Daily walking performance as an independent predictor of advanced heart failure: Prediction of exercise capacity in chronic heart failure

Daily walking performance as an independent predictor of advanced heart failure: Prediction of exercise capacity in chronic heart failure
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DOI:
10.1016/j.ahj.2008.10.006
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发表时间:
2009-02-01
影响因子:
4.8
通讯作者:
Koehler, Friedrich
Koehler, Friedrich
中科院分区:
医学2区
文献类型:
--
作者:
Jehn, Melissa;Schmidt-Trucksaess, Arno;Koehler, Friedrich

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本研究的目的是使用加速度计测量慢性心力衰竭(CHF)患者的日常步行表现,以研究该参数是否是纽约心脏协会分级的决定因素,并指示最大和功能运动能力。方法50例慢性心力衰竭患者在进行日常工作时连续7天佩戴加速度计。最大运动能力和功能运动能力分别通过心肺(VO(2peak))和6分钟步行测试进行评估。结果纽约心脏协会I、II和III组患者的平均总步行时间(TWT)分别为160.6 +/- 35.8分钟、133.9 +/- 59.0分钟和76.1 +/- 22.5分钟/天,其中19%、19%和9%为快速步行模式(> 83 m/分钟)。TWT与VO(2peak)呈显著相关(r = 0.72
Purpose The purpose of this study was to use an accelerometer to measure daily walking performance in patients with chronic heart failure (CHF) to investigate if this parameter is a determinant of New York Heart Association class and indicative of maximal and functional exercise capacity.Methods Fifty patients with CHF were instructed to wear an accelerometer for 7 consecutive days while going about their daily business. Maximal and functional exercise capacity was assessed by cardiopulmonary (VO(2peak)) and 6-minute walk testing, respectively.Results Patients in New York Heart Association I, II, and III reached an average total walking time (TWT) of 160.6 +/- 35.8 minutes, 133.9 +/- 59.0 minutes, and 76.1 +/- 22.5 minutes per day of which 19%, 19%, and 9% where spent in the fast walking mode (> 83 m/minute), respectively. The TWT correlated strongly with VO(2peak) (r = 0.72; P