Author | Ávila, Matheus Ribeiro | |
Author | Figueiredo, Pedro Henrique Scheidt | |
Author | Lima, Vanessa Pereira | |
Author | Oliveira, Luciano Fonseca Lemos de | |
Author | Oliveira, Lucas Frois Fernandes de | |
Author | Silva, Whesley Tanor | |
Author | Trede Filho, Renato Guilherme | |
Author | Bastone, Alessandra de Carvalho | |
Author | Lacerda, Ana Cristina Rodrigues | |
Author | Mendonça, Vanessa Amaral | |
Author | Mediano, Mauro Felippe Felix | |
Author | Costa, Henrique Silveira | |
Access date | 2022-03-22T01:14:02Z | |
Available date | 2022-03-22T01:14:02Z | |
Document date | 2021 | |
Citation | ÁVILA, Matheus Ribeiro et al. The prognostic value of the Incremental Shuttle Walk Test in Chagas cardiomyopathy. Disability and Rehabilitation, p. 1-7, 2021 | pt_BR |
ISSN | 0963-8288 | pt_BR |
URI | https://www.arca.fiocruz.br/handle/icict/51796 | |
Language | eng | pt_BR |
Publisher | Taylor & Francis | pt_BR |
Rights | restricted access | pt_BR |
Title | The prognostic value of the Incremental Shuttle Walk Test in Chagas cardiomyopathy | pt_BR |
Type | Article | pt_BR |
DOI | 10.1080/09638288.2021.1986580 | |
Abstract | Purpose: To verify the value of the Incremental Shuttle Walk Test (ISWT) distance to identify patients
with Chagas cardiomyopathy (ChC) at risk of adverse cardiovascular events.
Methods: Fifty-two patients with ChC (51 ± 6 years) were evaluated by ISWT, echocardiography,
Cardiopulmonary Exercise Testing, and Human Activity Profile (HAP) Questionnaire. Patients were prospectively followed for 44 ± 10 months. The combined endpoint was cardiac death/heart transplant/stroke.
The prognostic value of ISWT was verified by the Cox regression, and the ISWT was adjusted for age, sex,
left ventricular ejection fraction (LVEF), and minute ventilation/carbon dioxide production relationship
(VE/VCO2 slope).
Results: At the final follow-up, 11 patients (21%) had experienced the endpoint event. When adjusted for
age, sex, LVEF, and VE/VCO2 slope, only ISWT distance (HR 0.99, 95% confidence interval (CI): 0.98–0.99;
p ¼ 0.026) and VE/VCO2 slope (HR 0.93, 95% CI: 0.87–0.99; p ¼ 0.044) remained as independent predictors
of adverse cardiovascular events in patients with ChC. The optimal cutoff point for identifying poor prognosis was the ISWT distance less than 440 m (AUC ¼ 0.72). There was a significant difference (p ¼ 0.032)
in the number of events between the groups with low ISWT distance (440 m) and high (>440 m)
ISWT distance.
Conclusions: The ISWT is a valuable tool with potential value in the prognostic evaluation of patients
with ChC. | pt_BR |
Affilliation | Universidade Federal dos Vales do Jequitinhonha e Mucuri. Physical Therapy School, Healthy and Biological Sciences Faculty. Diamantina, MG, Brazil. | pt_BR |
Affilliation | Universidade Federal dos Vales do Jequitinhonha e Mucuri. Physical Therapy School, Healthy and Biological Sciences Faculty. Diamantina, MG, Brazil / Universidade Federal dos Vales do Jequitinhonha e Mucuri. Postgraduate Course of Reabilitação e Desempenho Funcional. Diamantina, MG, Brazil. | pt_BR |
Affilliation | Universidade Federal dos Vales do Jequitinhonha e Mucuri. Physical Therapy School, Healthy and Biological Sciences Faculty. Diamantina, MG, Brazil / Universidade Federal dos Vales do Jequitinhonha e Mucuri. Postgraduate Course of Reabilitação e Desempenho Funcional. Diamantina, MG, Brazil. | pt_BR |
Affilliation | Universidade Federal de Minas Gerais. School of Physical Education, Physiotherapy and Occupational Therapy. Department of Physiotherapy. Belo Horizonte, MG, Brazil. | pt_BR |
Affilliation | Universidade Federal dos Vales do Jequitinhonha e Mucuri. Physical Therapy School, Healthy and Biological Sciences Faculty. Diamantina, MG, Brazil. | pt_BR |
Affilliation | Universidade Federal dos Vales do Jequitinhonha e Mucuri. Physical Therapy School, Healthy and Biological Sciences Faculty. Diamantina, MG, Brazil. | pt_BR |
Affilliation | Universidade Federal dos Vales do Jequitinhonha e Mucuri. Physical Therapy School, Healthy and Biological Sciences Faculty. Diamantina, MG, Brazil / Universidade Federal dos Vales do Jequitinhonha e Mucuri. Postgraduate Course of Reabilitação e Desempenho Funcional. Diamantina, MG, Brazil. | pt_BR |
Affilliation | Universidade Federal dos Vales do Jequitinhonha e Mucuri. Physical Therapy School, Healthy and Biological Sciences Faculty. Diamantina, MG, Brazil / Universidade Federal dos Vales do Jequitinhonha e Mucuri. Postgraduate Course of Reabilitação e Desempenho Funcional. Diamantina, MG, Brazil. | pt_BR |
Affilliation | Universidade Federal dos Vales do Jequitinhonha e Mucuri. Physical Therapy School, Healthy and Biological Sciences Faculty. Diamantina, MG, Brazil / Universidade Federal dos Vales do Jequitinhonha e Mucuri. Postgraduate Course of Reabilitação e Desempenho Funcional. Diamantina, MG, Brazil. | pt_BR |
Affilliation | Universidade Federal dos Vales do Jequitinhonha e Mucuri. Physical Therapy School, Healthy and Biological Sciences Faculty. Diamantina, MG, Brazil / Universidade Federal dos Vales do Jequitinhonha e Mucuri. Postgraduate Course of Reabilitação e Desempenho Funcional. Diamantina, MG, Brazil. | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | pt_BR |
Affilliation | Universidade Federal dos Vales do Jequitinhonha e Mucuri. Physical Therapy School, Healthy and Biological Sciences Faculty. Diamantina, MG, Brazil / Universidade Federal dos Vales do Jequitinhonha e Mucuri. Postgraduate Course of Reabilitação e Desempenho Funcional. Diamantina, MG, Brazil. | pt_BR |
Subject | Chagas disease | pt_BR |
Subject | Chagas cardiomyopathy | pt_BR |
Subject | Exercise test | pt_BR |
Subject | Exercise tolerance | pt_BR |
Subject | Evaluation | pt_BR |
Subject | Prognosis | pt_BR |