Relation of daily activity levels in patients with chronic heart failure to long-term prognosis
Relation of daily activity levels in patients with chronic heart failure to long-term prognosis
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DOI：
10.1016/s0002-9149(97)00141-0
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发表时间：
1997-05-15
影响因子：
2.8
通讯作者：
Cowley, AJ
中科院分区：
文献类型：
--
作者：
Walsh, JT;Charlesworth, A;Cowley, AJ
症状有限的、基于实验室的运动测试通常用于确定慢性心力衰竭患者的预后，但它们与正常日常活动的测量无关。中心血流动力学的侵入性测量同样与结果相关性较差。心力衰竭患者每周步行的计步器分数显着降低，但这种不太人为的运动能力测量对于预测预后是否重要尚不清楚。 84 名慢性心力衰竭患者接受了平均 710 天的随访，其中 44 人死亡，3 人接受了心脏移植。使用两种不同方案的症状有限的跑步机运动能力并不能预测生存，而每周计步器分数的降低是死亡的有力预测因素（p
Symptom-limited, laboratory-based exercise tests are often used to define prognosis in patients with chronic heart failure, but they do not relate to measures of normal daily activity. Invasive measures of central hemodynamics similarly relate poorly to outcome. Pedometer scores of weekly walking are markedly reduced in patients with heart failure, but whether this less artificial measure of exercise capacity is important in predicting prognosis is not known. Eighty-four patients with chronic heart failure were followed for a mean of 710 days during which 44 died and 3 underwent cardiac transplantation. Symptom-limited treadmill exercise capacity using 2 different protocols did not predict survival, whereas reduced weekly pedometer scores were strong predictors of death (p