Impact of pericardiectomy on exercise capacity and sleep of patients with chronic constrictive pericarditis
Heart failure is associated with exercise intolerance and sleep- disordered breathing; however, studies in patients with chronic constrictive pericarditis are scarce. The purpose of our study was to assess exercise capacity and sleep in patients with chronic constrictive pericarditis (CCP) undergoin...
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| creator | Melo, Dirceu Thiago Pessoa de Nerbass, Flavia Baggio Sayegh, Ana Luiza Carrari Souza, Francis Ribeiro de Hotta, Viviane Tiemi Salemi, Vera Maria Curi Ramires, Félix José Alvarez Dias, Ricardo Ribeiro Lorenzi-Filho, Geraldo Mady, Charles Fernandes, Fábio |
| description | Heart failure is associated with exercise intolerance and sleep- disordered breathing; however, studies in patients with chronic constrictive pericarditis are scarce. The purpose of our study was to assess exercise capacity and sleep in patients with chronic constrictive pericarditis (CCP) undergoing a pericardiectomy.
We studied consecutive patients scheduled for pericardiectomy due to symptomatic CCP. Were performed quality of life (Minnesota Living with Heart Failure Questionnaire-MLHFQ) and sleep questionnaires (Epworth, Pittsburgh Sleep Quality Index-PSQI), serum B-type natriuretic peptide (BNP), serum C-reactive protein, transthoracic echocardiography, cardiopulmonary exercise test and overnight polysomnography immediately before and six months after pericardiectomy.
Twenty-five patients (76% males, age: 45.5±13.8 years, body mass index: 24.9±3.7 kg/m2, left ventricular ejection fraction: 60±6%) with CCP (76% idiopathic, 12% tuberculosis) were studied. As compared to the preoperative period, pericardiectomy resulted in reduction in BNP (143 (83.5-209.5) vs 76 (40-117.5) pg/mL, p = 0.011), improvement in VO2 peak (18.7±5.6 vs. 25.2±6.3 mL/kg/min, p |
| doi_str_mv | 10.1371/journal.pone.0223838 |
| format | Article |
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We studied consecutive patients scheduled for pericardiectomy due to symptomatic CCP. Were performed quality of life (Minnesota Living with Heart Failure Questionnaire-MLHFQ) and sleep questionnaires (Epworth, Pittsburgh Sleep Quality Index-PSQI), serum B-type natriuretic peptide (BNP), serum C-reactive protein, transthoracic echocardiography, cardiopulmonary exercise test and overnight polysomnography immediately before and six months after pericardiectomy.
Twenty-five patients (76% males, age: 45.5±13.8 years, body mass index: 24.9±3.7 kg/m2, left ventricular ejection fraction: 60±6%) with CCP (76% idiopathic, 12% tuberculosis) were studied. As compared to the preoperative period, pericardiectomy resulted in reduction in BNP (143 (83.5-209.5) vs 76 (40-117.5) pg/mL, p = 0.011), improvement in VO2 peak (18.7±5.6 vs. 25.2±6.3 mL/kg/min, p<0.001), quality of life (MLHFQ score 62 (43,5-77,5) vs. 18 (8,5-22), p<0,001) and sleep (PSQI score 7.8±4.1 vs. 4.7±3.7, p<0.001) and no significant change in sleep disordered breathing (apnea hypopnea index-AHI 15.6 (8.3-31.7) vs. 14.6 (5.75-29.9) events/h, p = 0.253).
Patients with symptomatic CCP showed reduced exercise capacity and sleep-disordered breathing. After pericardiectomy, there was improvement in exercise capacity and neutral effect on sleep-disordered breathing.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0223838</identifier><identifier>PMID: 31603935</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Apnea ; Biology and Life Sciences ; Body mass ; Body mass index ; Body size ; Brain natriuretic peptide ; C-reactive protein ; C-Reactive Protein - metabolism ; Cardiology ; Cardiomyopathy ; Care and treatment ; Complications and side effects ; Congestive heart failure ; Echocardiography ; Exercise physiology ; Exercise tests ; Exercise Tolerance - physiology ; Female ; Health aspects ; Heart ; Heart failure ; Heart surgery ; Hospitals ; Humans ; Intolerance ; Laboratories ; Male ; Males ; Medical prognosis ; Medical research ; Medicine and Health Sciences ; Middle Aged ; Natriuretic Peptide, Brain - blood ; Natriuretic peptides ; NMR ; Nuclear magnetic resonance ; Peptides ; Pericardiectomy ; Pericardiectomy - methods ; Pericarditis ; Pericarditis, Constrictive - diagnostic imaging ; Pericarditis, Constrictive - surgery ; Physical fitness ; Polysomnography ; Prospective Studies ; Quality of life ; Questionnaires ; Rehabilitation ; Research and Analysis Methods ; Respiration ; Respiration disorders ; Risk factors ; Sleep ; Sleep - physiology ; Sleep apnea ; Sleep disorders ; Surveys and Questionnaires ; Treatment Outcome ; Tuberculosis ; Ventricle</subject><ispartof>PloS one, 2019-10, Vol.14 (10), p.e0223838-e0223838</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Melo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 Melo et al 2019 Melo et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c641t-caad75de803280473776f3ca0440edcccc387e9728ecc9fb165ccf193dbe46783</cites><orcidid>0000-0002-3059-4327</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6788706/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6788706/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31603935$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Melo, Dirceu Thiago Pessoa de</creatorcontrib><creatorcontrib>Nerbass, Flavia Baggio</creatorcontrib><creatorcontrib>Sayegh, Ana Luiza Carrari</creatorcontrib><creatorcontrib>Souza, Francis Ribeiro de</creatorcontrib><creatorcontrib>Hotta, Viviane Tiemi</creatorcontrib><creatorcontrib>Salemi, Vera Maria Curi</creatorcontrib><creatorcontrib>Ramires, Félix José Alvarez</creatorcontrib><creatorcontrib>Dias, Ricardo Ribeiro</creatorcontrib><creatorcontrib>Lorenzi-Filho, Geraldo</creatorcontrib><creatorcontrib>Mady, Charles</creatorcontrib><creatorcontrib>Fernandes, Fábio</creatorcontrib><title>Impact of pericardiectomy on exercise capacity and sleep of patients with chronic constrictive pericarditis</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Heart failure is associated with exercise intolerance and sleep- disordered breathing; however, studies in patients with chronic constrictive pericarditis are scarce. The purpose of our study was to assess exercise capacity and sleep in patients with chronic constrictive pericarditis (CCP) undergoing a pericardiectomy.
We studied consecutive patients scheduled for pericardiectomy due to symptomatic CCP. Were performed quality of life (Minnesota Living with Heart Failure Questionnaire-MLHFQ) and sleep questionnaires (Epworth, Pittsburgh Sleep Quality Index-PSQI), serum B-type natriuretic peptide (BNP), serum C-reactive protein, transthoracic echocardiography, cardiopulmonary exercise test and overnight polysomnography immediately before and six months after pericardiectomy.
Twenty-five patients (76% males, age: 45.5±13.8 years, body mass index: 24.9±3.7 kg/m2, left ventricular ejection fraction: 60±6%) with CCP (76% idiopathic, 12% tuberculosis) were studied. As compared to the preoperative period, pericardiectomy resulted in reduction in BNP (143 (83.5-209.5) vs 76 (40-117.5) pg/mL, p = 0.011), improvement in VO2 peak (18.7±5.6 vs. 25.2±6.3 mL/kg/min, p<0.001), quality of life (MLHFQ score 62 (43,5-77,5) vs. 18 (8,5-22), p<0,001) and sleep (PSQI score 7.8±4.1 vs. 4.7±3.7, p<0.001) and no significant change in sleep disordered breathing (apnea hypopnea index-AHI 15.6 (8.3-31.7) vs. 14.6 (5.75-29.9) events/h, p = 0.253).
Patients with symptomatic CCP showed reduced exercise capacity and sleep-disordered breathing. After pericardiectomy, there was improvement in exercise capacity and neutral effect on sleep-disordered breathing.</description><subject>Adult</subject><subject>Apnea</subject><subject>Biology and Life Sciences</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Brain natriuretic peptide</subject><subject>C-reactive protein</subject><subject>C-Reactive Protein - metabolism</subject><subject>Cardiology</subject><subject>Cardiomyopathy</subject><subject>Care and treatment</subject><subject>Complications and side effects</subject><subject>Congestive heart failure</subject><subject>Echocardiography</subject><subject>Exercise physiology</subject><subject>Exercise tests</subject><subject>Exercise Tolerance - physiology</subject><subject>Female</subject><subject>Health aspects</subject><subject>Heart</subject><subject>Heart failure</subject><subject>Heart surgery</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intolerance</subject><subject>Laboratories</subject><subject>Male</subject><subject>Males</subject><subject>Medical prognosis</subject><subject>Medical research</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Natriuretic Peptide, Brain - blood</subject><subject>Natriuretic peptides</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Peptides</subject><subject>Pericardiectomy</subject><subject>Pericardiectomy - methods</subject><subject>Pericarditis</subject><subject>Pericarditis, Constrictive - diagnostic imaging</subject><subject>Pericarditis, Constrictive - surgery</subject><subject>Physical fitness</subject><subject>Polysomnography</subject><subject>Prospective Studies</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Rehabilitation</subject><subject>Research and Analysis Methods</subject><subject>Respiration</subject><subject>Respiration disorders</subject><subject>Risk factors</subject><subject>Sleep</subject><subject>Sleep - physiology</subject><subject>Sleep apnea</subject><subject>Sleep disorders</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><subject>Tuberculosis</subject><subject>Ventricle</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk11v0zAUhiMEYmPwDxBEQkJw0WLHTuzcIE0TH5UmTeLr1nJPTlqXJA62M9Z_j9tmo0G7IL6I5Tzvez6ckyTPKZlTJui7jR1cp5t5bzuckyxjkskHySktWTYrMsIeHu1PkifebwjJmSyKx8kJowVhJctPk5-LttcQUlunPToD2lUGIdh2m9ouxRt0YDymoCNlwjbVXZX6BrHfK3Qw2AWf_jZhncLa2c5ACrbzIVoFc41_TYPxT5NHtW48PhvfZ8n3jx--XXyeXV59WlycX86g4DTMQOtK5BVKwjJJuGBCFDUDTTgnWEF8mBRYikwiQFkvaZED1LHWaom8EJKdJS8Pvn1jvRr75FXGCKdEMlFGYnEgKqs3qnem1W6rrDZqf2DdSmkXDDSoiCg1ZDSXgMg503qZ57TiggqQSy0her0fow3LNuYXG-J0MzGdfunMWq3stYqpSkGKaPBmNHD214A-qNZ4wKbRHdphn3dOcp6xHfrqH_T-6kZqpWMBpqttjAs7U3VekIxnku6p-T1UXBW2Jt4h1iaeTwRvJ4LIBLwJKz14rxZfv_w_e_Vjyr4-Yteom7D2thmCiT_SFOQHEJz13mF912RK1G4mbruhdjOhxpmIshfHF3Qnuh0C9gcVjAiy</recordid><startdate>20191011</startdate><enddate>20191011</enddate><creator>Melo, 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of pericardiectomy on exercise capacity and sleep of patients with chronic constrictive pericarditis</title><author>Melo, Dirceu Thiago Pessoa de ; Nerbass, Flavia Baggio ; Sayegh, Ana Luiza Carrari ; Souza, Francis Ribeiro de ; Hotta, Viviane Tiemi ; Salemi, Vera Maria Curi ; Ramires, Félix José Alvarez ; Dias, Ricardo Ribeiro ; Lorenzi-Filho, Geraldo ; Mady, Charles ; Fernandes, Fábio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c641t-caad75de803280473776f3ca0440edcccc387e9728ecc9fb165ccf193dbe46783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Apnea</topic><topic>Biology and Life Sciences</topic><topic>Body mass</topic><topic>Body mass index</topic><topic>Body size</topic><topic>Brain natriuretic peptide</topic><topic>C-reactive protein</topic><topic>C-Reactive Protein - metabolism</topic><topic>Cardiology</topic><topic>Cardiomyopathy</topic><topic>Care and treatment</topic><topic>Complications and side effects</topic><topic>Congestive heart failure</topic><topic>Echocardiography</topic><topic>Exercise physiology</topic><topic>Exercise tests</topic><topic>Exercise Tolerance - physiology</topic><topic>Female</topic><topic>Health aspects</topic><topic>Heart</topic><topic>Heart failure</topic><topic>Heart surgery</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Intolerance</topic><topic>Laboratories</topic><topic>Male</topic><topic>Males</topic><topic>Medical prognosis</topic><topic>Medical research</topic><topic>Medicine and Health Sciences</topic><topic>Middle Aged</topic><topic>Natriuretic Peptide, Brain - blood</topic><topic>Natriuretic peptides</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Peptides</topic><topic>Pericardiectomy</topic><topic>Pericardiectomy - methods</topic><topic>Pericarditis</topic><topic>Pericarditis, Constrictive - diagnostic imaging</topic><topic>Pericarditis, Constrictive - surgery</topic><topic>Physical fitness</topic><topic>Polysomnography</topic><topic>Prospective Studies</topic><topic>Quality of life</topic><topic>Questionnaires</topic><topic>Rehabilitation</topic><topic>Research and Analysis Methods</topic><topic>Respiration</topic><topic>Respiration disorders</topic><topic>Risk factors</topic><topic>Sleep</topic><topic>Sleep - physiology</topic><topic>Sleep apnea</topic><topic>Sleep disorders</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><topic>Tuberculosis</topic><topic>Ventricle</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Melo, Dirceu Thiago Pessoa de</creatorcontrib><creatorcontrib>Nerbass, Flavia Baggio</creatorcontrib><creatorcontrib>Sayegh, Ana Luiza Carrari</creatorcontrib><creatorcontrib>Souza, Francis Ribeiro 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titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Melo, Dirceu Thiago Pessoa de</au><au>Nerbass, Flavia Baggio</au><au>Sayegh, Ana Luiza Carrari</au><au>Souza, Francis Ribeiro de</au><au>Hotta, Viviane Tiemi</au><au>Salemi, Vera Maria Curi</au><au>Ramires, Félix José Alvarez</au><au>Dias, Ricardo Ribeiro</au><au>Lorenzi-Filho, Geraldo</au><au>Mady, Charles</au><au>Fernandes, Fábio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of pericardiectomy on exercise capacity and sleep of patients with chronic constrictive pericarditis</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2019-10-11</date><risdate>2019</risdate><volume>14</volume><issue>10</issue><spage>e0223838</spage><epage>e0223838</epage><pages>e0223838-e0223838</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Heart failure is associated with exercise intolerance and sleep- disordered breathing; however, studies in patients with chronic constrictive pericarditis are scarce. The purpose of our study was to assess exercise capacity and sleep in patients with chronic constrictive pericarditis (CCP) undergoing a pericardiectomy.
We studied consecutive patients scheduled for pericardiectomy due to symptomatic CCP. Were performed quality of life (Minnesota Living with Heart Failure Questionnaire-MLHFQ) and sleep questionnaires (Epworth, Pittsburgh Sleep Quality Index-PSQI), serum B-type natriuretic peptide (BNP), serum C-reactive protein, transthoracic echocardiography, cardiopulmonary exercise test and overnight polysomnography immediately before and six months after pericardiectomy.
Twenty-five patients (76% males, age: 45.5±13.8 years, body mass index: 24.9±3.7 kg/m2, left ventricular ejection fraction: 60±6%) with CCP (76% idiopathic, 12% tuberculosis) were studied. As compared to the preoperative period, pericardiectomy resulted in reduction in BNP (143 (83.5-209.5) vs 76 (40-117.5) pg/mL, p = 0.011), improvement in VO2 peak (18.7±5.6 vs. 25.2±6.3 mL/kg/min, p<0.001), quality of life (MLHFQ score 62 (43,5-77,5) vs. 18 (8,5-22), p<0,001) and sleep (PSQI score 7.8±4.1 vs. 4.7±3.7, p<0.001) and no significant change in sleep disordered breathing (apnea hypopnea index-AHI 15.6 (8.3-31.7) vs. 14.6 (5.75-29.9) events/h, p = 0.253).
Patients with symptomatic CCP showed reduced exercise capacity and sleep-disordered breathing. After pericardiectomy, there was improvement in exercise capacity and neutral effect on sleep-disordered breathing.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>31603935</pmid><doi>10.1371/journal.pone.0223838</doi><tpages>e0223838</tpages><orcidid>https://orcid.org/0000-0002-3059-4327</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2019-10, Vol.14 (10), p.e0223838-e0223838 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2304108379 |
| source | MEDLINE; Public Library of Science; Full-Text Journals in Chemistry (Open access); PubMed Central (PMC); DOAJ Directory of Open Access Journals; EZB Electronic Journals Library |
| subjects | Adult Apnea Biology and Life Sciences Body mass Body mass index Body size Brain natriuretic peptide C-reactive protein C-Reactive Protein - metabolism Cardiology Cardiomyopathy Care and treatment Complications and side effects Congestive heart failure Echocardiography Exercise physiology Exercise tests Exercise Tolerance - physiology Female Health aspects Heart Heart failure Heart surgery Hospitals Humans Intolerance Laboratories Male Males Medical prognosis Medical research Medicine and Health Sciences Middle Aged Natriuretic Peptide, Brain - blood Natriuretic peptides NMR Nuclear magnetic resonance Peptides Pericardiectomy Pericardiectomy - methods Pericarditis Pericarditis, Constrictive - diagnostic imaging Pericarditis, Constrictive - surgery Physical fitness Polysomnography Prospective Studies Quality of life Questionnaires Rehabilitation Research and Analysis Methods Respiration Respiration disorders Risk factors Sleep Sleep - physiology Sleep apnea Sleep disorders Surveys and Questionnaires Treatment Outcome Tuberculosis Ventricle |
| title | Impact of pericardiectomy on exercise capacity and sleep of patients with chronic constrictive pericarditis |
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