HARADA Gen
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Assistant Professor
Article types Original article
Language English
Peer review Peer reviewed
Title Skeletal muscle index determined by bioelectrical impedance analysis is a determinant of exercise capacity and a prognostic predictor in patients with congenital heart disease.
Journal Formal name:Journal of cardiology
Abbreviation:J Cardiol
ISSN code:09145087/18764738
Domestic / ForeginDomestic
Publisher Elsevier publishes on behalf of the Japanese College of Cardiology
Volume, Issue, Page pp.in press
Author and coauthor SATO Masaki†, INAI Kei*, ASAGAI Seiji, HARADA Gen, SHIMADA Eriko, SUGIYAMA Hisashi
Publication date 2020/05
Summary RESULTS:The multivariate analysis revealed a significant correlation between peakVO2 and EI (r = -0.55) and peakVO2 and SMI (r = 0.49). The receiver operating characteristic curve analysis showed that the EI cut-off for peakVO2 <20 ml/kg/min was 0.386 [area under the curve (AUC), 0.77; sensitivity, 0.67; specificity 0.76], and the SMI cut-off was 7.6 kg/m2 (AUC, 0.78; sensitivity, 0.76; specificity 0.75). Compared with patients who had biventricular morphology, patients with single ventricular morphology had a higher EI (mean, 0.381 vs. 0.387, respectively) and lower SMI (8.5 vs. 7.7, respectively), resulting in a lower peakVO2 (27.1 vs. 20.8, respectively). The Kaplan-Meier analysis showed that a low SMI was associated with an increased risk of future heart failure-related admissions.

CONCLUSIONS:SMI determined by BIA is a determinant of exercise capacity and can be used as a prognostic predictor in patients with CHD.
DOI 10.1016/j.jjcc.2020.04.011
PMID 32439338