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January 20, 2009JAMAOpen Access

Left Ventricular Function and Exercise Capacity

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Why the study?

Is left ventricular diastolic function associated with exercise capacity in patients without ischemia or systolic dysfunction?

Population

2,867 patients undergoing exercise echocardiography using the Bruce protocol, excluding those with…

Design

Cross-sectional

Key result

Moderate/severe resting diastolic dysfunction was strongly associated with lower exercise capacity compared with normal function (-1.30 METs; 95% CI, -1.52 to -0.99; P < .001).

Authors

JGJasmine Grewal

Discussion

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Overview

Hypothesis-generating for diastolic dysfunction limiting exercise capacity in nonischemic preserved EF; prospective trials needed before clinical adoption.

Study Design

Type

Cross-Sectional (n=2,867)

Multicenter

No

Structured PICO

Is left ventricular diastolic function associated with exercise capacity in patients without ischemia or systolic dysfunction?

P
Population
2,867 patients undergoing exercise echocardiography using the Bruce protocol, excluding those with exercise-induced ischemia, ejection fractions <50%, or significant valvular heart disease.
O
Outcome
Exercise capacity in metabolic equivalents (METs)surrogate

Main Result

Effect estimate: Beta -1.30 METs (95% CI -1.52 to -0.99)

p-value: p=<.001

Abnormalities of left ventricular diastolic function are independently associated with reduced exercise capacity in patients with normal ejection fraction and no ischemia.

Cite This Study

Jasmine Grewal (2009) conducted a cross-sectional in Patients undergoing exercise echocardiography (n=2,867). Left ventricular diastolic dysfunction vs. Normal diastolic function was evaluated on Exercise capacity in metabolic equivalents (METs) (Beta -1.30 METs, 95% CI -1.52 to -0.99, p=<.001). Moderate/severe resting diastolic dysfunction was strongly associated with lower exercise capacity compared with normal function (-1.30 METs; 95% CI, -1.52 to -0.99; P < .001).

synapsesocial.com/papers/6a07b6107ba19a189e06b3achttps://doi.org/10.1001/jama.2008.1022
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Contribution of left ventricular diastolic function to exercise capacity in normal subjects1993 · 124 citations
  2. 2Resting Ventricular–Vascular Function and Exercise Capacity in Heart Failure With Preserved Ejection Fraction2014 · 47 citations
  3. 3Determinants of exercise capacity in patients with coronary artery disease and mild to moderate systolic dysfunction: Role of heart rate and diastolic filling abnormalities1996 · 34 citations
  4. 4Relation between exercise capacity and left ventricular systolic versus diastolic function during exercise in patients after myocardial infarction2001 · 20 citations
  5. 5Relationship Between Doppler-Derived Left Ventricular Diastolic Function and Exercise Capacity in Patients With Myocardial Infarction2001 · 17 citations