Document Detail


Left ventricular chamber stiffness at rest as a determinant of exercise capacity in heart failure subjects with decreased ejection fraction.
MedLine Citation:
PMID:  15208299     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Impaired exercise tolerance, determined by peak oxygen consumption (VO2 peak), is predictive of mortality and the necessity for cardiac transplantation in patients with chronic heart failure (HF). However, the role of left ventricular (LV) diastolic function at rest, reflected by chamber stiffness assessed echocardiographically, as a determinant of exercise tolerance is unknown. Increased LV chamber stiffness and limitation of VO2 peak are known correlates of HF. Yet, the relationship between chamber stiffness and VO2 peak in subjects with HF has not been fully determined. Forty-one patients with HF New York Heart Association [(NYHA) class 2.4 +/- 0.8, mean +/- SD] had echocardiographic studies and VO2 peak measurements. Transmitral Doppler E waves were analyzed using a previously validated method to determine k, the LV chamber stiffness parameter. Multiple linear regression analysis of VO(2 peak) variance indicated that LV chamber stiffness k (r2 = 0.55) and NYHA classification (r2 = 0.43) were its best independent predictors and when taken together account for 59% of the variability in VO2 peak. We conclude that diastolic function at rest, as manifested by chamber stiffness, is a major determinant of maximal exercise capacity in HF.
Authors:
Timothy E Meyer; Mustafa Karamanoglu; Ali A Ehsani; Sándor J Kovács
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.     Date:  2004-06-18
Journal Detail:
Title:  Journal of applied physiology (Bethesda, Md. : 1985)     Volume:  97     ISSN:  8750-7587     ISO Abbreviation:  J. Appl. Physiol.     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-10-11     Completed Date:  2005-02-25     Revised Date:  2013-09-26    
Medline Journal Info:
Nlm Unique ID:  8502536     Medline TA:  J Appl Physiol (1985)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1667-72     Citation Subset:  IM    
Affiliation:
Cardiovascular Biophysics Laboratory, Washington University School of Medicine, 660 South Euclid Ave., Box 8086, St. Louis, MO 63110, USA.
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MeSH Terms
Descriptor/Qualifier:
Blood Pressure
Cardiac Output, Low / physiopathology*
Echocardiography, Doppler
Elasticity
Exercise
Female
Humans
Male
Middle Aged
Oxygen Consumption
Physical Endurance*
Regression Analysis
Rest
Stroke Volume*
Ventricular Function, Left*
Grant Support
ID/Acronym/Agency:
HL-04023/HL/NHLBI NIH HHS; HL-54179/HL/NHLBI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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