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CC BY 4.0 · Int J Sports Med 2024; 45(01): 63-70
DOI: 10.1055/a-2161-4137
Clinical Sciences

Elective Cardiac Procedure Patients Have Low Preoperative Cardiorespiratory Fitness

Sini Vasankari 
1   Clinical Medicine, University of Turku Faculty of Medicine, Turku, Finland
,
Visa Mahlamäki
2   Heart Center, Kuopio University Hospital, Kuopio, Finland
,
Juha Hartikainen
2   Heart Center, Kuopio University Hospital, Kuopio, Finland
3   Clinical Medicine, University of Eastern Finland – Kuopio Campus, Kuopio, Finland
,
Ville Vasankari
4   Neurosurgery, Helsinki University Central Hospital, Helsinki, Finland
,
Kari Tokola
5   UKK Institute, UKK Institute, Tampere, Finland
,
Henri Vähä-Ypyä
5   UKK Institute, UKK Institute, Tampere, Finland
,
Vesa Anttila
6   Heart Center, TYKS Turku University Hospital, Turku, Finland
,
Pauliina Husu
5   UKK Institute, UKK Institute, Tampere, Finland
,
Harri Sievänen
5   UKK Institute, UKK Institute, Tampere, Finland
,
Tommi Vasankari  ‡
5   UKK Institute, UKK Institute, Tampere, Finland
7   Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
,
Jari Halonen‡
2   Heart Center, Kuopio University Hospital, Kuopio, Finland
3   Clinical Medicine, University of Eastern Finland – Kuopio Campus, Kuopio, Finland
› Author Affiliations Funding Information Sydäntutkimussäätiö — http://dx.doi.org/10.13039/501100005633; Research Foundation of North Savo Hospital District — Yrjö Jahnssonin Säätiö — http://dx.doi.org/10.13039/100010114; 6992 Opetus- ja Kulttuuriministeriö — http://dx.doi.org/10.13039/ 501100003126; Academy of Finland (decision nro 356156)
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Abstract

Preoperative cardiorespiratory fitness may influence the recovery after cardiac procedure. The aim of this study was to investigate the cardiorespiratory fitness of patients scheduled for elective cardiac procedures, using a six-minute walk test, and compare the results with a population-based sample of Finnish adults. Patients (n=234) awaiting percutaneous coronary intervention or coronary angiography, coronary artery bypass grafting, aortic valve replacement or mitral valve surgery performed the six-minute walk test. VO2max was calculated based on the walk test. The patients were compared to a population-based sample of 60–69-year-old Finnish adults from the FinFit2017 study. The mean six-minute walk test distances (meters) and VO2max (ml/kg/min) of the patient groups were: 452±73 and 24.3±6.9 (coronary artery bypass grafting), 499±84 and 27.6±7.2 (aortic valve replacement), 496±85 and 27.4±7.3 (mitral valve surgery), and 519±90 and 27.3±6.9 (percutaneous coronary intervention or coronary angiography). The population-based sample had significantly greater walk test distance (623±81) and VO2max (31.7±6.1) than the four patient groups (all p-values<0.001). All patient groups had lower cardiorespiratory fitness than the reference population of 60–69-year-old Finnish adults. Particularly the coronary artery bypass grafting group had a low cardiorespiratory fitness, and therefore might be prone to complications and challenging rehabilitation after the operation.

Key words

aortic valve disease - coronary artery disease - mitral valve insufficiency - physical activity

Supplementary Material



Publication History

Received: 17 December 2023

Accepted: 28 August 2023

Accepted Manuscript online:
28 August 2023

Article published online:
06 October 2023

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

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