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Myocardial Infarction Injury in Patients with Chronic Lung Disease Entering Pulmonary Rehabilitation : Frequency and Association with Heart Rate Parameters Lau, Benny C.; Taylor, Carolyn M.; Eeden van, Stephan F.; Camp, Pat; Sima, Carmen Aurelia; Reid, Wendy Darlene; Sheel, A. William; Kirkham, Ashley

Abstract

Background: Myocardial infarction (MI) remains under-recognized in chronic lung disease (CLD) patients. Rehabilitation health professionals need accessible clinical measurements to identify the presence of prior MI in order to determine appropriate training prescription. Objectives: We aimed to estimate prior MI in CLD patients entering a pulmonary rehabilitation program, as well as its association with heart rate parameters such as resting heart rate and chronotropic response index. Design: Retrospective cohort design.Setting: Pulmonary rehabilitation outpatient clinic in a tertiary care university-affiliated hospital. Patients: Eighty-five CLD patients were studied. Methods: Electrocardiograms at rest and peak cardiopulmonary exercise testing, performed before pulmonary rehabilitation, were analyzed. Electrocardiographic evidence of prior MI, quantified by the cardiac infarction injury score (CIIS), was contrasted with reported myocardial events and then correlated with resting heart rate and chronotropic response index parameters. Main outcome measurements: Cardiac infarction injury score, resting heart rate and 40 chronotropic response index. Results: Sixteen CLD patients (19%) demonstrated electrocardiographic evidence of prior MI, but less than half (8%) had a reported MI history (p

Item Metadata

Title
Myocardial Infarction Injury in Patients with Chronic Lung Disease Entering Pulmonary Rehabilitation : Frequency and Association with Heart Rate Parameters
Creator
Lau, Benny C.; Taylor, Carolyn M.; Eeden van, Stephan F.; Camp, Pat; Sima, Carmen Aurelia; Reid, Wendy Darlene; Sheel, A. William; Kirkham, Ashley
Contributor
James Hogg iCAPTURE Centre (University of British Columbia); University of British Columbia. Centre for Heart Lung Innovation
Date Issued
2017-07-19
Description
Background: Myocardial infarction (MI) remains under-recognized in chronic lung disease (CLD) patients. Rehabilitation health professionals need accessible clinical measurements to identify the presence of prior MI in order to determine appropriate training prescription. Objectives: We aimed to estimate prior MI in CLD patients entering a pulmonary rehabilitation program, as well as its association with heart rate parameters such as resting heart rate and chronotropic response index. Design: Retrospective cohort design.Setting: Pulmonary rehabilitation outpatient clinic in a tertiary care university-affiliated hospital. Patients: Eighty-five CLD patients were studied. Methods: Electrocardiograms at rest and peak cardiopulmonary exercise testing, performed before pulmonary rehabilitation, were analyzed. Electrocardiographic evidence of prior MI, quantified by the cardiac infarction injury score (CIIS), was contrasted with reported myocardial events and then correlated with resting heart rate and chronotropic response index parameters. Main outcome measurements: Cardiac infarction injury score, resting heart rate and 40 chronotropic response index. Results: Sixteen CLD patients (19%) demonstrated electrocardiographic evidence of prior MI, but less than half (8%) had a reported MI history (p
Subject
Chronic lung disease; Pulmonary rehabilitation; Myocardial infarction; Cardiac infarction injury score; Heart rate; Chronotropic incompetence
Genre
Article; Preprint
Type
Text
Language
eng
Date Available
2018-06-22
Provider
Vancouver : University of British Columbia Library
Rights
Attribution-NonCommercial-NoDerivatives 4.0 International
DOI
10.14288/1.0368711
URI
http://hdl.handle.net/2429/66341
Affiliation
Medicine, Faculty of; Other UBC; Non UBC; Physical Therapy, Department of
Citation
Sima, C. A., Lau, B. C., Taylor, C. M., van Eeden, S. F., Reid, W. D., Sheel, A. W., . . . Camp, P. G. (2018). Myocardial infarction injury in patients with chronic lung disease entering pulmonary rehabilitation: Frequency and association with heart rate parameters. PM&R.
Peer Review Status
Unreviewed
Scholarly Level
Faculty
Rights URI
http://creativecommons.org/licenses/by-nc-nd/4.0/
Aggregated Source Repository
DSpace

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Attribution-NonCommercial-NoDerivatives 4.0 International