PMID- 34613873 OWN - NLM STAT- MEDLINE DCOM- 20221207 LR - 20230117 IS - 1464-5165 (Electronic) IS - 0963-8288 (Linking) VI - 44 IP - 24 DP - 2022 Dec TI - The prognostic value of the Incremental Shuttle Walk Test in Chagas cardiomyopathy. PG - 7516-7521 LID - 10.1080/09638288.2021.1986580 [doi] AB - PURPOSE: To verify the value of the Incremental Shuttle Walk Test (ISWT) distance to identify patients with Chagas cardiomyopathy (ChC) at risk of adverse cardiovascular events. METHODS: Fifty-two patients with ChC (51 +/- 6 years) were evaluated by ISWT, echocardiography, Cardiopulmonary Exercise Testing, and Human Activity Profile (HAP) Questionnaire. Patients were prospectively followed for 44 +/- 10 months. The combined endpoint was cardiac death/heart transplant/stroke. The prognostic value of ISWT was verified by the Cox regression, and the ISWT was adjusted for age, sex, left ventricular ejection fraction (LVEF), and minute ventilation/carbon dioxide production relationship (VE/VCO(2) slope). RESULTS: At the final follow-up, 11 patients (21%) had experienced the endpoint event. When adjusted for age, sex, LVEF, and VE/VCO(2) slope, only ISWT distance (HR 0.99, 95% confidence interval (CI): 0.98-0.99; p = 0.026) and VE/VCO(2) slope (HR 0.93, 95% CI: 0.87-0.99; p = 0.044) remained as independent predictors of adverse cardiovascular events in patients with ChC. The optimal cutoff point for identifying poor prognosis was the ISWT distance less than 440 m (AUC = 0.72). There was a significant difference (p = 0.032) in the number of events between the groups with low ISWT distance (440 m) ISWT distance. CONCLUSIONS: The ISWT is a valuable tool with potential value in the prognostic evaluation of patients with ChC.Implications for rehabilitationPatients with Chagas cardiomyopathy showed functional impairment since the early stages of heart disease.The Incremental Shuttle Walk Test (ISWT) can be a valuable and inexpensive tool in the risk stratification of the patients.The ISWT distance is an independent predictor of adverse cardiovascular event.The ISWT distance of 440m is the optimal cut-off point in the identification of patients at risk for adverse cardiovascular events. FAU - Avila, Matheus Ribeiro AU - Avila MR AUID- ORCID: 0000-0002-9331-4521 AD - Physical Therapy School, Healthy and Biological Sciences Faculty, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil. FAU - Figueiredo, Pedro Henrique Scheidt AU - Figueiredo PHS AD - Physical Therapy School, Healthy and Biological Sciences Faculty, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil. AD - Postgraduate Course of Reabilitacao e Desempenho Funcional, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil. FAU - Lima, Vanessa Pereira AU - Lima VP AD - Physical Therapy School, Healthy and Biological Sciences Faculty, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil. AD - Postgraduate Course of Reabilitacao e Desempenho Funcional, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil. FAU - de Oliveira, Luciano Fonseca Lemos AU - de Oliveira LFL AD - Department of Physiotherapy, School of Physical Education, Physiotherapy and Occupational Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil. FAU - de Oliveira, Lucas Frois Fernandes AU - de Oliveira LFF AD - Physical Therapy School, Healthy and Biological Sciences Faculty, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil. FAU - Silva, Whesley Tanor AU - Silva WT AD - Physical Therapy School, Healthy and Biological Sciences Faculty, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil. FAU - Trede Filho, Renato Guilherme AU - Trede Filho RG AD - Physical Therapy School, Healthy and Biological Sciences Faculty, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil. AD - Postgraduate Course of Reabilitacao e Desempenho Funcional, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil. FAU - de Carvalho Bastone, Alessandra AU - de Carvalho Bastone A AUID- ORCID: 0000-0002-2414-3730 AD - Physical Therapy School, Healthy and Biological Sciences Faculty, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil. AD - Postgraduate Course of Reabilitacao e Desempenho Funcional, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil. FAU - Lacerda, Ana Cristina Rodrigues AU - Lacerda ACR AUID- ORCID: 0000-0001-5366-3754 AD - Physical Therapy School, Healthy and Biological Sciences Faculty, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil. AD - Postgraduate Course of Reabilitacao e Desempenho Funcional, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil. FAU - Mendonca, Vanessa Amaral AU - Mendonca VA AUID- ORCID: 0000-0002-1696-6091 AD - Physical Therapy School, Healthy and Biological Sciences Faculty, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil. AD - Postgraduate Course of Reabilitacao e Desempenho Funcional, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil. FAU - Mediano, Mauro Felippe Felix AU - Mediano MFF AD - Evandro Chagas National Institute of Infectious Diseases, Fiocruz Foundation, Rio de Janeiro, Brazil. FAU - Costa, Henrique Silveira AU - Costa HS AD - Physical Therapy School, Healthy and Biological Sciences Faculty, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil. AD - Postgraduate Course of Reabilitacao e Desempenho Funcional, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil. LA - eng PT - Journal Article DEP - 20211006 PL - England TA - Disabil Rehabil JT - Disability and rehabilitation JID - 9207179 SB - IM MH - Humans MH - Walk Test MH - Stroke Volume MH - *Chagas Cardiomyopathy MH - Prognosis MH - Ventricular Function, Left MH - Exercise Test MH - Oxygen Consumption MH - Exercise Tolerance OTO - NOTNLM OT - Chagas cardiomyopathy OT - Chagas disease OT - evaluation OT - exercise test OT - exercise tolerance OT - prognosis EDAT- 2021/10/07 06:00 MHDA- 2023/01/18 06:00 CRDT- 2021/10/06 17:19 PHST- 2021/10/07 06:00 [pubmed] PHST- 2023/01/18 06:00 [medline] PHST- 2021/10/06 17:19 [entrez] AID - 10.1080/09638288.2021.1986580 [doi] PST - ppublish SO - Disabil Rehabil. 2022 Dec;44(24):7516-7521. doi: 10.1080/09638288.2021.1986580. Epub 2021 Oct 6.