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https://hdl.handle.net/20.500.14094/90006722
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2024-04-18
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90006722 (fulltext)
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メタデータID
90006722
アクセス権
open access
出版タイプ
Version of Record
タイトル
Increased Heart Rate during Walk Test Predicts Chronic-Phase Worsening of Renal Function in Patients with Acute Myocardial Infarction and Normal Kidney Function
著者
Ogura, Asami ; Izawa, P. Kazuhiro ; Tawa, Hideto ; Kureha, Fumie ; Wada, Masaaki ; Kanai, Masashi ; Kubo, Ikko ; Yoshikawa, Ryohei ; Matsuda, Yuichi
著者名
Ogura, Asami
著者ID
A1350
研究者ID
1000010736185
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=3330637c7f4d6307520e17560c007669
著者名
Izawa, P. Kazuhiro
井澤, 和大
イザワ, カズヒロ
所属機関名
保健学研究科
著者名
Tawa, Hideto
著者名
Kureha, Fumie
著者名
Wada, Masaaki
著者名
Kanai, Masashi
著者名
Kubo, Ikko
著者名
Yoshikawa, Ryohei
著者名
Matsuda, Yuichi
収録物名
International Journal of Environmental Research and Public Health
巻(号)
16(23)
ページ
4785-4785
出版者
MDPI
刊行日
2019-12
公開日
2020-02-06
抄録
Chronic-phase worsening renal function (WRF) in patients with acute myocardial infarction (AMI) has been associated with poor prognosis. However, there is no consensus on either the method of prevention or the cause. The aim of this study was to determine factors predictive of chronic-phase WRF from the viewpoint of circulatory dynamics response to exercise during hospitalization of AMI patients without renal dysfunction on admission. We studied 186 consecutively AMI patients who underwent the 200-m walk test. Chronic-phase WRF was defined as a 20% decrease in estimated glomerular filtration rate (eGFR) from baseline to 8–10 months after AMI onset. Heart rate (HR) and systolic blood pressure recorded during the 200-m walk test were evaluated as circulatory dynamics responses. In total, 94 patients were enrolled. Multiple linear regression analysis showed that ΔHR (peak-rest) associated significantly with ΔeGFR (β = 0.427, p = 0.018). The receiver operating characteristic curve of ΔHR to predict chronic-phase WRF showed an area under the curve of 0.77, with a cut-off value of 22.0 bpm having a 95% sensitivity and 55% specificity. Among circulatory dynamics responses during exercise in the acute phase after AMI, ΔHR was an independent predictor of chronic-phase WRF.
キーワード
acute myocardial infarction
worsening renal function
walk test
heart rate
カテゴリ
保健学研究科
学術雑誌論文
権利
© 2019 by the authors. Licensee MDPI, Basel, Switzerland.
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
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資源タイプ
journal article
言語
English (英語)
ISSN
1661-7827
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eISSN
1660-4601
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関連情報
DOI
https://doi.org/10.3390/ijerph16234785
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