Earticle

초록

영어

Prompt prescription and early initiation of exercise training are essen-tial for patients undergoing elective percutaneous coronary interven-tion (PCI). We hypothesized that cardiopulmonary exercise testing (CPET) parameters determined the day after elective PCI during hospi-talization would not differ from those obtained 1–3 weeks post-PCI in patients with stable coronary heart disease (CHD). CPET was performed the day after and 1–3 weeks (13±4.6; 7–21 days) after PCI. CPET was performed with a bicycle ergometer up to the ventilatory aerobic thresh-old (VAT) on the day after PCI. Symptom-limited CPET was conducted 1–3 weeks after PCI. No complications arose from the tests. There were no significant differences in %VAT (next day: 88.6±16.7 vs. 1–3 weeks later: 91.4%±18.7%), the workload at the VAT (51.8±11.0 W vs. 52.9± 11.6 W), heart rate (HR) at the VAT (95.3±105 beats/min vs. 94.1±11.3 beats/min), or metabolic equivalent (METs) at the VAT (3.69±0.69 vs. 3.84±0.78) between the two sessions. The slope of linear regression for two repeated measurements was close to 1 (%VAT, 1.02; workload at the VAT, 0.95; METs at the VAT, 1.03), except for HR (0.70). Bland–Altman plots revealed the reproducibility of all four CPET measurements between the two sessions. In conclusion, CPET up to the VAT can be performed safely 1-day post-PCI in patients with stable CHD. CPET parameters do not significantly differ between testing performed the day after and 1–3 weeks after PCI. Next-day CPET during hospitalization after PCI may enable prompt exercise prescription without the need for another CPET 1–3 weeks later.

목차

Abstract
INTRODUCTION
MATERIALS AND METHODS
Patients
Percutaneous coronary intervention
Cardiopulmonary exercise testing
Statistics
RESULTS
Characteristics of patients
Characteristics of PCI
Safety of CPET
Comparison between the two sessions via regression and correlation analyses
Bland–Altman analysis
DISCUSSION
CONFLICT OF INTEREST
ACKNOWLEDGMENTS
REFERENCES

키워드

저자

• Ryou Tanaka [ Division of Cardiovascular Rehabilitation, Okayama Heart Clinic, Okayama, Japan ]
• Isao Waki [ Division of Cardiovascular Rehabilitation, Okayama Heart Clinic, Okayama, Japan ]
• Shigeshi Kamikawa [ Division of Cardiovascular Medicine & Intervention, Okayama Heart Clinic, Okayama, Japan ]
• Daiki Yamashita [ Division of Cardiovascular Rehabilitation, Okayama Heart Clinic, Okayama, Japan ]
• Natsumi Tabita [ Division of Cardiovascular Rehabilitation, Okayama Heart Clinic, Okayama, Japan ]
• Saori Nishimura [ Division of Cardiovascular Rehabilitation, Okayama Heart Clinic, Okayama, Japan ]
• Shunich Higashiya [ Heart Rhythm Center, Okayama Heart Clinic, Okayama, Japan ]
• Hirosuke Yamaji [ Heart Rhythm Center, Okayama Heart Clinic, Okayama, Japan ]
• Takashi Murakami [ Heart Rhythm Center, Okayama Heart Clinic, Okayama, Japan ]
• Shozo Kusachi [ Division of Cardiovascular Medicine & Intervention, Okayama Heart Clinic, Okayama, Japan, Graduate School of Health Sciences, Okayama University, Okayama, Japan ] Corresponding Author

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  JER [Journal of Exercise Rehabilitation]

• 간기

  격월간

• pISSN

  2288-176X

• eISSN

  2288-1778

• 수록기간

  2013~2026

• 등재여부

  SCOPUS,KCI 등재

• 십진분류

  KDC 517 DDC 613