Funding partially provided by Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). The study was approved by the Ethics Committee of the Universidade Federal de São Paulo (No.IRB-0381/05; http://www.unifesp.br/reitoria/orgaos/comites/etica/). The authors have no conflicts of interest to disclose.
Safety and cardiovascular behavior during pulmonary function in patients with marfan syndrome
Article first published online: 4 JAN 2010
© 2010 John Wiley & Sons A/S
- Issue published online: 4 JAN 2010
- Article first published online: 4 JAN 2010
- Accepted manuscript online: 28 JUN 2010 05:47AM EST
- Received Date: 12 Aug 2009, Accepted Date: 16 December 2009
- Cited By
- Marfan syndrome;
- Pulmonary function;
- Cardiovascular System
Background: Marfan syndrome (MS) is a dominant autosomal connective tissue disease that impacts multiple systems, such as the cardiovascular system, tissue viscoelastic properties, bone calcification matrix and, most specific to the present investigation, pulmonary parenchyma. The aim of the present study was evaluate pulmonary function (PF) in patients with MS and relate it to thoracic cage abnormalities (TCA) and the occurrence of cardiac arrhythmias during the spirometric exam (SE). Method: A sample of 75 subjects (46 with MS) underwent clinical, anthropometric, echocardiographic, radiographic and PF evaluation; 51 subjects (33 with MS) had their ECG information evaluated during PF. These individuals were matched and compared to a healthy control group (CG) Results: Forced vital capacity (FVC) and forced expiratory volume in the first second (FEV1) in the patients with MS were significantly lower in comparison to the CG (p=0.012 and p=0.0006) and predicted values (p=0.04 and p=0.003). Subgroup analysis based on TCA revealed differences between patients with MS with two combined abnormalities (scoliosis + pectus) in comparison to both the CG (p=0.012 and p=0.002) and patients without abnormalities (p=0.05 and p=0.006). There were no differences regarding the occurrence of arrhythmia during exertion on the SE. There was some correlation between clinical history and cardiovascular behavior and PF. Conclusion: PF is reduced in patients with MS and deformities in the thoracic cage appear to contribute to this reduction. Despite the apparent structural alterations in the cardiovascular system in this population, exertion during the spirometric exam appears to be safe.