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
中科院分区:
文献类型:
--
作者:
Jehn, Melissa;Schmidt-Trucksaess, Arno;Koehler, Friedrich
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