Heart rate recovery in adult individuals with asthma.

Autor:	Zampogna E; Division of Pulmonary Rehabilitation, ICS Maugeri IRCCS, Institute of Tradate. elisabetta.zampogna@icsmaugeri.it., Ambrosino N; Division of Pulmonary Rehabilitation, ICS Maugeri IRCCS, Institute of Montescano. nico.ambrosino@gmail.com., Oliva FM; Department of Medicine and Surgery, University of Insubria, Varese. oliva.federicomattia@gmail.com., Sotgiu G; Clinical Epidemiology and Medical Statistics Unit, Department of Medical, Surgical and Experimental Medicine, University of Sassari. gsotgiu@uniss.it., Saderi L; Clinical Epidemiology and Medical Statistics Unit, Department of Medical, Surgical and Experimental Medicine, University of Sassari. lsaderi@uniss.it., Cremonese G; Division of Cardiac Rehabilitation, ICS Maugeri IRCCS, Institute of Tradate. gioele.cremonese@icsmaugeri.it., Bellelli G; Division of Pulmonary Rehabilitation, ICS Maugeri IRCCS, Institute of Tradate. giorgio.bellelli@icsmaugeri.it., Spanevello A; Division of Pulmonary Rehabilitation, ICS Maugeri IRCCS, Institute of Tradate; Department of Medicine and Surgery, University of Insubria, Varese. antonio.spanevello@icsmaugeri.it., Angeli F; Department of Medicine and Surgery, University of Insubria, Varese; Division of Cardiac Rehabilitation, ICS Maugeri IRCCS, Institute of Tradate. fabio.angeli@icsmaugeri.it., Visca D; Division of Pulmonary Rehabilitation, ICS Maugeri IRCCS, Institute of Tradate; Department of Medicine and Surgery, University of Insubria, Varese. dina.visca@icsmaugeri.it.
Jazyk:	angličtina
Zdroj:	Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace [Monaldi Arch Chest Dis] 2022 May 13; Vol. 93 (1). Date of Electronic Publication: 2022 May 13.
DOI:	10.4081/monaldi.2022.2265
Abstrakt:	Slow heart rate recovery (HRR) after exercise is a predictor of overall mortality in individuals with and without cardiovascular or respiratory disorders. No data on adults with asthma are available. The purpose of the study is to evaluate the prevalence of slow HRR in these individuals as compared with those with chronic obstructive pulmonary disease (COPD). We performed a retrospective analysis of baseline characteristics and physiological response to the six-minute walking distance test of stable individuals with asthma or COPD. Slow HRR was defined as HRpeak - HR at 1 minute after end exercise <12 bpm. Individuals with asthma walked significantly longer (median (IQR): 455 (385-512) vs 427 (345-485) meters; p=0.005) with a lower prevalence of slow HRR (30.3% vs 49.0%, respectively: p<0.001) than those with COPD. Individuals with asthma and slow HRR were older and walked less than those with normal HRR, without any difference in airway obstruction or in disease severity. Multivariate analysis showed that only the difference HRpeak - baseline HR (∆HR), was a predictor of slow HRR in both groups. More than 30% of adult individuals with asthma may show slow HRR. Only exercise ∆HR but no baseline characteristic seems to predict the occurrence of slow HRR.
Databáze:	MEDLINE
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