Development and validation of a risk calculator predicting exercise-induced ventricular arrhythmia in patients with cardiovascular disease

Hermes, Ilarraza-Lomelí; Marianna, García-Saldivia; Rojano-Castillo, J.; Barrera-Ramírez, Carlos Felipe; Chávez-Domínguez, Rafael; Dolores, Rius-Suárez María; Iturralde, Pedro

doi:10.1016/j.ijcard.2016.06.196

Cited by 7 publications

(5 citation statements)

References 24 publications

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“…All patients of PAN-DEMIC-G wore N95 masks throughout the ET and staff surveyed its proper use, ensuring that mask partially collapsed during patient inspiration. Beyond that, all exercise tests were symptom limited and carried out in a similar way as reported elsewhere 8 .…”

Section: Methodsmentioning

confidence: 99%

Evaluación cardiovascular mediante el uso de pruebas de ejercicio, realizadas con el uso de tapabocas, durante la pandemia por COVID-19

Ilárraza-Lomelí¹,

Rojano-Castillo²,

Carazo³

et al. 2021

ACM

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Section: Methodsmentioning

confidence: 99%

Evaluación cardiovascular mediante el uso de pruebas de ejercicio, realizadas con el uso de tapabocas, durante la pandemia por COVID-19

Ilárraza-Lomelí¹,

Rojano-Castillo²,

Carazo³

et al. 2021

ACM

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“…Blood pressure, symptoms and perceived exercise effort were measured at baseline, exercise and recovery. All individuals were pushed to their maximum effort, unless they presented an absolute indication to stop the test [10,11]. A Schiller CS-200 © device was used.…”

Section: Methodsmentioning

confidence: 99%

Reduced exercise tolerance is associated with a higher risk of malignant ventricular arrhythmias

García-Saldivia¹,

Lopez-Garcia²,

Franco-Ojeda³

et al. 2019

The Assessment of Cognitive Function Determines the Time of Operation of Hydrocephalus Drainage in Severe TBI

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Keywords:Exercise test heart failure cardiovascular disease implantable defibrillator sudden death ventricular arrhythmia VO2 A B S T R A C T Malignant ventricular arrhythmia (MVA) is one of the most frequent causes of mortality among patients with cardiovascular disease. Exercise tolerance is a powerful variable to evaluate the cardiopulmonary system condition. The proposal of this research is to establish an association between peak oxygen uptake (VO2) and the incidence of long-term malignant ventricular arrhythmia. Methods:A historical cohort of patients with heart disease of a third level hospital of cardiology were studied. Every patient performed a symptoms-limited cardiopulmonary exercise testing and were followedup to10 years. We defined malignant ventricular arrhythmia (MVA) as a combined outcome composed by tachycardia or ventricular fibrillation, implantation of a cardioverter (ICD) or sudden death. Patients were split in 2 groups according to MVA. Using a ROC curve, peak VO2 was divided in two groups, according to a 25 mlO2/kg/min cut-point. Bivariate analysis identified those variables associated with MVA, that were included in a multivariable regression Cox model. All p values less than 0.05 were considered stochastically significant.Results: A total of 1767 individuals were studied, and 116 combined outcomes occurred. After Cox regression analysis, four variables were identified as statistically significant risk-factors for MVA: reduced VO2 (HR 1.75, CI 95% 1.04 to 2.92), heart failure (HR 6.15, CI 95% 2.85 to 13.21), history of ICD (HR 2.12, CI 95% 1.26 to 3.55) and diuretic use (HR 2.6, CI 95% 1.6 to 4.2). Conclusion:Maximal exercise tolerance is strongly associated with a long-term occurrence of malignant ventricular arrhythmia, together with other variables such as heart failure, history of previous ICD or diuretic use.

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“…La PE puede continuar el protocolo de estudio ante la sospecha clínica en atletas que mostraron alteraciones en la 1. a línea del tamizaje (historia clínica o el ECG-12D). Las características ergométricas que deben evaluarse son: la TME, el comportamiento de la frecuencia cardiaca y de la tensión arterial, la presencia de arritmias o la evidencia de isquemia miocárdica, tanto en ejercicio como en recuperación [44][45][46][47] .…”

Section: Prueba De Ejerciciounclassified

Posicionamiento mexicano para el tamizaje y la evaluación cardiovascular preparticipación deportiva

García-Saldivia,

Ilazarra-Lomelí,

Cossío-Aranda

et al. 2023

ACM

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Development and validation of a risk calculator predicting exercise-induced ventricular arrhythmia in patients with cardiovascular disease

Cited by 7 publications

References 24 publications

Evaluación cardiovascular mediante el uso de pruebas de ejercicio, realizadas con el uso de tapabocas, durante la pandemia por COVID-19

Evaluación cardiovascular mediante el uso de pruebas de ejercicio, realizadas con el uso de tapabocas, durante la pandemia por COVID-19

Reduced exercise tolerance is associated with a higher risk of malignant ventricular arrhythmias

Posicionamiento mexicano para el tamizaje y la evaluación cardiovascular preparticipación deportiva

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