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Low Walking Impairm...
Low Walking Impairment Questionnaire score after a recent myocardial infarction identifies patients with polyvascular disease
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- Jönelid, Birgitta (author)
- Uppsala universitet,Kardiologi
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- Kragsterman, Björn (author)
- Uppsala universitet,Kärlkirurgi
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- Berglund, Lars, 1955- (author)
- Uppsala universitet,Uppsala kliniska forskningscentrum (UCR)
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- Andrén, Bertil (author)
- Uppsala universitet,Klinisk fysiologi
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- Johnston, Nina, 1961- (author)
- Uppsala universitet,Kardiologi,Uppsala kliniska forskningscentrum (UCR)
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- Lindahl, Bertil, 1957- (author)
- Uppsala universitet,Kardiologi,Uppsala kliniska forskningscentrum (UCR)
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- Oldgren, Jonas, 1964- (author)
- Uppsala universitet,Kardiologi,Uppsala kliniska forskningscentrum (UCR)
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- Christersson, Christina (author)
- Uppsala universitet,Kardiologi
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(creator_code:org_t)
- 2019-04-16
- 2019
- English.
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In: JRSM Cardiovascular Disease. - : SAGE Publications. - 2048-0040. ; 8, s. 1-9
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Abstract
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- Objectives: To evaluate whether the Walking Impairment Questionnaire score could identify patients with polyvascular disease in a population with recent myocardial infarction and their association with cardiovascular events during two-year follow-up.Design: A prospective observational study.Setting: Patients admitted to the acute coronary care unit, the Department of Cardiology, Uppsala University Hospital.Participants: Patients admitted with acute Non-STEMI- or STEMI-elevation myocardial infarction.Main outcome measures: The Walking Impairment Questionnaire, developed as a self-administered instrument to assess walking distance, speed, and stair climbing in patients with peripheral artery disease, predicts future cardiovascular events and mortality. Two hundred and sixty-three patients with recent myocardial infarction answered Walking Impairment Questionnaire. Polyvascular disease was defined as abnormal findings in the coronary- and carotid arteries and an abnormal ankle-brachial index. The calculated score for each of all three categories were divided into quartiles with the lowest score in first quartile.Results: The lowest (worst) quartile in all three Walking Impairment Questionnaire categories was associated with polyvascular disease, fully adjusted; distance, odds ratio (OR) 5.4 (95% confidence interval (CI) 1.8-16.1); speed, OR 7.4 (95% CI 1.5-36.5); stair climbing, OR 8.4 (95% CI 1.0-73.6). In stair climbing score, patients with the lowest (worst) score had a higher risk for the composite cardiovascular endpoint compared to the highest (best) score; hazard ratio 5.3 (95% CI 1.5-19.0). The adherence to medical treatment was high (between 81.7% and 99.2%).Conclusions: The Walking Impairment Questionnaire is a simple tool to identify myocardial infarction patients with more widespread atherosclerotic disease and although well treated medically, stair climbing predicts cardiovascular events.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- Peripheral vascular disease
- cardiovascular disease
- coronary artery disease
- polyvascular disease
Publication and Content Type
- ref (subject category)
- art (subject category)
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Jönelid, Birgitt ...
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Kragsterman, Bjö ...
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Berglund, Lars, ...
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Andrén, Bertil
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Johnston, Nina, ...
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Lindahl, Bertil, ...
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Oldgren, Jonas, ...
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Christersson, Ch ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
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JRSM Cardiovascu ...
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Uppsala University