{"title":"在消融术后恢复窦性心律的心房颤动患者中,博格体力消耗量表与通气无氧阈值不一致。","authors":"Saori Nishimura, Ryou Tanaka, Shigeshi Kamikawa, Isao Waki, Daiki Yamashita, Natsumi Tabita, Shunichi Higashiya, Hirosuke Yamaji, Takashi Murakami, Shozo Kusachi","doi":"10.12965/jer.2448056.028","DOIUrl":null,"url":null,"abstract":"<p><p>The determination of precise exercise intensity is essential for effective exercise rehabilitation. The Borg rating of perceived exertion category ratio (CR) scale is utilized to prescribe an appropriate level of exertion intensity. A Borg CR of approximately 13 coincides with the ventilatory aerobic threshold (VAT). Patients with atrial fibrillation (AF) exhibit various symptoms. We hypothesized that the workload at Borg CR13 (Borg CR13-Watt) differs from the workload at the VAT level (VAT-Watt) in AF patients with restored sinus rhythm (SR) following ablation. Accordingly, the relationship between Borg CR13-Watt and VAT-Watt was studied in patients with restored SR. Cardiopulmonary exercise testing (CPET) was performed at 101±88 days after ablation in 150 patients using a bicycle ergometer. No adverse events were observed during CPET. Borg CR13-Watt was significantly higher than VAT-Watt (67.2±27.8 Watt vs. 54.7±17.6 Watt, <i>P</i><0.0001). Borg CR13-Watt showed significant linear regression with VAT-Watt (regression coefficient, 0.49, <i>P</i><0.01; correlation coefficient, 0.80, <i>P</i><0.01). Higher Borg CR13-Watt was associated with greater differences between Borg CR13-Watt and VAT-Watt (ΔWatt). The Bland-Altman plot showed nonconcordance between the two. Male sex, use of antiarrhythmic drugs, and smoking had contributed to the increased ΔWatt. Duration from ablation to time of CPET did not correlate with ΔWatt. Therefore, Borg CR13-Watt did not coincide with VAT-Watt in patients with restored SR. Higher Borg CR13-Watt was associated with greater ΔWatt. Prescribing exertion intensity as determined solely by perceived exertion is inadequate. CPET is required to determine the precise exercise intensity in AF patients with restored SR after ablation.</p>","PeriodicalId":15771,"journal":{"name":"Journal of Exercise Rehabilitation","volume":"20 2","pages":"83-90"},"PeriodicalIF":1.2000,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11079550/pdf/","citationCount":"0","resultStr":"{\"title\":\"Borg's exertion scale did not coincide with ventilatory anaerobic threshold in atrial fibrillation patients with restored sinus rhythm after ablation.\",\"authors\":\"Saori Nishimura, Ryou Tanaka, Shigeshi Kamikawa, Isao Waki, Daiki Yamashita, Natsumi Tabita, Shunichi Higashiya, Hirosuke Yamaji, Takashi Murakami, Shozo Kusachi\",\"doi\":\"10.12965/jer.2448056.028\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The determination of precise exercise intensity is essential for effective exercise rehabilitation. The Borg rating of perceived exertion category ratio (CR) scale is utilized to prescribe an appropriate level of exertion intensity. A Borg CR of approximately 13 coincides with the ventilatory aerobic threshold (VAT). Patients with atrial fibrillation (AF) exhibit various symptoms. We hypothesized that the workload at Borg CR13 (Borg CR13-Watt) differs from the workload at the VAT level (VAT-Watt) in AF patients with restored sinus rhythm (SR) following ablation. Accordingly, the relationship between Borg CR13-Watt and VAT-Watt was studied in patients with restored SR. Cardiopulmonary exercise testing (CPET) was performed at 101±88 days after ablation in 150 patients using a bicycle ergometer. No adverse events were observed during CPET. Borg CR13-Watt was significantly higher than VAT-Watt (67.2±27.8 Watt vs. 54.7±17.6 Watt, <i>P</i><0.0001). Borg CR13-Watt showed significant linear regression with VAT-Watt (regression coefficient, 0.49, <i>P</i><0.01; correlation coefficient, 0.80, <i>P</i><0.01). Higher Borg CR13-Watt was associated with greater differences between Borg CR13-Watt and VAT-Watt (ΔWatt). The Bland-Altman plot showed nonconcordance between the two. Male sex, use of antiarrhythmic drugs, and smoking had contributed to the increased ΔWatt. Duration from ablation to time of CPET did not correlate with ΔWatt. Therefore, Borg CR13-Watt did not coincide with VAT-Watt in patients with restored SR. Higher Borg CR13-Watt was associated with greater ΔWatt. Prescribing exertion intensity as determined solely by perceived exertion is inadequate. CPET is required to determine the precise exercise intensity in AF patients with restored SR after ablation.</p>\",\"PeriodicalId\":15771,\"journal\":{\"name\":\"Journal of Exercise Rehabilitation\",\"volume\":\"20 2\",\"pages\":\"83-90\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2024-04-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11079550/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Exercise Rehabilitation\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.12965/jer.2448056.028\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/4/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Exercise Rehabilitation","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12965/jer.2448056.028","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/4/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"REHABILITATION","Score":null,"Total":0}
Borg's exertion scale did not coincide with ventilatory anaerobic threshold in atrial fibrillation patients with restored sinus rhythm after ablation.
The determination of precise exercise intensity is essential for effective exercise rehabilitation. The Borg rating of perceived exertion category ratio (CR) scale is utilized to prescribe an appropriate level of exertion intensity. A Borg CR of approximately 13 coincides with the ventilatory aerobic threshold (VAT). Patients with atrial fibrillation (AF) exhibit various symptoms. We hypothesized that the workload at Borg CR13 (Borg CR13-Watt) differs from the workload at the VAT level (VAT-Watt) in AF patients with restored sinus rhythm (SR) following ablation. Accordingly, the relationship between Borg CR13-Watt and VAT-Watt was studied in patients with restored SR. Cardiopulmonary exercise testing (CPET) was performed at 101±88 days after ablation in 150 patients using a bicycle ergometer. No adverse events were observed during CPET. Borg CR13-Watt was significantly higher than VAT-Watt (67.2±27.8 Watt vs. 54.7±17.6 Watt, P<0.0001). Borg CR13-Watt showed significant linear regression with VAT-Watt (regression coefficient, 0.49, P<0.01; correlation coefficient, 0.80, P<0.01). Higher Borg CR13-Watt was associated with greater differences between Borg CR13-Watt and VAT-Watt (ΔWatt). The Bland-Altman plot showed nonconcordance between the two. Male sex, use of antiarrhythmic drugs, and smoking had contributed to the increased ΔWatt. Duration from ablation to time of CPET did not correlate with ΔWatt. Therefore, Borg CR13-Watt did not coincide with VAT-Watt in patients with restored SR. Higher Borg CR13-Watt was associated with greater ΔWatt. Prescribing exertion intensity as determined solely by perceived exertion is inadequate. CPET is required to determine the precise exercise intensity in AF patients with restored SR after ablation.
期刊介绍:
The Journal of Exercise Rehabilitation is the official journal of the Korean Society of Exercise Rehabilitation, and is published six times a year. Supplementary issues may be published. Its official abbreviation is "J Exerc Rehabil". It was launched in 2005. The title of the first volume was Journal of the Korean Society of Exercise Rehabilitation (pISSN 1976-6319). The journal title was changed to Journal of Exercise Rehabilitation from Volume 9 Number 2, 2013. The effects of exercise rehabilitation are very broad and in some cases exercise rehabilitation has different treatment areas than traditional rehabilitation. Exercise rehabilitation can be presented as a solution to new diseases in modern society and it can replace traditional medicine in economically disadvantaged areas. Exercise rehabilitation is very effective in overcoming metabolic diseases and also has no side effects. Furthermore, exercise rehabilitation shows new possibility for neuropsychiatric diseases, such as depression, autism, attention deficit hyperactivity disorder, schizophrenia, etc. The purpose of the Journal of Exercise Rehabilitation is to identify the effects of exercise rehabilitation on a variety of diseases and to identify mechanisms for exercise rehabilitation treatment. The Journal of Exercise Rehabilitation aims to serve as an intermediary for objective and scientific validation on the effects of exercise rehabilitation worldwide. The types of manuscripts include research articles, review articles, and articles invited by the Editorial Board. The Journal of Exercise Rehabilitation contains 6 sections: Basic research on exercise rehabilitation, Clinical research on exercise rehabilitation, Exercise rehabilitation pedagogy, Exercise rehabilitation education, Exercise rehabilitation psychology, and Exercise rehabilitation welfare.