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Ilarraza-Lomelí H, Rojano-Castillo J, Carazo G, et al. Evaluación cardiovascular mediante el uso de pruebas de ejercicio, realizadas con el uso de tapabocas, durante la pandemia por COVID-19. Cardiovascular evaluation using exercise testing performed with face masks during the COVID-19 pandemic. Arch Cardiol Mex. 2021;91:12-17doi: 10.24875/ACM.21000070.
Ilarraza-Lomelí, H., Rojano-Castillo, J., Carazo, G., Flores, S., Barrera-Ramírez, C., Rius-Suárez, M. D., & Ortega-Aranda, H. (2021). Evaluación cardiovascular mediante el uso de pruebas de ejercicio, realizadas con el uso de tapabocas, durante la pandemia por COVID-19. Cardiovascular evaluation using exercise testing performed with face masks during the COVID-19 pandemic. Archivos de cardiologia de Mexico, 9112-17. https://doi.org/10.24875/ACM.21000070
Ilarraza-Lomelí, Hermes, et al. "Evaluación cardiovascular mediante el uso de pruebas de ejercicio, realizadas con el uso de tapabocas, durante la pandemia por COVID-19." Cardiovascular evaluation using exercise testing performed with face masks during the COVID-19 pandemic. Archivos de cardiologia de Mexico vol. 91 (2021): 12-17. doi: https://doi.org/10.24875/ACM.21000070
Ilarraza-Lomelí H, Rojano-Castillo J, Carazo G, Flores S, Barrera-Ramírez C, Rius-Suárez MD, Ortega-Aranda H. Evaluación cardiovascular mediante el uso de pruebas de ejercicio, realizadas con el uso de tapabocas, durante la pandemia por COVID-19. Cardiovascular evaluation using exercise testing performed with face masks during the COVID-19 pandemic. Arch Cardiol Mex. 2021;91:12-17. doi: 10.24875/ACM.21000070. PMID: 34968377.
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Arch Cardiol Mex. 2021;91:12-17. doi: 10.24875/ACM.21000070.

Cardiovascular evaluation using exercise testing performed with face masks during the COVID-19 pandemic.

Archivos de cardiologia de Mexico

Hermes Ilarraza-Lomelí, Jessica Rojano-Castillo, Gonzalo Carazo, Saray Flores, Carlos Barrera-Ramírez, María D Rius-Suárez, Hannah Ortega-Aranda

Affiliations

  1. Cardiac Rehabilitation and Physical Medicine Service, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City.
  2. Yestli Comprehensive Cardiology Unit, Mexico City.
  3. Department of Cardiology, Hospital Universitario de Saltillo, Saltillo, Coahuila, Mexico.

PMID: 34968377 DOI: 10.24875/ACM.21000070

Abstract

OBJECTIVE: COVID-19 pandemic is associated with high incidence and fatality, however, non-communicable diseases remain a global public health problem with even greater morbidity and mortality. At present, there is a lag in diagnosis and treatment of patients with heart disease, particularly the performance of exercise testing (ET), due to the fear of aerosol generation and viral dissemination. Although some centers carry out the tests with the use of masks, the information is still superficial and preliminary. The objective of the study was to describe the ergometric performance observed when performing exercise tests during the COVID-19 (PANDEMIC-G) pandemic and to highlight the differences with those results carried out in another time, when there was no COVID-19 (NO PANDEMIC).

METHOD: A cross-sectional study was carried out. PANDEMIC-G patients underwent ET between March 2020 and December 2020, once a biological triage was done and all of them wore N95 masks. They were compared to NO PANDEMIC patients that performed an ET between March 2019 and December 2019. Demographic and ergometric variables were presented and analyzed according to their type. All p < 0.05 were considered stochastically significant.

RESULTS: A total of 361 ET were studied: 209 (58%) belonged to NO PANDEMIC and 152 (42%) to PANDEMIC-G. The number of ET stopped by dyspnea was greater in PANDEMIC-G (117) than in NO PANDEMIC (8). Exercise tolerance did not show significant changes. Systolic blood pressure, double product, and myocardial oxygen utilization were higher in PANDEMIC-G ET (p < 0.01).

CONCLUSIONS: In the COVID-era, fewer stress tests were performed, which were suspended more frequently due to dyspnea. Higher values of systolic blood pressure and myocardial oxygen utilization were observed in PANDEMIC-G as well.

Copyright: © 2021 Permanyer.

Keywords: Blood pressure; COVID; Diagnostic test; Exercise testing; Exercise tolerance; Mascarilla; Mask; Presión arterial; Prueba de esfuerzo; Prueba diagnóstica; Tolerancia al ejercicio

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