Why the study?
Central and peripheral factors of maximum oxygen uptake in chronic heart failure are little investigated because they are usually measured invasively.
Do non-invasively measured central and peripheral factors of oxygen uptake differ between patients with chronic heart failure and healthy controls?
Do non-invasively measured central and peripheral factors of oxygen uptake differ between patients with chronic heart failure and healthy controls?
Non-invasive measurement of central and peripheral factors of oxygen uptake reveals distinct physiological differences between chronic heart failure patients and healthy controls, suggesting potential utility in diagnosis and therapy optimization.
Distinct non-invasive oxygen uptake patterns observed in heart failure; leaves open diagnostic or therapeutic utility pending prospective validation.
BACKGROUND: Maximum oxygen uptake is an established measurement of diagnosing chronic heart failure and underlies various central and peripheral factors. However, central and peripheral factors are little investigated, because they are usually measured invasively. The aim of this study was to compare non-invasively measured central and peripheral factors of oxygen uptake between patients with chronic heart failure and healthy controls. METHODS: ) were tested for blood pressure, heart rate, stroke volume, cardiac output, and cardiac power output (central factors) as well as muscle oxygen saturation of the vastus lateralis and biceps brachii muscle (peripheral factors) during an incremental cycling test. Stroke volume and muscle oxygen saturation were non-invasively measured by a bioreactance analysis and near-infrared spectroscopy, respectively. Additionally, a maximum isometric strength test of the knee extensors was conducted. Magnitude-based inferences were computed for statistical analyses. RESULTS: Patients had a likely to most likely lower oxygen uptake, mean arterial pressure, and heart rate at maximum load as well as very likely lower isometric peak torque. Contrary, patients had a possibly to likely higher stroke volume and muscle oxygen saturation of the vastus lateralis muscle at maximum load. Differences in cardiac output, cardiac power output, and muscle oxygen saturation of the biceps brachii muscle at maximum load were unclear. CONCLUSIONS: Non-invasively measured central and peripheral factors of oxygen uptake differ between patients with chronic heart failure and healthy controls. Therefore, it is promising to measure both types of factors in patients with chronic heart failure to optimize the diagnosis and therapy.
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Brochhagen et al. (2020) studied this question.
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