scholarly journals Simple Risk Stratification based on Killip Classification and the Six-minute Walk Test Borg Scale for Outcomes of Acute Coronary Syndrome for Papuanese People in Rural Hospital

2021 ◽  
Vol 2 (1) ◽  
pp. 10
Author(s):  
Ahmad Zaid Alhamid ◽  
Herlina Yulidia ◽  
Intan Iriani Supriatna

Background: Accurate risk stratification for untoward outcomes after acute coronary syndrome patients may help clinicians guide the type and intensity of therapy. Unfortunately, most of the Papuanese people face difficulties in accessing sophisticated medical treatment. Aims: The aim of this study was to determine the simplest but most accurate risk stratification for ACS patients treated in rural hospital. Methods: This was a cross-sectional study conducted in Sele Be Solu Regional Hospital at Sorong Regency in West Papua Province. Fifteen unselected patients from September 2019 to March 2020 period with ACS were prospectively studied. All the data were collected from medical records. Results: Subject characteristics mostly were male (80%) and mean age was 54 years, (13,3%) subjects were age less than 45 years. The most diagnosed ACS type was STEMI (73,3%). Conclusion:In Papuanese patients with ACS in rural hospital, those at highest risk can be identified using Killip classification and The Six-minute Walk Test Borg Scale as short term predictor for ACS patients’ outcome. 

2021 ◽  
Vol 28 (3) ◽  
pp. 267-275
Author(s):  
Mariana Kalazich-Rosales ◽  
Camila Mautner-Molina ◽  
Cecilia König-Araya ◽  
Francisca Fuentes-Leal ◽  
Carlos Cárcamo-Ibaceta ◽  
...  

ABSTRACT The six-minute walk test (6MWT) is widely used to measure functional capacity in special populations. However, the factors associated with its performance in candidates for bariatric surgery are unclear. Therefore, this study aimed to investigate the influence of anthropometric and physiological factors in the 6MWT performance in bariatric surgery candidates. This cross-sectional study included 107 candidates for bariatric surgery. Anthropometric factors considered: gender, weight, height, body mass index (BMI), waist-to-hip, and waist-to-height ratios. Along with distance covered during 6MWT, physiological factors such as ratings of perceived exertion (RPE) and heart rate reserve percentage used (%HRR) were recorded. Among the 107 patients (mean age: 39.6 years), 83 volunteers were accepted to perform the 6MWT. No gender differences were observed in terms of distance covered, %HRR, and RPE during the 6MWT. Moreover, BMI and %HRR explained 21% of the 6MWT distance covered. Furthermore, participants with BMI ≤41.5 kg/m2 walked ~50 meters more than their peers above this level (p=0.05). Interestingly, heart rate increase during the 6MWT was lower than described for healthy populations. BMI and %HRR partially explain the variability of the 6MWT performance in bariatric surgery candidates.


2020 ◽  
Vol 15 ◽  
Author(s):  
Chaitali Deshpande ◽  
Gopala Krishna Alaparthi ◽  
Shyam Krishnan ◽  
Kalyan Chakravarthy Bairapareddy ◽  
Anand Ramakrishna ◽  
...  

Background: In COPD patients it is very important to assess the activities of daily living (ADL) due to an impairment of independence and quality of life. There is a lack of retrievable data regarding the cardio-pulmonary response to Londrina ADL protocol in patients with COPD. The aim of the present study was to assess the cardio-pulmonary response to Londrina ADL protocol in patients with COPD and to compare this with responses to the Glittre ADL test. Methods: This cross-sectional study was done on 30 COPD subjects. Each subject was made to perform the Londrina ADL protocol, Glittre ADL test, twice each, on subsequent days. The Londrina ADL protocol comprises 5 activities representing ADL, involving upper limbs, lower limbs, and trunk movements. The Glittre ADL test consists of completing a circuit while carrying a weighted backpack (2.5 kg for women, 5.0 kg for men). The better value of the two was taken into consideration. For the Londrina ADL protocol and Glittre ADL test the outcome of primary interest was time and for the six-minute walk test was the distance walked. The secondary outcomes for all the tests were heart rate, systolic blood pressure, diastolic blood pressure, respiratory rate, saturation of oxygen in blood and dyspnea.Results: The COPD subjects of age group 63.27±11.07 years took 5.94±0.36 min to complete trial 2 of the Londrina ADL protocol. A significant physiological increase in heart rate (p≤0.01), respiratory rate (p≤0.01), blood pressure (p≤0.01) and severity of dyspnea (p≤0.01) were observed whereas saturation of oxygen in blood (p≤0.01) was reduced at the end of the Londrina ADL protocol and Glittre ADL test. There was a positive, non-significant correlation between the six-minute walk test distance and the Londrina ADL protocol time (r=0.236) (p=0.209). A positive, not significant correlation was observed between the Glittre ADL test (time) and the Londrina ADL protocol (time) (r=0.194) (p=0.304) and a negative but not significant correlation between the six-minute walk test (distance) and the Glittre ADL test (time) (r= -0.184) (p=0.330).Conclusion: The Londrina ADL protocol can be used as an assessment tool to the evaluation of functional performance and activities of daily living in COPD along with other test protocols in pulmonary rehabilitation.


2019 ◽  
Vol 9 (2) ◽  
pp. 65
Author(s):  
Ni Made Elva Mayasari ◽  
Raden Ayu Tanzila ◽  
Woro Nurul sandra Anindhita

Pasien diabetes melitus sangat rentan terkena komplikasi akibat hiperglikemia yang dialami. Semakin lama pasien diabetes melitus mengalami hiperglikemia maka dapat menyebabkan berbagai macam komplikasi baik komplikasi mikrovaskular dan juga komplikasi makrovaskular seperti cardiovascular disease, coronary heart disease, heart failure dan lain-lain, meskipun komplikasi tersebut juga dipengaruhi faktor lain seperti diet dan juga pengobatan. Komplikasi makrovaskular pada diabetes melitus dapat menyebabkan penurunan kapasitas fungsional. Penurunan kapasitas fungsional tersebut salah satunya dapat diukur dengan menggunakan six minute walk test. Penelitian ini bertujuan untuk mengetahui hubungan antara lamanya menderita diabetes melitus terhadap jarak yang ditempuh selama six minute walk test. Penelitian ini bersifat analitik observasional dengan desain cross sectional study dengan besar sampel sebanyak 40 orang yang dipilih menggunakan nonprobability sampling dengan metode consecutive sampling. Hasil uji Chi-square didapatkan tidak terdapat hubungan antara lama menderita DM terhadap jarak yang ditempuh selama six minute walk test dengan nilai signifikannya adalah 0,69 (p>0,05).


2020 ◽  
pp. 1-2
Author(s):  
Manish Meena ◽  
Aashish Kumar Singh* ◽  
Shashi Prakash Agnihotri

Background: Six minute walk test (6MWT), represent a useful marker for exercise capacity and dynamic hyperination of COPD patients.Highresolution computed tomography (HRCT) has allowed in detection of airway wall abnormalities and emphysema, whose extent may correlate with the clinical severity of the disease in COPD patients. Material & methods: A cross sectional study was carried in 100 COPD patients attending Department of Respiratory Medicine, Institute of respiratory diseases, SMS Medical College, Jaipur, during June 2018 to May 2019.All patients underwent clinically (Modied Medical Research Council), radiologically (HRCT) &6MWT. Results:The 6MWTshowed that a negative correlation to dyspnea (mMRC grading), emphysema score & post FEV1% predicted (p<0.0001). Conclusion:The HRCTemphysema score can be used as an initial parameter for identify patients with high risk for COPD.


2017 ◽  
Vol 21 (3) ◽  
pp. 167-174 ◽  
Author(s):  
Lívia S. Diniz ◽  
Victor R. Neves ◽  
Ana C. Starke ◽  
Marco P.T. Barbosa ◽  
Raquel R. Britto ◽  
...  

2021 ◽  
pp. 105477382110401
Author(s):  
Audai A. Hayajneh ◽  
Mohammad Rababa ◽  
Sami Al-Rawashedeh

The prevalence of prehospital delay is high among older adults with acute coronary syndrome (ACS). The current study aimed to examine the associated factors of prehospital delay among patients with ACS during the COVID-19 pandemic. This cross-sectional study was conducted on a convenience sample of 300 older adults with ACS admitted to the emergency department in Jordan. Data were collected from June 1 to September 1, 2020. Bivariate and multivariate analyses were used to explore the predictors of prehospital delay. Being widowed, educational level, pain intensity, the gradual onset of ACS symptoms, symptoms lasting for more than 30 minutes, patients’ feeling anxious about their ACS symptoms, patients’ perceiving their symptoms to be particularly dangerous, history of myocardial infarction (MI), and mode of transportation were associated with the time taken before seeking emergency care. Significant predictors of time to seek help were chief complaint of chest pain or palpitations, abrupt onset of symptoms, the associated symptom of vertigo, and a higher number of chronic illnesses; they explained about 17.9% of the variance in the time to seek care. The average time to seek care among patients with ACS during the COVID-19 pandemic was found to be longer than the average time reported by studies conducted prior the pandemic. Improved understanding of the associations between prehospital delay is crucial for optimal ACS patient outcomes under the impacts of the COVID-19 pandemic.


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