A1 Refereed original research article in a scientific journal
Elective Cardiac Procedure Patients Have Low Preoperative Cardiorespiratory Fitness
Authors: Vasankari Sini, Mahlamäki Visa, Hartikainen Juha, Vasankari Ville, Tokola Kari, Vähä-Ypyä Henri, Anttila Vesa, Husu Pauliina, Sievänen Harri, Vasankari Tommi, Halonen Jari
Publisher: Thieme
Publication year: 2023
Journal: International Journal of Sports Medicine
Journal name in source: INTERNATIONAL JOURNAL OF SPORTS MEDICINE
ISSN: 0172-4622
eISSN: 1439-3964
DOI: https://doi.org/10.1055/a-2161-4137
Web address : http://dx.doi.org/10.1055%2Fa%2D2161%2D4137
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/181803951
Preoperative cardiorespiratory fitness may influence the recovery after cardiac procedure. The aim of this study was to investigate the cardiorespiratory fitness of patients scheduled for elective cardiac procedures, using a six-minute walk test, and compare the results with a population-based sample of Finnish adults. Patients (n=234) awaiting percutaneous coronary intervention or coronary angiography, coronary artery bypass grafting, aortic valve replacement or mitral valve surgery performed the six-minute walk test. VO2max was calculated based on the walk test. The patients were compared to a population-based sample of 60–69-year-old Finnish adults from the FinFit2017 study. The mean six-minute walk test distances (meters) and VO2max (ml/kg/min) of the patient groups were: 452±73 and 24.3±6.9 (coronary artery bypass grafting), 499±84 and 27.6±7.2 (aortic valve replacement), 496±85 and 27.4±7.3 (mitral valve surgery), and 519±90 and 27.3±6.9 (percutaneous coronary intervention or coronary angiography). The population-based sample had significantly greater walk test distance (623±81) and VO2max (31.7±6.1) than the four patient groups (all p-values<0.001). All patient groups had lower cardiorespiratory fitness than the reference population of 60–69-year-old Finnish adults. Particularly the coronary artery bypass grafting group had a low cardiorespiratory fitness, and therefore might be prone to complications and challenging rehabilitation after the operation.
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