Cardiac sarcoidosis: worse pulmonary function due to left ventricular ejection fraction?

Autor: Martusewicz-Boros, Magdalena M., Boros, Piotr W., Wiatr, Elżbieta, Zych, Jacek, Kempisty, Anna, Kram, Marek, Piotrowska-Kownacka, Dorota, Wesołowski, Stefan, Baughman, Robert P., Roszkowski-Sliż, Kazimierz
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Medicine
ISSN: 1536-5964
0025-7974
Popis: Dyspnea and exercise intolerance are usually attributed to pulmonary disease in sarcoidosis patients. However, cardiac involvement may also be responsible for these symptoms. Data regarding the impact of heart involvement on lung function in cardiac sarcoidosis (CS) is limited. The aim of study was to compare the results of pulmonary function tests (PFTs) in patients with and without heart involvement. We performed a retrospective analysis of PFTs in a group of sarcoidosis patients both with and without heart involvement evaluated by cardiovascular magnetic resonance (CMR) study. The study was performed in the period between May 2008 and April 2016. We included data of sarcoidosis patients who underwent testing for possible CS (including CMR study) at a national tertiary referral center for patients with interstitial lung diseases. All patients had histopathologicaly confirmed sarcoidosis and underwent standard evaluation with PFTs measurements including spirometry, plethysmography, lung transfer factor (TL,CO), and 6-minute walking test (6MWT) assessed using the most recent predicted values. We identified 255 sarcoidosis patients (93 women, age 42 ± 10.7 y): 103 with CS and 152 without CS (controls). CS patients had significantly lower left ventricular ejection fraction (LVEF; 56.9 ± 7.0 vs 60.4 ± 5.4, P
Databáze: OpenAIRE