August 15, 1998Annals of Internal Medicine
Clinical, Hemodynamic, and Cardiopulmonary Exercise Test Determinants of Survival in Patients Referred for Evaluation of Heart Failure
Population
644 patients referred for evaluation of heart failure over 10 years at a hospital-based outpatient clinic
Design
Cohort
Follow-up
mean 4 years
Authors
Discussion
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Member takes
Implication
Observational data should not yet alter transplant evaluation; leaves open need for prospective validation of peak VO2.
Structured PICO
P
Population
644 patients referred for evaluation of heart failure over 10 years at a hospital-based outpatient clinic
O
Outcome
Time of death (survival)hard clinical
Peak VO2 is a superior predictor of survival compared to clinical and invasive hemodynamic variables in patients with severe chronic heart failure, supporting its routine use in transplant evaluation.
Cite This Study
Jonathan Myers (1998) studied this question.