Uji Jalan 6 Menit (UJ6M) pada Pasien Pasca Sindrom Koroner Akut
Abstract
Kualitas hidup dan prognosis pasien dengan penyakit kardiovaskular merupakan hal yang penting dan direkomendasikan untuk dievaluasi, salah satunya melalui pengukuran kapasitas fungsional. Uji jalan 6 menit (UJ6M) merupakan sebuah metode non-invasif sederhana dan reliabel untuk mengukur kapasitas fungsional yang sebelumnya telah banyak diaplikasikan pada penderita penyakit paru-paru dan gagal jantung. Saat ini, penggunaannya terus dikembangkan, salah satunya pada pasien pasca Sindrom Koroner Akut (SKA). Uji jalan 6 menit (UJ6M) dapat dilakukan secara dini, selain berguna untuk menentukan jenis aktivitas dan latihan di rumah untuk pasien, juga dapat memberikan prediksi morbiditas dan mortalitas pada kasus sindrom koroner akut tertentu. Walaupun studi prognostik mengenai UJ6M pada pasien pasca SKA masih terbatas, pasien dengan jarak tempuh UJ6M yang lebih rendah dapat dipertimbangkan memiliki risiko terjadinya kejadian jantung yang tidak diinginkan yang lebih tinggi di kemudian hari.
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References
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11. Butland RJ, Pang J, Gross ER, Woodcock AA, Geddes DM. Two-, six-, and 12-minute walking tests in respiratory disease. BMJ. 1982; 284:1607–8.
12. Guyatt GH, Sullivan MJ, Thompson PJ, Fallen EL, Pugsley SO, Taylor DW, et al. The 6-minute walk: A new measure of exercise capacity in patients with chronic heart failure. Can Med Assoc J. 1985; 132:919–23 .
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14. Al Ameri H. Six minute walk test in respiratory diseases: A university hospital experience. Ann Thorac Med. 2006; 1:16-9.
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16. du Bois RM, Albera C, Bradford WZ, Costabel U, Leff JA, Noble PW, et al. 6-minute walk distance is an independent predictor of mortality in patients with idiopathic pulmonary fibrosis. Eur Respir J. 2014; 43: 1421-1429.
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20. Diniz LS, Neves VR, Starke AC, Barbosa MPT, Britto RR, Ribeiro ALP. Safety of early performance of the six-minute walk test following acute myocardial infarction: a cross-sectional study. Brazilian J Phys Ther. 2017; 21(3): 167–174.
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22. Przewlocka-Kosmala M, Smolen W, Rojek A, Woznicka AK, Mysiak A, Kosmala W. Prognostic value of the six-minute walk test in patients after myocardial infarction. Eur Heart J. 2013;34(suppl_1):P3368.
23. Wasyanto T, Wulandari P, Purwaningtyas N. Association between left ventricular global longitudinal strain and functional capacity measured with six-minutes walk test in patients after acute myocardial infarction . 2017;2:192–206.
24. Gremeaux V, Troisgros O, Benam S, Hannequin A, Laurent Y, Casillas JM, et al. Determining the minimal clinically important difference for the six-minute walk test and the 200-meter fast-walk test during cardiac rehabilitation program in coronary artery disease patients after acute coronary syndrome. Arch Phys Med Rehabil. 2011; 92:611-19.25.
25. Hassan AKM, Dimitry SR, Agban GW. Can exercise capacity assessed by the 6 minute walk test predict the development of major adverse cardiac events in patients with STEMI after fibrinolysis? PLoS One. 2014; 9(6): e99035
26. Beatty AL, Schiller NB, Whooley MA. Six-minute walk test as a prognostic tool in stable coronary heart disease: Data from the heart and soul study. Arch Intern Med. 2012; 172(14): 1096–1102.
27. Ekanayaka R, Waniganayake Y. Value of the 6 minute walk test in predicting multi vessel coronary arterial disease. Open J Intern Med. 2013;03:42–9.
28. Patel BC, Wayangankar SA, Thadani U, Lozano P, Latif F, Zhao D, et al. Prognostic value of a 6-minute walk test in patients undergoing percutaneous coronary intervention: a prospective study. J Card Fail. 2015 Aug 1;21(8):S127.
29. Rostiati D, Tanaka M, Tiksnadi BB, Purnomowati A, Aprama TM. Characteristics of coronary artery disease patients who perform six minute walk test during phase I cardiac rehabilitation in Hasan Sadikin Hospital. J Hong Kong Coll Cardiol. 2012;20:2006.
30. Cacciatore F, Abete P, Mazzella F, Furgi G, Nicolino A, Longobardi G, et al. Six-minute walking test but not ejection fraction predicts mortality in elderly patients undergoing cardiac rehabilitation following coronary artery bypass grafting. Eur J Prev Cardiol. 2012; ;19(6):1401-9.
31. La Rovere MT, Pinna GD, Maestri R, Olmetti F, Paganini V, Riccardi G, et al. The 6-minute walking test and all-cause mortality in patients undergoing a post-cardiac surgery rehabilitation program. Eur J Prev Cardiol. 2015; ;22(1):20-6.
32. Kodim A. Six minutes walking test as predictor of rehospitalization and mortality in post cor onary artery bypass surgery patients with left ventricular systolic dysfunction. Eur J Prev Cardiol. 2017;24(1_suppl):S36.
33. Bellet RN, Francis RL, Jacob JS, Healy KM, Bartlett HJ, Adams L, et al. Repeated six-minute walk tests for outcome measurement and exercise prescription in outpatient cardiac rehabilitation: A longitudinal study. Arch Phys Med Rehabil. 2011; 92(9):1388-94.
34. Borg G. Psychophysical bases of perceived exertion. Med Sci Sport Exerc. 1982;14:377–381.
35. Cahalin LP, Mathier M a, Semigran MJ, Dec GW, DiSalvo TG. The six-minute walk test predicts peak oxygen uptake and survival in patients with advanced heart failure. Chest. 1996; 110(2):325-32.
36. Adedoyin RA, Adeyanju SA, Balogun MO, Adebayo RA, Akintomide AO, Akinwusi PO. Prediction of functional capacity during six - Minute walk among patients with chronic heart failure. Niger J Clin Pract. 2010;13:379-381.
37. Ross RM, Murthy JN, Wollak ID, Jackson AS. The six minute walk test accurately estimates mean peak oxygen uptake. BMC Pulm 352 Med. 2010;10:31.
38. Nusdwinuringtyas N, Widjajalaksmi W, Bachtiar A. Healthy adults maximum oxygen uptake prediction from a six minute walking test. Med J Indones 2011; 20:195-200.
39. Ribeiro-Samora GA, Montemezzo D, Pereira DAG, Tagliaferri TL, Vieira OA, Britto RR. Could peak oxygen uptake be estimated from proposed equations based on the six-minute walk test in chronic heart failure subjects? Braz J Phys Ther. (2017), http://dx.doi.org/10.1016/j.bjpt.2017.03.004.
2. Ghimire G, Gupta A, Hage FG. Guidelines in review: 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction. J Nucl Cardiol. 2014;21(1):190–1.
3. Amsterdam EA, Wenger NK, Brindis RG, Casey DE, Ganiats TG, Holmes DR, et al. 2014 AHA/ACC Guideline for the Management of Patients With Non–ST-Elevation Acute Coronary Syndromes: Executive Summary. Circulation. 2014; 130(25):2354-2394.
4. Gibbons RJ Bricker J, BGJ. ACC/AHA 2002 guideline update for exercise testing: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Exercise Testing). 8th ed. Baltimore: Lippincott Williams & Wilkins. 2002.
5. Berry JD, Pandey A, Gao A, Leonard D, Farzaneh-Far R, Ayers C, et al. Physical fitness and risk for heart failure and coronary artery disease. Circ Hear Fail. 2013; 6:627-34.
6. Gupta S, Rohatgi A, Ayers CR, Willis BL, Haskell WL, Khera A, et al. Cardiorespiratory fitness and classification of risk of cardiovascular disease mortality. Circulation. 2011; 123:1377-83.
7. Hung RK, Al-Mallah MH, McEvoy JW, Whelton SP, Blumenthal RS, Nasir K, et al. Prognostic value of exercise capacity in patients with coronary artery disease: The FIT (Henry Ford Exercise Testing) project. Mayo Clin Proc. 2014; ;89(12):1644-1654.
8. Shaya GE, Al-Mallah MH, Hung RK, Nasir K, Blumenthal RS, Ehrman JK, et al. High Exercise Capacity Attenuates the Risk of Early Mortality After a First Myocardial Infarction: The Henry Ford Exercise Testing (FIT) Project. Mayo Clin Proc. 2016; 91(2):129-139.
9. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002; 166:111–17.
10. Balke B. A simple field test for the assessment of physical fitness . Rep Civ Aeromed Res Inst US. 1963 Apr;1–8.
11. Butland RJ, Pang J, Gross ER, Woodcock AA, Geddes DM. Two-, six-, and 12-minute walking tests in respiratory disease. BMJ. 1982; 284:1607–8.
12. Guyatt GH, Sullivan MJ, Thompson PJ, Fallen EL, Pugsley SO, Taylor DW, et al. The 6-minute walk: A new measure of exercise capacity in patients with chronic heart failure. Can Med Assoc J. 1985; 132:919–23 .
13. Nusdwinuringtyas N, Widjajalaksmi, Yunus F, Alwi I. Reference equation for prediction of a total distance during six-minute walk test using Indonesian anthropometrics. Acta Med Indones. 2014; 46(2):90-96.
14. Al Ameri H. Six minute walk test in respiratory diseases: A university hospital experience. Ann Thorac Med. 2006; 1:16-9.
15. Demir R, Kucukoglu MS. Six-minute walk test in pulmonary arterial hypertension. Anatol J Cardiol. 2015; 15(3):249-54.
16. du Bois RM, Albera C, Bradford WZ, Costabel U, Leff JA, Noble PW, et al. 6-minute walk distance is an independent predictor of mortality in patients with idiopathic pulmonary fibrosis. Eur Respir J. 2014; 43: 1421-1429.
17. Ingle L, Cleland JG, Clark AL. The long-term prognostic significance of 6-minute walk test distance in patients with chronic heart failure. Biomed Res Int. 2014; 2014:505969.
18. Zielińska D, Bellwon J, Rynkiewicz A, Elkady MA. Prognostic value of the six-minute walk test in heart failure patients undergoing cardiac surgery: a literature review. Rehabil Res Pract. 2013; 2013:965494.
19. Olsson LG, Swedberg K, Clark AL, Witte KK, Cleland JGF. Six minute corridor walk test as an outcome measure for the assessment of treatment in randomized, blinded intervention trials of chronic heart failure: A systematic review. European Heart Journal. 2005; 26(8):778-93.
20. Diniz LS, Neves VR, Starke AC, Barbosa MPT, Britto RR, Ribeiro ALP. Safety of early performance of the six-minute walk test following acute myocardial infarction: a cross-sectional study. Brazilian J Phys Ther. 2017; 21(3): 167–174.
21. Nogueira PA de M, Leal ACM, Pulz C, Nogueira IDB, Filho JAO. Clinical reliability of the 6 minute corridor walk test performed within a week of a myocardial infarction. Int Heart J. 2006; 47: 533-540.
22. Przewlocka-Kosmala M, Smolen W, Rojek A, Woznicka AK, Mysiak A, Kosmala W. Prognostic value of the six-minute walk test in patients after myocardial infarction. Eur Heart J. 2013;34(suppl_1):P3368.
23. Wasyanto T, Wulandari P, Purwaningtyas N. Association between left ventricular global longitudinal strain and functional capacity measured with six-minutes walk test in patients after acute myocardial infarction . 2017;2:192–206.
24. Gremeaux V, Troisgros O, Benam S, Hannequin A, Laurent Y, Casillas JM, et al. Determining the minimal clinically important difference for the six-minute walk test and the 200-meter fast-walk test during cardiac rehabilitation program in coronary artery disease patients after acute coronary syndrome. Arch Phys Med Rehabil. 2011; 92:611-19.25.
25. Hassan AKM, Dimitry SR, Agban GW. Can exercise capacity assessed by the 6 minute walk test predict the development of major adverse cardiac events in patients with STEMI after fibrinolysis? PLoS One. 2014; 9(6): e99035
26. Beatty AL, Schiller NB, Whooley MA. Six-minute walk test as a prognostic tool in stable coronary heart disease: Data from the heart and soul study. Arch Intern Med. 2012; 172(14): 1096–1102.
27. Ekanayaka R, Waniganayake Y. Value of the 6 minute walk test in predicting multi vessel coronary arterial disease. Open J Intern Med. 2013;03:42–9.
28. Patel BC, Wayangankar SA, Thadani U, Lozano P, Latif F, Zhao D, et al. Prognostic value of a 6-minute walk test in patients undergoing percutaneous coronary intervention: a prospective study. J Card Fail. 2015 Aug 1;21(8):S127.
29. Rostiati D, Tanaka M, Tiksnadi BB, Purnomowati A, Aprama TM. Characteristics of coronary artery disease patients who perform six minute walk test during phase I cardiac rehabilitation in Hasan Sadikin Hospital. J Hong Kong Coll Cardiol. 2012;20:2006.
30. Cacciatore F, Abete P, Mazzella F, Furgi G, Nicolino A, Longobardi G, et al. Six-minute walking test but not ejection fraction predicts mortality in elderly patients undergoing cardiac rehabilitation following coronary artery bypass grafting. Eur J Prev Cardiol. 2012; ;19(6):1401-9.
31. La Rovere MT, Pinna GD, Maestri R, Olmetti F, Paganini V, Riccardi G, et al. The 6-minute walking test and all-cause mortality in patients undergoing a post-cardiac surgery rehabilitation program. Eur J Prev Cardiol. 2015; ;22(1):20-6.
32. Kodim A. Six minutes walking test as predictor of rehospitalization and mortality in post cor onary artery bypass surgery patients with left ventricular systolic dysfunction. Eur J Prev Cardiol. 2017;24(1_suppl):S36.
33. Bellet RN, Francis RL, Jacob JS, Healy KM, Bartlett HJ, Adams L, et al. Repeated six-minute walk tests for outcome measurement and exercise prescription in outpatient cardiac rehabilitation: A longitudinal study. Arch Phys Med Rehabil. 2011; 92(9):1388-94.
34. Borg G. Psychophysical bases of perceived exertion. Med Sci Sport Exerc. 1982;14:377–381.
35. Cahalin LP, Mathier M a, Semigran MJ, Dec GW, DiSalvo TG. The six-minute walk test predicts peak oxygen uptake and survival in patients with advanced heart failure. Chest. 1996; 110(2):325-32.
36. Adedoyin RA, Adeyanju SA, Balogun MO, Adebayo RA, Akintomide AO, Akinwusi PO. Prediction of functional capacity during six - Minute walk among patients with chronic heart failure. Niger J Clin Pract. 2010;13:379-381.
37. Ross RM, Murthy JN, Wollak ID, Jackson AS. The six minute walk test accurately estimates mean peak oxygen uptake. BMC Pulm 352 Med. 2010;10:31.
38. Nusdwinuringtyas N, Widjajalaksmi W, Bachtiar A. Healthy adults maximum oxygen uptake prediction from a six minute walking test. Med J Indones 2011; 20:195-200.
39. Ribeiro-Samora GA, Montemezzo D, Pereira DAG, Tagliaferri TL, Vieira OA, Britto RR. Could peak oxygen uptake be estimated from proposed equations based on the six-minute walk test in chronic heart failure subjects? Braz J Phys Ther. (2017), http://dx.doi.org/10.1016/j.bjpt.2017.03.004.
Published
2019-09-11
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How to Cite
Tiksnadi, B., Ambari, A., & Adriana, M. (2019). Uji Jalan 6 Menit (UJ6M) pada Pasien Pasca Sindrom Koroner Akut. Indonesian Journal of Cardiology, 40(1). https://doi.org/10.30701/ijc.v40i1.913
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Review Article
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