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Safety of Six Minute Walking Test in Hospitalized Post-percutaneous Coronary Intervention Patients: Analysis of Vital Signs, Borg Scale, and Angina Scale Responses.

Acta medica Indonesiana
January 1, 2025
Adhitya Adhitya et al. (4 authors)
Journal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to determine the safety of the six-minute walking test in inpatients after percutaneous coronary intervention by assessing changes in vital signs, Borg scale, and angina scale.

Results Summary

The six-minute walking test was found to be safe, with no major adverse events reported. Vital signs and Borg RPE increased during the test but returned to baseline after rest, while changes in saturation, dyspnea, leg fatigue, and angina scale were not statistically significant.

Population

Inpatients after percutaneous coronary intervention (27 male, 3 female), predominantly classified as low-risk stratification.

Effective Dosage

Six-minute walking test performed twice with a five-minute break in between.

Duration

Acute (single session, effects measured immediately post-test and after rest).

Interactions

None mentioned

Extracted Claims (11)
InterventionDirectionEndpointPopulationDosageImpactClaim #
six-minute walking test
increase
systolic blood pressure
inpatients after percutaneous coronary intervention
-
increased
#1
six-minute walking test
increase
diastolic blood pressure
inpatients after percutaneous coronary intervention
-
increased
#2
six-minute walking test
increase
pulse rate
inpatients after percutaneous coronary intervention
-
increased
#3
six-minute walking test
increase
respiratory rate
inpatients after percutaneous coronary intervention
-
increased
#4
six-minute walking test
increase
Borg rating of perceived exertion (RPE) scale
inpatients after percutaneous coronary intervention
-
increased
#5
resting for five minutes
decrease
vital signs
inpatients after percutaneous coronary intervention
-
decreased to baseline
#6
six-minute walking test
no change
changes in saturation
inpatients after percutaneous coronary intervention
-
were not statistically significant
#7
six-minute walking test
no change
dyspnea of the Borg scale
inpatients after percutaneous coronary intervention
-
were not statistically significant
#8
six-minute walking test
no change
leg fatigue of the Borg scale
inpatients after percutaneous coronary intervention
-
were not statistically significant
#9
six-minute walking test
no change
angina scale
inpatients after percutaneous coronary intervention
-
were not statistically significant
#10
six-minute walking test
no change
major adverse events
all study subjects
-
did not have
#11
Abstract

BACKGROUND: Heart disease is one of the non-communicable diseases that cause the highest mortality. Its symptoms affect the patient's functional capacity and activities. The six-minute walking test can be done to assess a person's functional ability, response to therapy, and prognosis of chronic heart-lung conditions. The study aims to determine the safety of the six-minute walking test in inpatients after percutaneous coronary intervention by assessing the response of vital signs, Borg scale, and angina scale. METHODS: This study was a one-group pre-and post-test design study with subjects of inpatients after percutaneous coronary intervention at the Integrated Cardiac Service in Cipto Mangunkusumo General Hospital Jakarta. Research subjects conducted a six-minute walking test twice with a five-minute break in between. Examination of vital signs, Borg scale, and angina scale before and after walking test. The number of subjects was 30 (27 male and 3 female) with the majority classified as a low-risk stratification. RESULTS: The six-minute walking test was performed over two days or more in 56.7% of the subjects. The mean covered distance was 294.68 ± 57.02 meters. Vital signs of systolic and diastolic blood pressure, pulse rate, respiratory rate, and Borg rating of perceived exertion (RPE) scale increased during the test. They decreased to baseline after resting for five minutes with p-value <0.05 in the Wilcoxon Signed Rank test. Changes in saturation, dyspnea, and leg fatigue of the Borg scale, and angina scale were not statistically significant. All study subjects did not have major adverse events. CONCLUSION: The six-minute walking test is safe to do in inpatients after percutaneous coronary intervention with vital signs, Borg scale, and angina scale change accordingly to physiological response.

Medical Subject Headings (MeSH)
HumansMaleFemalePercutaneous Coronary InterventionMiddle AgedWalk TestAgedVital SignsAngina PectorisInpatientsWalkingHeart RateExercise TestBlood PressureHospitalizationRespiratory Rate
Study Links
PubMed ID40263674
Quality Scores
Safety90
Efficacy70/10
Quality60/10
Research Impact Scores
APT Score0.05
Weight Score2.20
Normalized Score0.76
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