Cambio en el cociente de intercambio respiratorio de la ergoespirometria en la fase de recuperación de la ergoespirometria en pacientes con insuficiencia cardíaca con fracción de eyección reducida antes y después de la rehabilitación cardiovascular
dc.contributor.advisor | Sarmiento , Juan Manuel | |
dc.contributor.advisor | Mendoza, Fernán | |
dc.contributor.advisor | Ortiz Maluendas, Oscar Humberto | |
dc.contributor.advisor | Lineros Montañez, Alberto | |
dc.contributor.advisor | Garzón, Paola | |
dc.contributor.advisor | Cortés, Fabián | |
dc.contributor.author | Botia Osorio, Maria Mercedes | |
dc.date.accessioned | 2024-08-01T19:45:25Z | |
dc.date.available | 2024-08-01T19:45:25Z | |
dc.date.issued | 2024-07 | |
dc.description.abstract | La ergoespirometria es esencial para la evaluación de la aptitud cardiorrespiratoria y capacidad al ejercicio de pacientes con falla cardíaca crónica. Estudios previos han encontrado un exceso transitorio del índice de intercambio respiratorio (RER) en la fase de recuperación de la ergoespirometria, pero se ha encontrado reducido en pacientes con falla cardíaca y fracción de eyección reducida, sin embargo, su completa importancia clínica no se comprende claramente. El objetivo del presente estudio fue describir el comportamiento del RER en pacientes con falla cardíaca crónica con fracción de eyección reducida previo y posterior a 36 sesiones de un programa de rehabilitación cardiovascular (RHBC). Estudio pseudo-experimental analítico tipo antes y después en pacientes con falla cardíaca y fracción de eyección del ventrículo izquierdo (FEVI) reducida que completaron 36 sesiones de un programa de rehabilitación cardiovascular fase II y que realizaron una ergoespirometria antes y después de la intervención en la Fundación Clínica Shaio. Los datos se tomaron de la base de datos del programa de la clínica. | |
dc.description.abstractenglish | Ergospirometry is essential for the evaluation of cardiorespiratory fitness and exercise capacity of patients with chronic heart failure. Previous studies have found a transient excess respiratory exchange rate (RER) in the recovery phase of ergospirometry, but it has been found reduced in patients with heart failure and reduced ejection fraction, however, its full clinical significance is not understood. clearly. The objective of the present study was to describe the behavior of the RER in patients with chronic heart failure with reduced ejection fraction before and after 36 sessions of a cardiovascular rehabilitation program (RHBC). Before and after analytical pseudo-experimental study in patients with heart failure and reduced left ventricular ejection fraction (LVEF) who completed 36 sessions of a phase II cardiovascular rehabilitation program and who performed ergospirometry before and after the intervention at the Shaio Clinic Foundation. Data were taken from the clinic's program database. | |
dc.description.degreelevel | Especialización | spa |
dc.description.degreename | Especialista en Medicina del Deporte | spa |
dc.format.mimetype | application/pdf | |
dc.identifier.instname | instname:Universidad El Bosque | spa |
dc.identifier.reponame | reponame:Repositorio Institucional Universidad El Bosque | spa |
dc.identifier.repourl | repourl:https://repositorio.unbosque.edu.co | |
dc.identifier.uri | https://hdl.handle.net/20.500.12495/12786 | |
dc.language.iso | es | |
dc.publisher.faculty | Facultad de Medicina | spa |
dc.publisher.grantor | Universidad El Bosque | spa |
dc.publisher.program | Especialización en Medicina del Deporte | spa |
dc.relation.references | Suzuki T, Koike A, Nagayama O, Sakurada K, Tsuneoka H, Kato J, et al. Overshoot phenomena of respiratory gas variables during exercise recovery in cardiac patients. Circ J. 2012;76(4):876–83. | |
dc.relation.references | Brawner CA, Shafiq A, Aldred HA, Ehrman JK, Leifer ES, Selektor Y, et al. Comprehensive Analysis of Cardiopulmonary Exercise Testing and Mortality in Patients with Systolic Heart Failure: The Henry Ford Hospital Cardiopulmonary Exercise Testing (FIT-CPX) Project. J Card Fail [Internet]. 2015;21(9):710–8. Available from: http://dx.doi.org/10.1016/j.cardfail.2015.06.001 | |
dc.relation.references | Fortin M, Turgeon PY, Nadreau É, Grégoire P, Maltais LG, Sénéchal M, et al. Prognostic Value of Oxygen Kinetics During Recovery From Cardiopulmonary Exercise Testing in Patients With Chronic Heart Failure. Can J Cardiol. 2015;31(10):1259–65. | |
dc.relation.references | Wagner J, Niemeyer M, Infanger D, Pfister O, Myers J, Schmidt-Trucksäss A, et al. Comparison of V̇O2-Kinetic Parameters for the Management of Heart Failure. Front Physiol. 2021;12(November):1–11. | |
dc.relation.references | Takayanagi Y, Koike A, Nagayama O, Nagamine A, Qin R, Kato J, et al. Clinical significance of the overshoot phenomena of respiratory gas indices during recovery from maximal exercise testing. J Cardiol [Internet]. 2017;70(6):598–606. Available from: http://dx.doi.org/10.1016/j.jjcc.2017.03.012 | |
dc.relation.references | Vecchiato M, Ermolao A, Zanardo E, Battista F, Ruvoletto G, Palermi S, et al. Overshoot of the Respiratory Exchange Ratio during Recovery from Maximal Exercise Testing in Young Patients with Congenital Heart Disease. Children. 2023;10(3):521. | |
dc.relation.references | Bozkurt B, Coats AJS, Tsutsui H, Abdelhamid CM, Adamopoulos S, Albert N, et al. Universal definition and classification of heart failure: A report of the Heart Failure Society of America, Heart Failure Association of the European Society of Cardiology, Japanese Heart Failure Society and Writing Committee of the Universal Definition o. Eur J Heart Fail. 2021;352–80. | |
dc.relation.references | Gómez-Mesa JE, Saldarriaga CI, Echeverría LE, Luna P. Colombian heart failure registry (RECOLFACA): methodology and preliminary data. Rev Colomb Cardiol. 2021;28(3):217–30. | |
dc.relation.references | Echeveri D. Actualización 2022 del Consenso Colombiano de Insuficiencia Cardíaca con Fracción de Eyección Reducida: Capítulo de Falla Cardíaca, Trasplante Cardíaco e Hipertensión Pulmonar de la Asociación Sociedad Colombiana de Cardiología y Cirugía Cardiovascular. Rev Colomb Cardiol [Internet]. 2022;29(2):1–19. Available from: https://repository.javeriana.edu.co/handle/10554/62278 | |
dc.relation.references | Heidenreich PA, Bozkurt B, Aguilar D, Allen LA, Byun JJ, Colvin MM, et al. 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Vol. 145, Circulation. 2022. 895–1032 p. | |
dc.relation.references | Bozkurt B, Fonarow GC, Goldberg LR, Guglin M, Josephson RA, Forman DE, et al. Cardiac Rehabilitation for Patients With Heart Failure: JACC Expert Panel. J Am Coll Cardiol. 2021;77(11):1454–69. | |
dc.relation.references | Del Buono MG, Arena R, Borlaug BA, Carbone S, Canada JM, Kirkman DL, et al. Exercise Intolerance in Patients With Heart Failure: JACC State-of-the-Art Review. J Am Coll Cardiol. 2019;73(17):2209–25. | |
dc.relation.references | Patti A, Neunhaeuserer D, Ortolan S, Battista F, Furian L, Gasperetti A, et al. Overshoot Of The Respiratory Exchange Ratio During Recovery From Maximal Exercise In Kidney Transplant Recipients. Med Sci Sport Exerc. 2020;52(7S):231–231. | |
dc.relation.references | Kakutani N, Fukushima A, Yokota T, Katayama T, Nambu H, Shirakawa R, et al. Impact of high respiratory exchange ratio during submaximal exercise on adverse clinical outcome in heart failure. Circ J. 2018;82(11):2753–60. | |
dc.relation.references | Keteyian SJ, Patel M, Kraus WE, Brawner CA, McConnell TR, Piña IL, et al. Variables measured during cardiopulmonary exercise testing as predictors of mortality in chronic systolic heart failure. J Am Coll Cardiol. 2016;67(7):780–9. | |
dc.relation.references | Malhotra R, Bakken K, D’Elia E, Lewis GD. Cardiopulmonary Exercise Testing in Heart Failure. JACC Hear Fail. 2016;4(8):607–16. | |
dc.relation.references | Koike A, Itoh H, Doi M, Taniguchi K, Marumo F, Umehara I, et al. Beat-to-beat evaluation of cardiac function during recovery from upright bicycle exercise in patients with coronary artery disease. Am Heart J. 1990;120(2):316–23. | |
dc.relation.references | Cohen-Solal A, Laperche T, Morvan D, Geneves M, Caviezel B, Gourgon R. Prolonged kinetics of recovery of oxygen consumption after maximal graded exercise in patients with chronic heart failure: Analysis with gas exchange measurements and NMR spectroscopy. Circulation. 1995;91(12):2924–32. | |
dc.relation.references | Popovic D, Martic D, Djordjevic T, Pesic V, Guazzi M, Myers J, et al. Oxygen consumption and carbon-dioxide recovery kinetics in the prediction of coronary artery disease severity and outcome. Int J Cardiol [Internet]. 2017;248:39–45. Available from: https://doi.org/10.1016/j.ijcard.2017.06.107 | |
dc.relation.references | Greutmann M, Rozenberg D, Le TL, Silversides CK, Granton JT. Recovery of respiratory gas exchange after exercise in adults with congenital heart disease. Int J Cardiol [Internet]. 2014;176(2):333–9. Available from: http://dx.doi.org/10.1016/j.ijcard.2014.06.033 | |
dc.relation.references | Coomans I, de Kinder S, van Belleghem H, de Groote K, Panzer J, de Wilde H, et al. Analysis of the recovery phase after maximal exercise in children with repaired tetralogy of Fallot and the relationship with ventricular function. PLoS One. 2020;15(12 December):1–13. | |
dc.relation.references | Bailey CS, Wooster LT, Buswell M, Patel S, Pappagianopoulos PP, Bakken K, et al. Post-Exercise Oxygen Uptake Recovery Delay: A Novel Index of Impaired Cardiac Reserve Capacity in Heart Failure. JACC Hear Fail. 2018;6(4):329–39. | |
dc.relation.references | Patti A, Blumberg Y, Hedman K, Neunhäuserer D, Haddad F, Wheeler M, et al. Respiratory gas kinetics in patients with congestive heart failure during recovery from peak exercise. Clinics. 2023;78(April):100225. | |
dc.relation.references | Vecchiato M, Neunhaeuserer D, Zanardo E, Quinto G, Battista F, Aghi A, et al. Respiratory exchange ratio overshoot during exercise recovery: a promising prognostic marker in HFrEF. Clin Res Cardiol [Internet]. 2024;(0123456789). Available from: https://doi.org/10.1007/s00392-024-02391-9 | |
dc.relation.references | King ML, Thomas RJ, Cannon CP. AACVPR/ACC/AHA 2007 performance measures on cardiac rehabilitation for referral to and delivery of cardiac rehabilitation/secondary prevention services. ACC Cardiosource Rev J. 2008;17(3):32–7. | |
dc.relation.references | Taylor RS, Dalal HM, McDonagh STJ. The role of cardiac rehabilitation in improving cardiovascular outcomes. Nat Rev Cardiol. 2022;19(3):180–94. | |
dc.relation.references | Ana Abreu, Jean-Paul Schmid MP. The ESC Handbook of Cardiovascular Rehabilitation [Internet]. Vol. 1, European Society of Cardiology. 2020. 1–8 p. Available from: http://dx.doi.org/10.1016/j.cirp.2016.06.001%0Ahttp://dx.doi.org/10.1016/j.powtec.2016.12.055%0Ahttps://doi.org/10.1016/j.ijfatigue.2019.02.006%0Ahttps://doi.org/10.1016/j.matlet.2019.04.024%0Ahttps://doi.org/10.1016/j.matlet.2019.127252%0Ahttp://dx.doi.o | |
dc.relation.references | Mediano MFF, Leifer ES, Cooper LS, Keteyian SJ, Kraus WE, Mentz RJ, et al. Influence of Baseline Physical Activity Level on Exercise Training Response and Clinical Outcomes in Heart Failure: The HF-ACTION Trial. JACC Hear Fail. 2018;6(12):1011–9. | |
dc.relation.references | Tanabe Y, Takahashi M, Hosaka Y, Ito M, Ito E, Suzuki K. Prolonged recovery of cardiac output after maximal exercise in patients with chronic heart failure. J Am Coll Cardiol [Internet]. 2000;35(5):1228–36. Available from: http://dx.doi.org/10.1016/S0735-1097(00)00517-9 | |
dc.relation.references | Belardinelli R, Barstow TJ, Nguyen P, Wasserman K. Skeletal muscle oxygenation and oxygen uptake kinetics following constant work rate exercise in chronic congestive heart failure. Am J Cardiol. 1997;80(10):1319–24. | |
dc.relation.references | Vecchiato M, Zanardo E, Borasio N, Quinto G, Battista F, Ermolao A, et al. Respiratory exchange ratio overshoot during exercise recovery: a novel prognostic marker in heart failure. Eur J Prev Cardiol. 2023;30(Supplement_1):361–2. | |
dc.rights | Atribución-NoComercial-CompartirIgual 4.0 Internacional | |
dc.rights.accessrights | info:eu-repo/semantics/openAccess | |
dc.rights.accessrights | info:eu-repo/semantics/openAccess | |
dc.rights.local | Acceso abierto | spa |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-sa/4.0/ | |
dc.subject | Cociente de intercambio respiratorio | |
dc.subject | Falla cardíaca | |
dc.subject | Rehabilitación cardiovascular | |
dc.subject.keywords | Respiratory exchange rate | |
dc.subject.keywords | Cardiac Failure | |
dc.subject.keywords | Cardiovascular Rehabilitation | |
dc.subject.nlm | QT 261 | |
dc.title | Cambio en el cociente de intercambio respiratorio de la ergoespirometria en la fase de recuperación de la ergoespirometria en pacientes con insuficiencia cardíaca con fracción de eyección reducida antes y después de la rehabilitación cardiovascular | |
dc.title.translated | Change in respiratory exchange ratio in the recovery phase of ergospirometry in patients with heart failure with reduced ejection fraction before and after cardiovascular rehabilitation | |
dc.type.coar | https://purl.org/coar/resource_type/c_7a1f | |
dc.type.coarversion | https://purl.org/coar/version/c_ab4af688f83e57aa | |
dc.type.driver | info:eu-repo/semantics/bachelorThesis | |
dc.type.hasversion | info:eu-repo/semantics/acceptedVersion | |
dc.type.local | Tesis/Trabajo de grado - Monografía - Especialización | spa |
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