Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
October 18, 2010European Journal of Heart FailureOpen Access

Influence of Cardiomegaly on Disordered Breathing During Exercise in Chronic Heart Failure

View Full Paper
Ask AI
Bookmark
Share

Key result

Larger cardiac size in heart failure patients was significantly associated with reduced tidal volume at peak exercise (P=0.02), suggesting it constrains the lungs and contributes to tachypnea.

Why the study?

Does cardiomegaly influence disordered breathing patterns during exercise in patients with chronic heart failure?

Population

79 participants, including 37 patients with chronic heart failure and 42 controls.

Design

Cross-sectional

Authors

TOThomas P. OlsonBJBruce D. Johnson

Discussion

Loading...

Member takes

Overview

May constrain exercise ventilation in HF; hypothesis-generating, needs prospective validation before clinical relevance.

Study Design

Type

Observational (n=79)

Structured PICO

Does cardiomegaly influence disordered breathing patterns during exercise in patients with chronic heart failure?

P
Population
79 participants, including 37 patients with chronic heart failure (mean age 55 ± 13 years, EF 27 ± 10%, NYHA class 2.3 ± 1.2) and 42 controls (mean age 56 ± 14 years, EF 63 ± 8%).
C
Comparator
Controls and HF patients stratified by median cardiac volume (Group A < median, Group B ≥ median)
O
Outcome
Relationship between cardiac size and tidal volume (V(T)) at 75% of VO(2) peak and at VO(2) peaksurrogate

Main Result

p-value: p=0.02

Cardiomegaly in heart failure patients is associated with reduced tidal volume during maximal exercise, suggesting cardiac size constrains lung expansion and contributes to tachypneic breathing.

Cite This Study

Olson et al. (2010) conducted an observational in Chronic Heart Failure (n=79). Cardiomegaly (larger cardiac size) vs. Healthy controls or smaller cardiac size was evaluated on Association between cardiac size and tidal volume at VO2 peak (p=0.02). Larger cardiac size in heart failure patients was significantly associated with reduced tidal volume at peak exercise (P=0.02), suggesting it constrains the lungs and contributes to tachypnea.

synapsesocial.com/papers/6a192cf0a0353395e957f5f2https://doi.org/10.1093/eurjhf/hfq177
View Full Paper
Ask AI
Bookmark
Share

Also Consider

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

  1. 1Breathing pattern, ventilatory drive and respiratory muscle strength in patients with chronic heart failure1994 · 104 citations
  2. 2The increased ventilatory response to exercise in chronic heart failure: relation to pulmonary pathology.1997 · 77 citations
  3. 3Limited Ventilatory Reserve During Exercise in Heart Failure with Preserved Ejection Fraction2025 · 2 citations
  4. 4Cardiopulmonary Exercise Response in Patients with Left Ventricular Dysfunction or Heart Failure: A Noninvasive Study by Gas Exchange and Impedance Cardiography Monitoring2008 · 7 citations
  5. 5Lung Function and Exercise Gas Exchange in Chronic Heart Failure1997 · 401 citations