated when it is associated with pulmonary hypertension (PH). The present study aimed to evaluate respiratory musculature, quality of life, anxiety, and depression among patients with indeterminate chronic CD and symptoms of PH. Methods: All individuals completed a clinical evaluation, spirometry, a 6-min walking test, respiratory musculature testing using maximum inspiratory pressure (PImax) and maximum expiratory pressure (PEmax), the Hospital Anxiety and Depression Scale, and the SF-36 questionnaire. Results: We evaluated 107 patients who were assigned to a control group with only CD (G1, 8 patients), a group with CD and possible PH (G2, 93 patients), and a group with CD and echocardiography evidence of PH (G3, 6 patients). The three groups had similar values for PImax and PEmax. Compared to the G1 and G2 groups, the G3 group covered significantly less distance during the 6-min walking test and had a significantly shorter predicted distance (p < 0.05 vs. the G1 group). All three groups had similar values for their spirometry results, Hospital Anxiety and Depression Scale scores, and SF-36 questionnaire results. Conclusions: Patients with indeterminate chronic CD and symptoms of PH did not experience significant impairment in the studied variables, with the exception of the 6-min walking test, which suggests a low exercise tolerance.
publishDate 2017
dc.date.none.fl_str_mv 2017-03-01
2018-11-26T17:34:40Z
2018-11-26T17:34:40Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/0037-8682-0198-2016
Revista Da Sociedade Brasileira De Medicina Tropical. Brasilia: Soc Brasileira Medicina Tropical, v. 50, n. 2, p. 194-198, 2017.
0037-8682
http://hdl.handle.net/11449/162850
10.1590/0037-8682-0198-2016
S0037-86822017000200194
WOS:000402536000008
S0037-86822017000200194.pdf
4923203168446615
4923203168446615
4923203168446615
4923203168446615
4923203168446615
4923203168446615
4923203168446615
4923203168446615
4923203168446615
4923203168446615
4923203168446615
url http://dx.doi.org/10.1590/0037-8682-0198-2016
http://hdl.handle.net/11449/162850
identifier_str_mv Revista Da Sociedade Brasileira De Medicina Tropical. Brasilia: Soc Brasileira Medicina Tropical, v. 50, n. 2, p. 194-198, 2017.
0037-8682
10.1590/0037-8682-0198-2016
S0037-86822017000200194
WOS:000402536000008
S0037-86822017000200194.pdf
4923203168446615
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Revista Da Sociedade Brasileira De Medicina Tropical
0,658
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 194-198
application/pdf
dc.publisher.none.fl_str_mv Soc Brasileira Medicina Tropical
publisher.none.fl_str_mv Soc Brasileira Medicina Tropical
dc.source.none.fl_str_mv Web of Science
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
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