Exercise testing in COVID‐19 era: Clinical profile, results and feasibility wearing a facemask
Background No data are available about whether Coronavirus disease 2019 (COVID‐19) pandemic have led to changes in clinical profiles or results of exercise testing once the usual activity was reassumed, as well as if wearing a facemask has any impact on the tests. The aim of this study is to evaluat...
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| Veröffentlicht in: | European journal of clinical investigation 2021-04, Vol.51 (4), p.e13509-n/a |
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| creator | Barbeito‐Caamaño, Cayetana Bouzas‐Mosquera, Alberto Peteiro, Jesús López‐Vázquez, Domingo Quintas‐Guzmán, Martín Varela‐Cancelo, Ariana Martínez‐Ruiz, Dolores Yañez‐Wonenburger, Juan Carlos Piñeiro‐Portela, Miriam Vázquez‐Rodríguez, José Manuel |
| description | Background
No data are available about whether Coronavirus disease 2019 (COVID‐19) pandemic have led to changes in clinical profiles or results of exercise testing once the usual activity was reassumed, as well as if wearing a facemask has any impact on the tests. The aim of this study is to evaluate differences in the patients referred to exercise stress testing in the context of COVID‐19 pandemic and analyse the feasibility and results of these tests wearing a facemask.
Methods
We included all patients referred for an exercise test from 1 June to 30 September 2020 and compared them with the patients attended within the same period in 2019 before and after propensity score matching. All patients referred in 2020 wore a facemask.
Results
A total of 854 patients were included: 398 in the 2020 group and 456 in 2019. No significant differences in baseline characteristics of the patients were observed, with the exception of dyspnoea, which was nearly twice as high in 2020 as compared with 2019. Regarding the results of the tests, no differences were observed, with almost 80% of maximal tests, similar functional capacity and over a 20% of positive exercise tests in both groups. These results remained after propensity score matching.
Conclusion
COVID‐19 pandemic has not changed the clinical profile of patients referred to exercise testing. In addition, performing exercise testing wearing a facemask is feasible, with no influence in functional capacity and clinical results. |
| doi_str_mv | 10.1111/eci.13509 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7995065</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2499864882</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4439-cfb29dd1349bab39636b30fc3c6a92380cc23cc615e7a8065c3a019d716aa23e3</originalsourceid><addsrcrecordid>eNp1kc1u1DAURi1URIfCgheoLHUDEmn9kzgxCyQUpmWkSt0AW3Pj3LRuPcnUThhmxyPwjH2SukypAKne3IWPjr57P0JecXbI0ztC6w65LJh-QmZcqiITUokdMmOM55nQpdglz2O8ZIxVXIpnZFfKIq-YYjPybf4Dg3UR6YhxdP05dT2tz74uPt78_MU1xQDvaO1d7yx4ugpD5zy-pQHj5MdIoW9phxBd47wbN3SNEO4kQDuwuIR49YI87cBHfHk_98iX4_nn-lN2enayqD-cZjbPpc5s1wjdtlzmuoFGaiVVI1lnpVWghayYtUJaq3iBJaTohZXAuG5LrgCERLlH3m-9q6lZYmuxHwN4swpuCWFjBnDm35_eXZjz4bsptS6SLwle3wvCcD2lY5ilixa9hx6HKRqRVyUvEpon9OA_9HKYQp_WS5TWlcqrSiTqzZayYYgxYPcQhjNz15tJvZnfvSV2_-_0D-SfohJwtAXW6f6bx01mXi-2ylsAwaJG</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2499864882</pqid></control><display><type>article</type><title>Exercise testing in COVID‐19 era: Clinical profile, results and feasibility wearing a facemask</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Barbeito‐Caamaño, Cayetana ; Bouzas‐Mosquera, Alberto ; Peteiro, Jesús ; López‐Vázquez, Domingo ; Quintas‐Guzmán, Martín ; Varela‐Cancelo, Ariana ; Martínez‐Ruiz, Dolores ; Yañez‐Wonenburger, Juan Carlos ; Piñeiro‐Portela, Miriam ; Vázquez‐Rodríguez, José Manuel</creator><creatorcontrib>Barbeito‐Caamaño, Cayetana ; Bouzas‐Mosquera, Alberto ; Peteiro, Jesús ; López‐Vázquez, Domingo ; Quintas‐Guzmán, Martín ; Varela‐Cancelo, Ariana ; Martínez‐Ruiz, Dolores ; Yañez‐Wonenburger, Juan Carlos ; Piñeiro‐Portela, Miriam ; Vázquez‐Rodríguez, José Manuel</creatorcontrib><description>Background
No data are available about whether Coronavirus disease 2019 (COVID‐19) pandemic have led to changes in clinical profiles or results of exercise testing once the usual activity was reassumed, as well as if wearing a facemask has any impact on the tests. The aim of this study is to evaluate differences in the patients referred to exercise stress testing in the context of COVID‐19 pandemic and analyse the feasibility and results of these tests wearing a facemask.
Methods
We included all patients referred for an exercise test from 1 June to 30 September 2020 and compared them with the patients attended within the same period in 2019 before and after propensity score matching. All patients referred in 2020 wore a facemask.
Results
A total of 854 patients were included: 398 in the 2020 group and 456 in 2019. No significant differences in baseline characteristics of the patients were observed, with the exception of dyspnoea, which was nearly twice as high in 2020 as compared with 2019. Regarding the results of the tests, no differences were observed, with almost 80% of maximal tests, similar functional capacity and over a 20% of positive exercise tests in both groups. These results remained after propensity score matching.
Conclusion
COVID‐19 pandemic has not changed the clinical profile of patients referred to exercise testing. In addition, performing exercise testing wearing a facemask is feasible, with no influence in functional capacity and clinical results.</description><identifier>ISSN: 0014-2972</identifier><identifier>EISSN: 1365-2362</identifier><identifier>DOI: 10.1111/eci.13509</identifier><identifier>PMID: 33548060</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Aged ; Coronaviruses ; COVID-19 ; COVID-19 - prevention & control ; Dyspnea ; Echocardiography, Stress - methods ; Electrocardiography ; Exercise Test - methods ; exercise testing ; Exercise Tolerance ; facemask ; Feasibility studies ; Female ; functional capacity ; Humans ; ischaemic cardiomyopathy ; Male ; Masks ; Matching ; Metabolic Equivalent ; Middle Aged ; Myocardial Ischemia - diagnosis ; Myocardial Ischemia - physiopathology ; Original ; Pandemics ; Physical Functional Performance ; Propensity Score ; Referral and Consultation ; Respiration ; SARS-CoV-2 ; Spain ; Viral diseases</subject><ispartof>European journal of clinical investigation, 2021-04, Vol.51 (4), p.e13509-n/a</ispartof><rights>2021 Stichting European Society for Clinical Investigation Journal Foundation. Published by John Wiley & Sons Ltd</rights><rights>2021 Stichting European Society for Clinical Investigation Journal Foundation. Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2021 Stichting European Society for Clinical Investigation Journal Foundation</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4439-cfb29dd1349bab39636b30fc3c6a92380cc23cc615e7a8065c3a019d716aa23e3</citedby><cites>FETCH-LOGICAL-c4439-cfb29dd1349bab39636b30fc3c6a92380cc23cc615e7a8065c3a019d716aa23e3</cites><orcidid>0000-0003-2646-4703</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Feci.13509$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Feci.13509$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33548060$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barbeito‐Caamaño, Cayetana</creatorcontrib><creatorcontrib>Bouzas‐Mosquera, Alberto</creatorcontrib><creatorcontrib>Peteiro, Jesús</creatorcontrib><creatorcontrib>López‐Vázquez, Domingo</creatorcontrib><creatorcontrib>Quintas‐Guzmán, Martín</creatorcontrib><creatorcontrib>Varela‐Cancelo, Ariana</creatorcontrib><creatorcontrib>Martínez‐Ruiz, Dolores</creatorcontrib><creatorcontrib>Yañez‐Wonenburger, Juan Carlos</creatorcontrib><creatorcontrib>Piñeiro‐Portela, Miriam</creatorcontrib><creatorcontrib>Vázquez‐Rodríguez, José Manuel</creatorcontrib><title>Exercise testing in COVID‐19 era: Clinical profile, results and feasibility wearing a facemask</title><title>European journal of clinical investigation</title><addtitle>Eur J Clin Invest</addtitle><description>Background
No data are available about whether Coronavirus disease 2019 (COVID‐19) pandemic have led to changes in clinical profiles or results of exercise testing once the usual activity was reassumed, as well as if wearing a facemask has any impact on the tests. The aim of this study is to evaluate differences in the patients referred to exercise stress testing in the context of COVID‐19 pandemic and analyse the feasibility and results of these tests wearing a facemask.
Methods
We included all patients referred for an exercise test from 1 June to 30 September 2020 and compared them with the patients attended within the same period in 2019 before and after propensity score matching. All patients referred in 2020 wore a facemask.
Results
A total of 854 patients were included: 398 in the 2020 group and 456 in 2019. No significant differences in baseline characteristics of the patients were observed, with the exception of dyspnoea, which was nearly twice as high in 2020 as compared with 2019. Regarding the results of the tests, no differences were observed, with almost 80% of maximal tests, similar functional capacity and over a 20% of positive exercise tests in both groups. These results remained after propensity score matching.
Conclusion
COVID‐19 pandemic has not changed the clinical profile of patients referred to exercise testing. In addition, performing exercise testing wearing a facemask is feasible, with no influence in functional capacity and clinical results.</description><subject>Aged</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - prevention & control</subject><subject>Dyspnea</subject><subject>Echocardiography, Stress - methods</subject><subject>Electrocardiography</subject><subject>Exercise Test - methods</subject><subject>exercise testing</subject><subject>Exercise Tolerance</subject><subject>facemask</subject><subject>Feasibility studies</subject><subject>Female</subject><subject>functional capacity</subject><subject>Humans</subject><subject>ischaemic cardiomyopathy</subject><subject>Male</subject><subject>Masks</subject><subject>Matching</subject><subject>Metabolic Equivalent</subject><subject>Middle Aged</subject><subject>Myocardial Ischemia - diagnosis</subject><subject>Myocardial Ischemia - physiopathology</subject><subject>Original</subject><subject>Pandemics</subject><subject>Physical Functional Performance</subject><subject>Propensity Score</subject><subject>Referral and Consultation</subject><subject>Respiration</subject><subject>SARS-CoV-2</subject><subject>Spain</subject><subject>Viral diseases</subject><issn>0014-2972</issn><issn>1365-2362</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1u1DAURi1URIfCgheoLHUDEmn9kzgxCyQUpmWkSt0AW3Pj3LRuPcnUThhmxyPwjH2SukypAKne3IWPjr57P0JecXbI0ztC6w65LJh-QmZcqiITUokdMmOM55nQpdglz2O8ZIxVXIpnZFfKIq-YYjPybf4Dg3UR6YhxdP05dT2tz74uPt78_MU1xQDvaO1d7yx4ugpD5zy-pQHj5MdIoW9phxBd47wbN3SNEO4kQDuwuIR49YI87cBHfHk_98iX4_nn-lN2enayqD-cZjbPpc5s1wjdtlzmuoFGaiVVI1lnpVWghayYtUJaq3iBJaTohZXAuG5LrgCERLlH3m-9q6lZYmuxHwN4swpuCWFjBnDm35_eXZjz4bsptS6SLwle3wvCcD2lY5ilixa9hx6HKRqRVyUvEpon9OA_9HKYQp_WS5TWlcqrSiTqzZayYYgxYPcQhjNz15tJvZnfvSV2_-_0D-SfohJwtAXW6f6bx01mXi-2ylsAwaJG</recordid><startdate>202104</startdate><enddate>202104</enddate><creator>Barbeito‐Caamaño, Cayetana</creator><creator>Bouzas‐Mosquera, Alberto</creator><creator>Peteiro, Jesús</creator><creator>López‐Vázquez, Domingo</creator><creator>Quintas‐Guzmán, Martín</creator><creator>Varela‐Cancelo, Ariana</creator><creator>Martínez‐Ruiz, Dolores</creator><creator>Yañez‐Wonenburger, Juan Carlos</creator><creator>Piñeiro‐Portela, Miriam</creator><creator>Vázquez‐Rodríguez, José Manuel</creator><general>Blackwell Publishing Ltd</general><general>John Wiley and Sons Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-2646-4703</orcidid></search><sort><creationdate>202104</creationdate><title>Exercise testing in COVID‐19 era: Clinical profile, results and feasibility wearing a facemask</title><author>Barbeito‐Caamaño, Cayetana ; Bouzas‐Mosquera, Alberto ; Peteiro, Jesús ; López‐Vázquez, Domingo ; Quintas‐Guzmán, Martín ; Varela‐Cancelo, Ariana ; Martínez‐Ruiz, Dolores ; Yañez‐Wonenburger, Juan Carlos ; Piñeiro‐Portela, Miriam ; Vázquez‐Rodríguez, José Manuel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4439-cfb29dd1349bab39636b30fc3c6a92380cc23cc615e7a8065c3a019d716aa23e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>COVID-19 - prevention & control</topic><topic>Dyspnea</topic><topic>Echocardiography, Stress - methods</topic><topic>Electrocardiography</topic><topic>Exercise Test - methods</topic><topic>exercise testing</topic><topic>Exercise Tolerance</topic><topic>facemask</topic><topic>Feasibility studies</topic><topic>Female</topic><topic>functional capacity</topic><topic>Humans</topic><topic>ischaemic cardiomyopathy</topic><topic>Male</topic><topic>Masks</topic><topic>Matching</topic><topic>Metabolic Equivalent</topic><topic>Middle Aged</topic><topic>Myocardial Ischemia - diagnosis</topic><topic>Myocardial Ischemia - physiopathology</topic><topic>Original</topic><topic>Pandemics</topic><topic>Physical Functional Performance</topic><topic>Propensity Score</topic><topic>Referral and Consultation</topic><topic>Respiration</topic><topic>SARS-CoV-2</topic><topic>Spain</topic><topic>Viral diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Barbeito‐Caamaño, Cayetana</creatorcontrib><creatorcontrib>Bouzas‐Mosquera, Alberto</creatorcontrib><creatorcontrib>Peteiro, Jesús</creatorcontrib><creatorcontrib>López‐Vázquez, Domingo</creatorcontrib><creatorcontrib>Quintas‐Guzmán, Martín</creatorcontrib><creatorcontrib>Varela‐Cancelo, Ariana</creatorcontrib><creatorcontrib>Martínez‐Ruiz, Dolores</creatorcontrib><creatorcontrib>Yañez‐Wonenburger, Juan Carlos</creatorcontrib><creatorcontrib>Piñeiro‐Portela, Miriam</creatorcontrib><creatorcontrib>Vázquez‐Rodríguez, José Manuel</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of clinical investigation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Barbeito‐Caamaño, Cayetana</au><au>Bouzas‐Mosquera, Alberto</au><au>Peteiro, Jesús</au><au>López‐Vázquez, Domingo</au><au>Quintas‐Guzmán, Martín</au><au>Varela‐Cancelo, Ariana</au><au>Martínez‐Ruiz, Dolores</au><au>Yañez‐Wonenburger, Juan Carlos</au><au>Piñeiro‐Portela, Miriam</au><au>Vázquez‐Rodríguez, José Manuel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exercise testing in COVID‐19 era: Clinical profile, results and feasibility wearing a facemask</atitle><jtitle>European journal of clinical investigation</jtitle><addtitle>Eur J Clin Invest</addtitle><date>2021-04</date><risdate>2021</risdate><volume>51</volume><issue>4</issue><spage>e13509</spage><epage>n/a</epage><pages>e13509-n/a</pages><issn>0014-2972</issn><eissn>1365-2362</eissn><abstract>Background
No data are available about whether Coronavirus disease 2019 (COVID‐19) pandemic have led to changes in clinical profiles or results of exercise testing once the usual activity was reassumed, as well as if wearing a facemask has any impact on the tests. The aim of this study is to evaluate differences in the patients referred to exercise stress testing in the context of COVID‐19 pandemic and analyse the feasibility and results of these tests wearing a facemask.
Methods
We included all patients referred for an exercise test from 1 June to 30 September 2020 and compared them with the patients attended within the same period in 2019 before and after propensity score matching. All patients referred in 2020 wore a facemask.
Results
A total of 854 patients were included: 398 in the 2020 group and 456 in 2019. No significant differences in baseline characteristics of the patients were observed, with the exception of dyspnoea, which was nearly twice as high in 2020 as compared with 2019. Regarding the results of the tests, no differences were observed, with almost 80% of maximal tests, similar functional capacity and over a 20% of positive exercise tests in both groups. These results remained after propensity score matching.
Conclusion
COVID‐19 pandemic has not changed the clinical profile of patients referred to exercise testing. In addition, performing exercise testing wearing a facemask is feasible, with no influence in functional capacity and clinical results.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>33548060</pmid><doi>10.1111/eci.13509</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-2646-4703</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Aged Coronaviruses COVID-19 COVID-19 - prevention & control Dyspnea Echocardiography, Stress - methods Electrocardiography Exercise Test - methods exercise testing Exercise Tolerance facemask Feasibility studies Female functional capacity Humans ischaemic cardiomyopathy Male Masks Matching Metabolic Equivalent Middle Aged Myocardial Ischemia - diagnosis Myocardial Ischemia - physiopathology Original Pandemics Physical Functional Performance Propensity Score Referral and Consultation Respiration SARS-CoV-2 Spain Viral diseases |
| title | Exercise testing in COVID‐19 era: Clinical profile, results and feasibility wearing a facemask |
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