Impaired cardiorespiratory fitness after aneurysmal subarachnoid hemorrhage.

Authors

  • Wouter J. Harmsen
  • Gerard M. Ribbers
  • Bart Zegers
  • Emiel M. Sneekes
  • Majanka H. Heijenbrok-Kal
  • Ladbon Khajeh
  • Fop van Kooten
  • Sebastiaan J.C.M.M. Neggers
  • Rita J.G. van den Berg-Emons

DOI:

https://doi.org/10.2340/16501977-2127

Keywords:

subarachnoid haemorrhage, physical fitness, cardiopulmonary exercise test, fatigue.

Abstract

OBJECTIVE: To assess cardiorespiratory fitness in patients following an aneurysmal subarachnoid haemorrhage and to explore this in fatigued and non-fatigued patients. DESIGN: Cross-sectional case-control study. SUBJECTS/PATIENTS: A total of 28 patients, 6 months post aneurysmal subarachnoid haemorrhage, and 28 sex- and age-matched controls. METHODS: Cardiorespiratory responses to a progressive cardiopulmonary exercise test on a cycle ergometer were obtained using indirect calorimetry. Fatigue was assessed using the Fatigue Severity Scale. RESULTS: Mean peak oxygen uptake (V̇O2peak) was significantly lower in patients (22.0 (standard deviation (SD) 6.2) ml/kg/min) than in controls (69% of controls, p < 0.001). All other cardiorespiratory fitness parameters were also lower, with peak levels ranging from 62% to 77% of matched controls. Mean V̇O2peak was 19.4 (SD 4.1) ml/kg/min in fatigued patients (63% of matched controls, p < 0.001) and 23.9 (SD 6.9) ml/kg/min in non-fatigued patients (74% of matched controls, p = 0.002). CONCLUSION: Cardiorespiratory fitness is impaired after aneurysmal subarachnoid haemorrhage, both in fatigued and non-fatigued patients. This finding may have implications for treatment.

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Published

2016-08-24

How to Cite

Harmsen, W. J., Ribbers, G. M., Zegers, B., Sneekes, E. M., Heijenbrok-Kal, M. H., Khajeh, L., … van den Berg-Emons, R. J. (2016). Impaired cardiorespiratory fitness after aneurysmal subarachnoid hemorrhage. Journal of Rehabilitation Medicine, 48(9), 769–775. https://doi.org/10.2340/16501977-2127

Issue

Section

Original Report