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Non Electrocardiographic alterations in exercise testing in asymptomatic women. Associations with cardiovascular risk factors.
Coutinho, Ricardo Quental; Montarroyos, Ulisses Ramos; de Barros, Isly Maria Lucena; Guimarães, Maria José Bezerra; Costa, Laura Olinda Bregieiro Fernandes; de Lima Medeiros, Ana Kelley; de Fátima Monteiro, Maria; de Novaes Lima Ferreira, Moacir; Chalela, William Azem; Pedrosa, Rodrigo.
Afiliación
  • Coutinho RQ; Faculdade de Ciencias Medicas, Universidade de Pernambuco, Recife, PE, BR.
  • Montarroyos UR; Programa de Doutorado em Ciencias da Saude, Instituto de Ciencias Biologicas, Faculdade de Ciencias Medicas, Universidade de Pernambuco, Recife, PE, BR.
  • de Barros IML; Nucleo de Pos-Graduacao, Hospital Universitario Oswaldo Cruz, Universidade de Pernambuco, Recife, PE, BR.
  • Guimarães MJB; Pronto Socorro Cardiologico de Pernambuco, Universidade de Pernambuco, Recife, PE, BR.
  • Costa LOBF; Centro de Estudos do Hospital Universitario Oswaldo Cruz, Universidade de Pernambuco, Recife, PE, BR.
  • de Lima Medeiros AK; Departamento Materno Infantil, Faculdade de Ciencias Medicas, Universidade de Pernambuco, Recife, PE, BR.
  • de Fátima Monteiro M; Pronto Socorro Cardiologico de Pernambuco, Universidade de Pernambuco, Recife, PE, BR.
  • de Novaes Lima Ferreira M; Pronto Socorro Cardiologico de Pernambuco, Universidade de Pernambuco, Recife, PE, BR.
  • Chalela WA; Programa de Doutorado em Ciencias da Saude, Instituto de Ciencias Biologicas, Faculdade de Ciencias Medicas, Universidade de Pernambuco, Recife, PE, BR.
  • Pedrosa R; Instituto do Coracao (InCor), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.
Clinics (Sao Paulo) ; 74: e1005, 2019.
Article en En | MEDLINE | ID: mdl-31531567
OBJECTIVES: To estimate the prevalence of exercise testing alterations in middle-aged women without symptoms of heart disease and to verify the associations of functional capacity and heart rate behavior during and after exercise with cardiovascular risk factors. METHODS: A cross-sectional study was conducted with 509 asymptomatic women aged between 46 and 65 years who underwent clinical evaluations and exercise testing (Bruce protocol). The heart rate behavior was evaluated by the maximal predicted heart rate achieved, chronotropic index and recovery heart rate. RESULTS: The mean age was 56.4±4.8 years, and 13.4% of the patients had a Framingham risk score above 10%. In the exercise treadmill testing, 58.0% presented one or more of the following alterations (listed in order of ascending prevalence): symptoms (angina, dyspnea, and dizziness), ST-segment depression, arrhythmia, reduction in recovery heart rate of ≤12 bpm at 1 minute, altered maximal predicted heart rate achieved, abnormal blood pressure, functional capacity deficiency, and altered chronotropic index. In the multivariate analysis, the following associations (odds ratio) were observed for these alterations: chronotropic index was associated with obesity (2.08) and smoking (4.47); maximal predicted heart rate achieved was associated with smoking (6.45); reduction in the recovery heart rate at 1 minute was associated with age (1.09) and obesity (2.78); functional capacity was associated with age (0.92), an overweight status (2.29) and obesity (6.51). CONCLUSIONS: More than half of middle-aged women without cardiovascular symptoms present alterations in one or more exercise testing parameters. Alterations in the functional capacity or heart rate behavior, as verified by exercise testing, are associated with age, smoking, an overweight status and obesity.
Asunto(s)

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Enfermedades Cardiovasculares / Ejercicio Físico / Tolerancia al Ejercicio / Prueba de Esfuerzo / Frecuencia Cardíaca Tipo de estudio: Etiology_studies / Guideline / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Female / Humans / Middle aged Idioma: En Revista: Clinics (Sao Paulo) Asunto de la revista: MEDICINA Año: 2019 Tipo del documento: Article

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Enfermedades Cardiovasculares / Ejercicio Físico / Tolerancia al Ejercicio / Prueba de Esfuerzo / Frecuencia Cardíaca Tipo de estudio: Etiology_studies / Guideline / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Female / Humans / Middle aged Idioma: En Revista: Clinics (Sao Paulo) Asunto de la revista: MEDICINA Año: 2019 Tipo del documento: Article