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Titre : | Reductions in Cardiac Structure and Function 24 Months After Spinal Cord Injury: A Cross-Sectional Study (2021) |
Auteurs : | Matthew R. Ely ; Tamanna K. Singh ; Aaron L. Baggish ; Andrew J. Taylor |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 8, 2021) |
Article en page(s) : | p. 1490-1498 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.01.070 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Atrophie ; Echocardiographie ; Réadaptation ; Traumatismes de la moelle épinière |
Résumé : |
Objective
To determine the alterations in cardiac structure and function that occur in the months after spinal cord injury (SCI). Study Design Cross-sectional Setting Rehabilitation Hospital Participants Volunteers (N=29; 4 women, 25 men) between 3 and 24 months after SCI. Main Outcome Measures Transthoracic echocardiography was performed on each volunteer. The relationships between time since injury and neurologic and sensory levels of injury to cardiac structure and function were assessed via multiple linear regression. Results Time since injury was most strongly associated with reductions in left ventricular end diastolic volume (r2=0.156; P=.034), end systolic volume (r2=0.141; P=.045), and mass (r2=0.138; P=.047). These structural changes were paralleled by reduced stroke volume (r2=0.143; P=.043) and cardiac output (r2=0.317; P=<.001 the reductions in left ventricular structure and systolic function were not differentially affected by neurologic or sensory levels of injury> Conclusions These results suggest progressive reductions in left ventricular structure and systolic function between 3 and 24 months after SCI that occur independent of neurologic and sensory levels of injury. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321001374#! |