Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 15 de 15
Filtrar
Mais filtros










Base de dados
Intervalo de ano de publicação
1.
Evol Appl ; 16(7): 1377-1389, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37492145

RESUMO

Anthropogenic metal pollution can result in co-selection for antibiotic resistance and potentially select for increased virulence in bacterial pathogens. Metal-polluted environments can select for the increased production of siderophore molecules to detoxify non-ferrous metals. However, these same molecules also aid the uptake of ferric iron, a limiting factor for within-host pathogen growth, and are consequently a virulence factor. Anthropogenic methods to remediate environmental metal contamination commonly involve amendment with lime-containing materials. However, whether this reduces in situ co-selection for antibiotic resistance and siderophore-mediated virulence remains unknown. Here, using microcosms containing non-sterile metal-contaminated river water and sediment, we test whether liming reduces co-selection for these pathogenicity traits in the opportunistic pathogen Pseudomonas aeruginosa. To account for the effect of environmental structure, which is known to impact siderophore production, microcosms were incubated under either static or shaking conditions. Evolved P. aeruginosa populations had greater fitness in the presence of toxic concentrations of copper than the ancestral strain and showed increased resistance to the clinically relevant antibiotics apramycin, cefotaxime and trimethoprim, regardless of lime addition or environmental structure. Although we found virulence to be significantly associated with siderophore production, neither virulence nor siderophore production significantly differed between the four treatments. Furthermore, liming did not mitigate metal-imposed selection for antibiotic resistance or virulence in P. aeruginosa. Consequently, metal-contaminated environments may select for antibiotic resistance and virulence traits even when treated with lime.

2.
Geochem Trans ; 23(1): 2, 2022 Sep 27.
Artigo em Inglês | MEDLINE | ID: mdl-36167930

RESUMO

The Santa Elena Ophiolite is a well-studied ultramafic system in Costa Rica mainly comprised of peridotites. Here, tropical climatic conditions promote active laterite formation processes, but the biogeochemistry of the resulting serpentine soils is still poorly understood. The aim of this study was to characterize the soil geochemical composition and microbial community of contrasting landscapes in the area, as the foundation to start exploring the biogeochemistry of metals occurring there. The soils were confirmed as Ni-rich serpentine soils but differed depending on their geographical location within the ophiolite area, showing three serpentine soil types. Weathering processes resulted in mountain soils rich in trace metals such as cobalt, manganese and nickel. The lowlands showed geochemical variations despite sharing similar landscapes: the inner ophiolite lowland soils were more like the surrounding mountain soils rather than the north lowland soils at the border of the ophiolite area, and within the same riparian basin, concentrations of trace metals were higher downstream towards the mangrove area. Microbial community composition reflected the differences in geochemical composition of soils and revealed potential geomicrobiological inputs to local metal biogeochemistry: iron redox cycling bacteria were more abundant in the mountain soils, while more manganese-oxidizing bacteria were found in the lowlands, with the highest relative abundance in the mangrove areas. The fundamental ecological associations recorded in the serpentine soils of the Santa Elena Peninsula, and its potential as a serpentinization endemism hotspot, demonstrate that is a model site to study the biogeochemistry, geomicrobiology and ecology of tropical serpentine areas.

3.
J Environ Radioact ; 244-245: 106826, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35134696

RESUMO

Predictions of radionuclide dose rates to freshwater organisms can be used to evaluate the radiological environmental impacts of releases from uranium mining and milling projects. These predictions help inform decisions on the implementation of mitigation measures. The objective of this study was to identify how dose rate modelling could be improved to reduce uncertainty in predictions to non-human biota. For this purpose, we modelled the activity concentrations of 210Pb, 210Po, 226Ra, 230Th, and 238U downstream of uranium mines and mills in northern Saskatchewan, Canada, together with associated weighted absorbed dose rates for a freshwater food chain using measured activity concentrations in water and sediments. Differences in predictions of radionuclide activity concentrations occurred mainly from the different default partition coefficient and concentration ratio values from one model to another and including all or only some 238U decay daughters in the dose rate assessments. Consequently, we recommend a standardized best-practice approach to calculate weighted absorbed dose rates to freshwater biota whether a facility is at the planning, operating or decommissioned stage. At the initial planning stage, the best-practice approach recommend using conservative site-specific baseline activity concentrations in water, sediments and organisms and predict conservative incremental activity concentrations in these media by selecting concentration ratios based on species similarity and similar water quality conditions to reduce the uncertainty in dose rate calculations. At the operating and decommissioned stages, the best-practice approach recommends relying on measured activity concentrations in water, sediment, fish tissue and whole-body of small organisms to further reduce uncertainty in dose rate estimates. This approach would allow for more realistic but still conservative dose assessments when evaluating impacts from uranium mining projects and making decision on adequate controls of releases.


Assuntos
Monitoramento de Radiação , Urânio , Animais , Água Doce , Mineração , Radioisótopos/análise , Saskatchewan , Urânio/análise
4.
Geohealth ; 5(10): e2020GH000380, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34632243

RESUMO

Mine wastes pollute the environment with metals and metalloids in toxic concentrations, causing problems for humans and wildlife. Microorganisms colonize and inhabit mine wastes, and can influence the environmental mobility of metals through metabolic activity, biogeochemical cycling and detoxification mechanisms. In this article we review the microbiology of the metals and metalloids most commonly associated with mine wastes: arsenic, cadmium, chromium, copper, lead, mercury, nickel and zinc. We discuss the molecular mechanisms by which bacteria, archaea, and fungi interact with contaminant metals and the consequences for metal fate in the environment, focusing on long-term field studies of metal-impacted mine wastes where possible. Metal contamination can decrease the efficiency of soil functioning and essential element cycling due to the need for microbes to expend energy to maintain and repair cells. However, microbial communities are able to tolerate and adapt to metal contamination, particularly when the contaminant metals are essential elements that are subject to homeostasis or have a close biochemical analog. Stimulating the development of microbially reducing conditions, for example in constructed wetlands, is beneficial for remediating many metals associated with mine wastes. It has been shown to be effective at low pH, circumneutral and high pH conditions in the laboratory and at pilot field-scale. Further demonstration of this technology at full field-scale is required, as is more research to optimize bioremediation and to investigate combined remediation strategies. Microbial activity has the potential to mitigate the impacts of metal mine wastes, and therefore lessen the impact of this pollution on planetary health.

5.
Front Microbiol ; 12: 640734, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33692773

RESUMO

Microbial metabolism plays a key role in controlling the fate of toxic groundwater contaminants, such as arsenic. Dissimilatory metal reduction catalyzed by subsurface bacteria can facilitate the mobilization of arsenic via the reductive dissolution of As(V)-bearing Fe(III) mineral assemblages. The mobility of liberated As(V) can then be amplified via reduction to the more soluble As(III) by As(V)-respiring bacteria. This investigation focused on the reductive dissolution of As(V) sorbed onto Fe(III)-(oxyhydr)oxide by model Fe(III)- and As(V)-reducing bacteria, to elucidate the mechanisms underpinning these processes at the single-cell scale. Axenic cultures of Shewanella sp. ANA-3 wild-type (WT) cells [able to respire both Fe(III) and As(V)] were grown using 13C-labeled lactate on an arsenical Fe(III)-(oxyhydr)oxide thin film, and after colonization, the distribution of Fe and As in the solid phase was assessed using nanoscale secondary ion mass spectrometry (NanoSIMS), complemented with aqueous geochemistry analyses. Parallel experiments were conducted using an arrA mutant, able to respire Fe(III) but not As(V). NanoSIMS imaging showed that most metabolically active cells were not in direct contact with the Fe(III) mineral. Flavins were released by both strains, suggesting that these cell-secreted electron shuttles mediated extracellular Fe(III)-(oxyhydr)oxide reduction, but did not facilitate extracellular As(V) reduction, demonstrated by the presence of flavins yet lack of As(III) in the supernatants of the arrA deletion mutant strain. 3D reconstructions of NanoSIMS depth-profiled single cells revealed that As and Fe were associated with the cell surface in the WT cells, whereas for the arrA mutant, only Fe was associated with the biomass. These data were consistent with Shewanella sp. ANA-3 respiring As(V) in a multistep process; first, the reductive dissolution of the Fe(III) mineral released As(V), and once in solution, As(V) was respired by the cells to As(III). As well as highlighting Fe(III) reduction as the primary release mechanism for arsenic, our data also identified unexpected cellular As(III) retention mechanisms that require further investigation.

6.
Sci Total Environ ; 754: 142312, 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33254903

RESUMO

Lead is a toxic environmental contaminant associated with current and historic mine sites. Here we studied the natural attenuation of Pb in a limestone cave system that receives drainage from the ancient Priddy Mineries, UK. Extensive deposits of manganese oxides were observed to be forming on the cave walls and as coatings in the stream beds. Analysis of these deposits identified them as birnessite (δ-MnO2), with some extremely high concentrations of sorbed Pb (up to 56 wt%) also present. We hypothesised that these cave crusts were actively being formed by microbial Mn(II)-oxidation, and to investigate this the microbial communities were characterised by DNA sequencing, enrichment and isolation experiments. The birnessite deposits contained abundant and diverse prokaryotes and fungi, with ~5% of prokaryotes and ~ 10% of fungi closely related to known heterotrophic Mn(II)-oxidisers. A substantial proportion (up to 17%) of prokaryote sequences were assigned to groups known as autotrophic ammonia and nitrite oxidisers, suggesting that nitrogen cycling may play an important role in contributing energy and carbon to the cave crust microbial communities and consequently the formation of Mn(IV) oxides and Pb attenuation. Enrichment and isolation experiments showed that the birnessite deposits contained Mn(II)-oxidising microorganisms, and two isolates (Streptomyces sp. and Phyllobacterium sp.) could oxidise Mn(II) in the presence of 0.1 mM Pb. Supplying the enrichment cultures with acetate as a source of energy and carbon stimulated Mn(II)-oxidation, but excess organics in the form of glucose generated aqueous Mn(II), likely via microbial Mn(IV)-reduction. In this karst cave, microbial Mn(II)-oxidation contributes to the active sequestration and natural attenuation of Pb from contaminated waters, and therefore may be considered a natural analogue for the design of wastewater remediation systems and for understanding the geochemical controls on karst groundwater quality, a resource relied upon by billions of people across the globe.


Assuntos
Água Subterrânea , Chumbo , Humanos , Manganês , Compostos de Manganês , Oxirredução , Óxidos
7.
J Spinal Cord Med ; 43(3): 388-397, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-31017540

RESUMO

Objective: Report measured resting energy expenditure (REE) in wheelchair rugby athletes and evaluate agreement between REE and the prediction models of Chun, Cunningham, Harris-Benedict, Mifflin, Nightingale and Gorgey, and Owen.Design: Cohort-based validation study.Setting. Paralympic team training camp.Participants: Fourteen internationally competitive athletes who play wheelchair rugby, 13 of whom had cervical spinal cord injuries (SCI).Outcome Measures: A portable metabolic analyzer was used to measure REE following an overnight fast and dual-energy X-ray absorptiometry (DXA) was used to assess lean body mass for the prediction equations.Results: REE in the current sample was 1735 ± 257 kcal × day-1 ranging from 1324 to 2068 kcal × day-1. Bland-Altman analyses revealed negative mean bias but similar limits of agreement between measured REE and scores predicted by Chun, Cunningham, Mifflin, Nightingale and Gorgey, and Owen models in elite athletes who play wheelchair rugby.Conclusion: Prediction models regressed on persons with and without SCI under-predicted REE of competitive wheelchair rugby athletes. This outcome may be explained by the higher REE/fat-free mass (FFM) ratio of current athletes compared to less active samples. Findings from the current study will help practitioners to determine nutrient intake needs on training days of varied intensity.


Assuntos
Composição Corporal , Metabolismo Energético , Futebol Americano , Paratletas , Traumatismos da Medula Espinal/metabolismo , Cadeiras de Rodas , Absorciometria de Fóton , Adulto , Calorimetria , Medula Cervical/lesões , Humanos , Masculino
8.
J Hazard Mater ; 364: 134-142, 2019 02 15.
Artigo em Inglês | MEDLINE | ID: mdl-30343175

RESUMO

Iron nanoparticles are a promising new technology to treat contaminated groundwater, particularly as they can be engineered to optimise their transport properties. Technetium is a common contaminant at nuclear sites and can be reductively scavenged from groundwater by iron(II). Here we investigated the potential for a range of optimised iron nanoparticles to remove technetium from contaminated groundwater, and groundwater/sediment systems. Nano zero-valent iron and Carbo-iron stimulated the development of anoxic conditions while generating Fe(II) which reduced soluble Tc(VII) to sparingly soluble Tc(IV). Similar results were observed for Fe(II)-bearing biomagnetite, albeit at a slower rate. Tc(VII) remained in solution in the presence of the Fe(III) mineral nano-goethite, until acetate was added to stimulate microbial Fe(III)-reduction after which Tc(VII) concentrations decreased concomitant with Fe(II) ingrowth. The addition of iron nanoparticles to sediment microcosms caused an increase in the relative abundance of Firmicutes, consistent with fermentative/anoxic metabolisms. Residual bacteria from the synthesis of the biomagnetite nanoparticles were out-competed by the sediment microbial community. Overall the results showed that iron nanoparticles were highly effective in removing Tc(VII) from groundwater in sediment systems, and generated sustained anoxic conditions via the stimulation of beneficial microbial processes including Fe(III)-reduction and sulfate reduction.


Assuntos
Sedimentos Geológicos/microbiologia , Água Subterrânea/microbiologia , Ferro/química , Nanopartículas Metálicas/química , Tecnécio/química , Poluentes Químicos da Água/química , Microbiota/genética , Filogenia
9.
FEMS Microbiol Ecol ; 94(8)2018 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-29878195

RESUMO

Microbial iron(III) reduction can have a profound effect on the fate of contaminants in natural and engineered environments. Different mechanisms of extracellular electron transport are used by Geobacter and Shewanella spp. to reduce insoluble Fe(III) minerals. Here we prepared a thin film of iron(III)-(oxyhydr)oxide doped with arsenic, and allowed the mineral coating to be colonised by Geobacter sulfurreducens or Shewanella ANA3 labelled with 13C from organic electron donors. This preserved the spatial relationship between metabolically active Fe(III)-reducing bacteria and the iron(III)-(oxyhydr)oxide that they were respiring. NanoSIMS imaging showed cells of G. sulfurreducens were co-located with the iron(III)-(oxyhydr)oxide surface and were significantly more 13C-enriched compared to cells located away from the mineral, consistent with Geobacter species requiring direct contact with an extracellular electron acceptor to support growth. There was no such intimate relationship between 13C-enriched S. ANA3 and the iron(III)-(oxyhydr)oxide surface, consistent with Shewanella species being able to reduce Fe(III) indirectly using a secreted endogenous mediator. Some differences were observed in the amount of As relative to Fe in the local environment of G. sulfurreducens compared to the bulk mineral, highlighting the usefulness of this type of analysis for probing interactions between microbial cells and Fe-trace metal distributions in biogeochemical experiments.


Assuntos
Transporte de Elétrons/fisiologia , Compostos Férricos/metabolismo , Geobacter/metabolismo , Ferro/metabolismo , Shewanella/metabolismo , Arsênio/metabolismo , Transporte Biológico , Oxirredução
10.
Environ Sci Technol ; 51(3): 1595-1604, 2017 02 07.
Artigo em Inglês | MEDLINE | ID: mdl-28051295

RESUMO

Radionuclides are present in groundwater at contaminated nuclear facilities with technetium-99, one of the most mobile radionuclides encountered. In situ bioremediation via the generation of microbially reducing conditions has the potential to remove aqueous and mobile Tc(VII) from groundwater as insoluble Tc(IV). However, questions remain regarding the optimal methods of biostimulation and the stability of reduced Tc(IV) phases under oxic conditions. Here, we selected a range of slow-release electron donor/chemical reduction based substrates available for contaminated land treatment, and assessed their potential to stimulate the formation of recalcitrant Tc(IV) biominerals under conditions relevant to radioactively contaminated land. These included a slow-release polylactate substrate (HRC), a similar substrate with an additional organosulfur ester (MRC) and a substrate containing zerovalent iron and plant matter (EHC). Results showed that Tc was removed from solution in the form of poorly soluble hydrous Tc(IV)-oxides or Tc(IV)-sulfides during the development of reducing conditions. Reoxidation experiments showed that these phases were largely resistant to oxidative remobilization and were more resistant than Tc(IV) produced via biostimulation with an acetate/lactate electron donor mix in the sediments tested. The implications of the targeted formation of recalcitrant Tc(IV) phases using these proprietorial substrates in situ is discussed in the context of the long-term management of technetium at legacy nuclear sites.


Assuntos
Biodegradação Ambiental , Tecnécio , Água Subterrânea , Ferro , Oxirredução
11.
Arch Phys Med Rehabil ; 97(11): 1938-1944, 2016 11.
Artigo em Inglês | MEDLINE | ID: mdl-27288710

RESUMO

OBJECTIVE: To determine exercise intensity during power wheelchair soccer among a sample of persons with mobility impairments. DESIGN: Cross-sectional descriptive. SETTING: On-site training facilities of multiple power wheelchair soccer teams. PARTICIPANTS: Participants with severe mobility impairments (N=30) (mean ± SD, age: 29.40±15.51y, body mass index: 24.11±6.47kg/m2, power soccer experience: 7.91±3.93y, disability sport experience: 12.44±9.73y) were recruited from multiple power wheelchair soccer teams. INTERVENTIONS: Portable metabolic carts were used to collect oxygen consumption (V˙o2) data during resting and game play conditions. MAIN OUTCOME MEASURES: Average V˙o2 (expressed in metabolic equivalent tasks [METs]) during resting and game play conditions and rating of perceived exertion for game play. RESULTS: V˙o2 increased from 1.35±0.47 METs at rest to 1.81±0.65 METs during game play. This 34% increase in exercise intensity was significant (P<.01) and supported by a mean perceived exertion score of approximately 13 (somewhat hard). CONCLUSIONS: Although not able to sustain an intensity associated with reduced secondary disease risk (ie, 3 METs), the documented light-intensity exercise in the current study surpassed an intensity threshold associated with improved functional capacity and performance of daily living activities (ie, 1.5 METs).


Assuntos
Exercício Físico/fisiologia , Futebol/fisiologia , Traumatismos da Medula Espinal/fisiopatologia , Cadeiras de Rodas , Adolescente , Adulto , Criança , Estudos Transversais , Pessoas com Deficiência , Feminino , Frequência Cardíaca/fisiologia , Humanos , Masculino , Pessoa de Meia-Idade , Limitação da Mobilidade , Consumo de Oxigênio/fisiologia , Esforço Físico/fisiologia , Adulto Jovem
12.
Spinal Cord Ser Cases ; 2: 16002, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-28053746

RESUMO

The purpose of this case-control study was to examine potential agonist-antagonist fatigue imbalance during wheelchair rugby activity. A 16-channel NORAXON electromyography (EMG) system 1400A with telemetry was used to assess EMG activity in a 39-year-old male with a C6 complete spinal cord injury (American Spinal Injury Association Impairment Scale (AIS) A), 17.5 years post injury. Mean amplitude and median frequency were determined for push-phase agonists (anterior deltoid and pectoralis major) and antagonist (posterior deltoid) across four training sessions at a community fitness and Paralympic training facility. Unlike continuous wheelchair pushing, acute muscle imbalances between agonists and antagonists (that is, push and recovery muscles) were not demonstrated. Wheelchair sports such as rugby may reduce risk of shoulder pain and overuse injury due to intermittent activity rather than continuous pushing. The current study is one of the first to document sport fatigue through electromyography during intermittent, live play rather than clinical conditions (that is, continuous pushing).

13.
Environ Sci Technol ; 49(18): 11070-8, 2015 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-26292021

RESUMO

Stimulating the microbial reduction of aqueous uranium(VI) to insoluble U(IV) via electron donor addition has been proposed as a strategy to remediate uranium-contaminated groundwater in situ. However, concerns have been raised regarding the longevity of microbially precipitated U(IV) in the subsurface, particularly given that it may become remobilized if the conditions change to become oxidizing. An alternative mechanism is to stimulate the precipitation of poorly soluble uranium phosphates via the addition of an organophosphate and promote the development of reducing conditions. Here, we selected a sediment sample from a U.K. nuclear site and stimulated the microbial community with glycerol phosphate under anaerobic conditions to assess whether uranium phosphate precipitation was a viable bioremediation strategy. Results showed that U(VI) was rapidly removed from solution and precipitated as a reduced crystalline U(IV) phosphate mineral similar to ningyoite. This mineral was considerably more recalcitrant to oxidative remobilization than the products of microbial U(VI) reduction. Bacteria closely related to Pelosinus species may have played a key role in uranium removal in these experiments. This work has implications for the stewardship of uranium-contaminated groundwater, with the formation of U(IV) phosphates potentially offering a more effective strategy for maintaining low concentrations of uranium in groundwater over long time periods.


Assuntos
Biodegradação Ambiental , Precipitação Química , Água Subterrânea/química , Consórcios Microbianos , Compostos de Urânio/química , Poluentes Químicos da Água/química , Anaerobiose , Bactérias/metabolismo , Glicerol/química , Centrais Nucleares , Oxirredução , Fosfatos/química , Reino Unido
14.
PLoS One ; 10(7): e0132392, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26132209

RESUMO

Stimulating the microbially-mediated precipitation of uranium biominerals may be used to treat groundwater contamination at nuclear sites. The majority of studies to date have focussed on the reductive precipitation of uranium as U(IV) by U(VI)- and Fe(III)-reducing bacteria such as Geobacter and Shewanella species, although other mechanisms of uranium removal from solution can occur, including the precipitation of uranyl phosphates via bacterial phosphatase activity. Here we present the results of uranium biomineralisation experiments using an isolate of Serratia obtained from a sediment sample representative of the Sellafield nuclear site, UK. When supplied with glycerol phosphate, this Serratia strain was able to precipitate 1 mM of soluble U(VI) as uranyl phosphate minerals from the autunite group, under anaerobic and fermentative conditions. Under phosphate-limited anaerobic conditions and with glycerol as the electron donor, non-growing Serratia cells could precipitate 0.5 mM of uranium supplied as soluble U(VI), via reduction to nano-crystalline U(IV) uraninite. Some evidence for the reduction of solid phase uranyl(VI) phosphate was also observed. This study highlights the potential for Serratia and related species to play a role in the bioremediation of uranium contamination, via a range of different metabolic pathways, dependent on culturing or in situ conditions.


Assuntos
Serratia/metabolismo , Poluentes Radioativos do Solo/metabolismo , Compostos de Urânio/metabolismo , Anaerobiose , Biodegradação Ambiental , Precipitação Química , Cloretos/metabolismo , Meios de Cultura , Fumaratos/farmacologia , Sedimentos Geológicos/microbiologia , Glicerol/farmacologia , Microscopia Eletrônica , Minerais/isolamento & purificação , Minerais/metabolismo , Nanopartículas , Oxirredução , Fosfatos/isolamento & purificação , Fosfatos/metabolismo , Serratia/isolamento & purificação , Microbiologia do Solo , Solubilidade , Urânio/metabolismo , Compostos de Urânio/isolamento & purificação , Difração de Raios X
15.
J Cardiopulm Rehabil Prev ; 35(3): 181-5, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25622219

RESUMO

PURPOSE: Obstructive sleep apnea (OSA) is a prevalent form of sleep-disordered breathing. Evidence suggests that OSA may lead to cardiac remodeling, although the literature is equivocal. Previous literature suggests a high percentage of individuals entering a cardiac rehabilitation (CR) program also have OSA. The objective of this study was to determine whether resting hemodynamic variables were altered in OSA subjects entering CR compared with those without OSA, as determined by impedance cardiography. METHODS: Subjects entering an early outpatient CR program were screened for OSA using an at-home screening device and verified by a sleep physician. Subjects were divided into an OSA group (n = 48) or a control group (n = 25) on the basis of the screening results. Hemodynamic variables were measured during supine rest using impedance cardiography. A 6-minute walk test was performed to assess functional capacity. RESULTS: The proportion of cardiac diagnoses was similar between groups. Overall, 66% of the subjects were positive for OSA. Subject groups did not differ by age, body mass index, heart rate, diastolic blood pressure, or functional capacity. Cardiac output, cardiac index, stroke volume, contractility index, and left cardiac work index were all significantly decreased in the OSA group compared with the control group (P < .05). CONCLUSIONS: Findings suggest that OSA results in decreased cardiac function in patients entering CR, likely because of pressure and volume changes associated with apneic events. This may place those individuals at a disadvantage in recovering from their cardiac event, and place them at increased risk for secondary complications.


Assuntos
Reabilitação Cardíaca , Hemodinâmica/fisiologia , Apneia Obstrutiva do Sono/fisiopatologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Pressão Sanguínea/fisiologia , Débito Cardíaco/fisiologia , Cardiografia de Impedância , Doenças Cardiovasculares/complicações , Doenças Cardiovasculares/fisiopatologia , Feminino , Frequência Cardíaca/fisiologia , Humanos , Masculino , Pessoa de Meia-Idade , Polissonografia , Apneia Obstrutiva do Sono/complicações , Volume Sistólico/fisiologia
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...