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Titre : | Reduced inspiratory muscle strength increases pneumonia in patients with acute myocardial infarction (2022) |
Auteurs : | YiNing Dai ; Zhi Liu ; HuiMin Zhan ; GuoLin Zhang ; Ping Wang ; ShengQing Zhang ; XianYuan Chen ; JiYan Chen ; PengCheng He ; Ling Xue ; Lan Guo ; Ning Tan ; YuanHui Liu |
Type de document : | Article |
Dans : | Annals of Physical and Rehabilitation Medicine (Vol. 65, n° 2, March 2022) |
Article en page(s) : | 6 p. |
Note générale : | https://doi.org/10.1016/j.rehab.2021.101511 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Infarctus du myocarde ; Pneumopathie infectieuse ; Pressions respiratoires maximales |
Résumé : | Background Inspiratory muscle strength is associated with pneumonia in patients after surgery or those with subacute stroke. However, inspiratory muscle strength in patients with acute myocardial infarction (AMI) has not been studied. Objective To evaluate the predictive value of inspiratory muscle strength for pneumonia in patients with AMI. Methods Patients with AMI were consecutively enrolled from March 2019 to September 2019. Measurements of maximal inspiratory pressure (MIP) were used to estimate inspiratory muscle strength and mostly were taken within 24 hr after culprit-vessel revascularization. Patients were divided into 3 groups by MIP tertile (T1: 84.9cm H2O, n=89). The primary endpoint was in-hospital pneumonia. Results Among 265 enrolled patients, pneumonia developed in 26 (10%). The rates of pneumonia were decreased from MIP T1 to T3 (T1: 17%, T2: 10%, T3: 2%, P=0.004). In-hospital all-cause mortality and major adverse cardiovascular events (MACEs) did not differ between groups. Multivariate logistic regression confirmed increased MIP associated with reduced risk of pneumonia (odds ratio 0.78, 95% confidence interval 0.65?0.94, P=0.008). Receiver operating characteristic curve analysis indicated that MIP had good performance for predicting in-hospital pneumonia, with an area under the curve of 0.72 (95% confidence interval 0.64?0.81, P |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1877065721000294 |