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Work Ability Assessment and Its Relationship with Cardiovascular Autonomic Profile in Postural Orthostatic Tachycardia Syndrome

Author

Listed:
  • Franca Barbic

    (Internal Medicine, Humanitas Clinical and Research Center—IRCCS, Via Manzoni 56, 20089 Rozzano-Milan, Italy
    Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20090 Pieve Emanuele-Milan, Italy)

  • Maura Minonzio

    (Internal Medicine, Humanitas Clinical and Research Center—IRCCS, Via Manzoni 56, 20089 Rozzano-Milan, Italy)

  • Beatrice Cairo

    (Department of Biomedical Sciences for Health, University of Milan, 20122 Milan, Italy)

  • Dana Shiffer

    (Internal Medicine, Humanitas Clinical and Research Center—IRCCS, Via Manzoni 56, 20089 Rozzano-Milan, Italy)

  • Antonio Roberto Zamuner

    (Departamento de Kinesiología, Universidad Católica del Maule, 3480112 Talca, Maule, Chile)

  • Silvia Cavalieri

    (Department of Life Sciences & Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy)

  • Franca Dipaola

    (Internal Medicine, Humanitas Clinical and Research Center—IRCCS, Via Manzoni 56, 20089 Rozzano-Milan, Italy
    Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20090 Pieve Emanuele-Milan, Italy)

  • Nicola Magnavita

    (Department of Life Sciences & Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
    Department of Woman, Children & Public Health, Fondazione Policlinico A. Gemelli—IRCCS, 00168 Rome, Italy)

  • Alberto Porta

    (Department of Biomedical Sciences for Health, University of Milan, 20122 Milan, Italy
    Department of Cardiothoracic, Vascular Anesthesia and Intensive Care, IRCCS Policlinico San Donato, San Donato Milanese, 20097 Milan, Italy)

  • Raffaello Furlan

    (Internal Medicine, Humanitas Clinical and Research Center—IRCCS, Via Manzoni 56, 20089 Rozzano-Milan, Italy
    Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20090 Pieve Emanuele-Milan, Italy)

Abstract

Postural orthostatic tachycardia syndrome (POTS) negatively impacts quality of life. The excessive increase in cardiac sympathetic modulation during standing, which characterizes POTS patients, leads to many symptoms and signs of orthostatic intolerance. Little is known about the consequences of the disease on work performance and its relationship with individual autonomic profiles. Twenty-two POTS patients regularly engaged in working activity (20 females, age 36 ± 12 years) and 18 gender- and age-matched controls underwent a clinical evaluation and filled out the Work Ability Index (WAI) questionnaire. POTS patients completed the Composite Autonomic Symptom Score (COMPASS31) questionnaire, underwent continuous electrocardiogram, blood pressure and respiratory activity recordings while supine and during a 75° head-up tilt (HUT). A power spectrum analysis provided the index of cardiac sympatho-vagal balance (LF/HF). WAI scores were significantly reduced in POTS patients (29.84 ± 1.40) compared to controls (45.63 ± 0.53, p < 0.01). A significant inverse correlation was found between individual WAI and COMPASS31 scores (r = −0.46; p = 0.03), HUT increase in heart rate (r = −0.57; p = 0.01) and LF/HF (r = −0.55; p = 0.01). In POTS patients, the WAI scores were inversely correlated to the intensity of autonomic symptoms and to the excessive cardiac sympathetic activation induced by the gravitational stimulus.

Suggested Citation

  • Franca Barbic & Maura Minonzio & Beatrice Cairo & Dana Shiffer & Antonio Roberto Zamuner & Silvia Cavalieri & Franca Dipaola & Nicola Magnavita & Alberto Porta & Raffaello Furlan, 2020. "Work Ability Assessment and Its Relationship with Cardiovascular Autonomic Profile in Postural Orthostatic Tachycardia Syndrome," IJERPH, MDPI, vol. 17(21), pages 1-15, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:7836-:d:434902
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    References listed on IDEAS

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    1. van Campen, Cretien & Cardol, Mieke, 2009. "When work and satisfaction with life do not go hand in hand: Health barriers and personal resources in the participation of people with chronic physical disabilities," Social Science & Medicine, Elsevier, vol. 69(1), pages 56-60, July.
    2. Juhani Ilmarinen, 2019. "From Work Ability Research to Implementation," IJERPH, MDPI, vol. 16(16), pages 1-7, August.
    3. Franca Dipaola & Caterina Barberi & Elena Castelnuovo & Maura Minonzio & Roberto Fornerone & Dana Shiffer & Beatrice Cairo & Antonio Roberto Zamuner & Franca Barbic & Raffaello Furlan, 2020. "Time Course of Autonomic Symptoms in Postural Orthostatic Tachycardia Syndrome (POTS) Patients: Two-Year Follow-Up Results," IJERPH, MDPI, vol. 17(16), pages 1-13, August.
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    Cited by:

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    2. Nicola Magnavita & Igor Meraglia & Giacomo Viti & Lorenzo Borghese, 2024. "The Work Ability Index (WAI) in the Healthcare Sector: A Cross-Sectional/Retrospective Assessment of the Questionnaire," IJERPH, MDPI, vol. 21(3), pages 1-17, March.

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