Key result
Increasing coronary atherosclerotic burden was associated with impaired cardiac output and chronotropic response, with non-obstructive coronary artery disease showing a significant reduction in peak VO2 (MD -2.05) compared to healthy volunteers.
Why the study?
Cardiac function varies in different ways in ischemic heart disease (IHD), prompting evaluation of cardiac function characteristics on CPET across different coronary stenoses.
Does the degree of coronary stenosis correlate with impaired cardiac function on cardiopulmonary exercise testing in patients with ischemic heart disease?
Cross-Sectional (n=715)
No
Does the degree of coronary stenosis correlate with impaired cardiac function on cardiopulmonary exercise testing in patients with ischemic heart disease?
Increasing coronary atherosclerotic burden is associated with progressively impaired cardiac output and chronotropic response during cardiopulmonary exercise testing, with even non-obstructive CAD showing significant impairment compared to healthy controls.
Background Cardiac function varies in different ways in ischemic heart disease (IHD). We aimed to evaluate the characteristics of cardiac function on cardiopulmonary exercise test (CPET) in IHD with different coronary stenoses. Methods Totally 614 patients with IHD were divided into non-obstructive coronary artery disease (NOCAD) (stenosis < 50%), obstructive coronary artery disease (OCAD) (stenosis 50-90%) and severe OCAD ( stenosis > 90%) according to the coronary angiography. And 101 healthy volunteers as controls. All participants performed CPET to assess cardiac function by oxygen uptake (VO 2 ), estimated cardiac output (CO), and heart rate (HR). Results Generally, the values of VO 2 , CO, and HR in IHD were significantly lower than in healthy volunteers. Among 289 NOCAD, 132 OCAD, and 193 severe OCAD, significantly decreased values of VO 2 , CO, HR were observed (VO 2 peak: 16.01 ± 4.11 vs. 15.66 ± 4.14 vs. 13.33 ± 3.4 mL/min/kg; CO: 6.96 ± 2.34 vs. 6.87 ± 2.37 vs. 6.05 ± 1.79 L/min; HR: 126.44 ± 20.53 vs. 115.15 ± 18.78 vs. 109.07 ± 16.23 bpm, P < 0.05). NOCAD had significantly lower VO 2 at anaerobic threshold (-1.35, 95%CI -2.16 - -0.54) and VO 2 peak (-2.05, 95%CI -3.18 - -0.93) compared with healthy volunteers after adjustment. All IHD patients were associated with low stroke volume and inefficient gas exchange ( P < 0.05). Conclusion IHD with increasing atherosclerotic burdens were associated with impaired cardiac output and chronotropic response on CPET. NOCAD should be given more early prevention and rigorous follow-up.
No takes yet. Share an insight, caveat, or question.
Li et al. (2022) conducted a cross-sectional in Ischemic heart disease (n=715). Coronary stenosis vs. Healthy volunteers was evaluated on Peak oxygen uptake (VO2 peak) (MD -2.05, 95% CI -3.18 to -0.93, p=<0.05). Increasing coronary atherosclerotic burden was associated with impaired cardiac output and chronotropic response, with non-obstructive coronary artery disease showing a significant reduction in peak VO2 (MD -2.05) compared to healthy volunteers.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: