| アブストラクト | BACKGROUND: This study aimed to investigate the implementation rate of cardiopulmonary exercise testing (CPET) in patients undergoing cardiac resynchronization therapy (CRT) or cardiac resynchronization therapy-defibrillator (CRT-D), as well as the associated factors, using real-world data. METHODS AND RESULTS: Data from the Diagnostic Procedure Combination System in Japan (2014-2018) was analyzed. The participants were cardiac patients who underwent CRT or CRT-D device implantation (n = 3859). The primary outcome was whether CPET was performed after device implantation. Unpaired t-tests and chi-squared tests were used to compare the characteristics of the CPET (+) and CPET (-) groups. Multivariate analysis was used to identify factors associated with CPET performance. CPET was performed in 134 patients (3%). The CPET (-) group was older and had lower Barthel Index (BI) scores at discharge. CPET (+) patients had a higher rate of cardiac rehabilitation. Multivariate analysis revealed that age < 70 years and BI score >/= 85 at discharge were associated with CPET implementation. In-hospital cardiac rehabilitation is also an important determinant. CONCLUSIONS: The CPET implementation after CRT or CRT-D was low. Emphasizing the importance of CPET may improve these rates. Future studies should explore strategies to increase its use in this patient population. |
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| ジャーナル名 | Journal of arrhythmia |
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| Pubmed追加日 | 2025/9/25 |
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| 投稿者 | Kuhara, Satoshi; Matsugaki, Ryutaro; Itoh, Hideaki; Oginosawa, Yasushi; Fushimi, Kiyohide; Matsuda, Shinya; Saeki, Satoru |
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| 組織名 | Rehabilitation Center of University Hospital University of Occupational and;Environmental Health Kitakyushu Japan.;Department of Work Systems and Health, Institute of Industrial Ecological;Sciences University of Occupational and Environmental Health Kitakyushu Japan.;Department of Rehabilitation Medicine University of Occupational and;Second Department of Internal Medicine University of Occupational and;Department of Health Policy and Informatics Tokyo Medical and Dental University;Graduate School Tokyo Japan.;Department of Preventive Medicine and Community Health University of Occupational;and Environmental Health Kitakyushu Japan. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/40995615/ |
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