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July 25, 2019European Journal of Preventive Cardiology

In apparently healthy subjects with cardiovascular risk factors, lower peak VO2 independently predicted the presence of exercise chronotropic insufficiency (OR 0.91; 95% CI 0.85-0.97; p<0.05).

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Population

599 apparently healthy individuals with at least one major cardiovascular risk factor who achieved a…

Comparison

Presence of chronotropic insufficiency during… vs Absence of chronotropic insufficiency (no-CI)

Design

Cohort

Key result

In apparently healthy subjects with cardiovascular risk factors, lower peak VO2 independently predicted the presence of exercise chronotropic insufficiency (OR 0.91; 95% CI 0.85-0.97; p<0.05).

Authors

PLPietro Leonida LaforgiaFBFrancesco BanderaEAEleonora Alfonzetti

Discussion

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Overview

Chronotropic insufficiency may mark higher risk factor burden in at-risk adults; leaves open its independent prognostic role and need for intervention trials.

Study Design

Type

Cross-Sectional (n=599)

Structured PICO

P
Population
599 apparently healthy individuals with at least one major cardiovascular risk factor who underwent cardiopulmonary exercise testing.
E
Exposure
Presence of chronotropic insufficiency (CI) during cardiopulmonary exercise test (CPET)
C
Comparator
Absence of chronotropic insufficiency (no-CI)
O
Outcome
Relationship between exercise chronotropic insufficiency, number of major cardiovascular risk factors, peak VO2, and echocardiographic measuressurrogate

Main Result

Odds Ratio: 0.91 (95% CI 0.85–0.97)

p-value: p=<0.05

In apparently healthy individuals with cardiovascular risk factors, exercise chronotropic insufficiency is common and correlates with the number of risk factors, lower peak VO2, and abnormal echocardiographic measures.

Cite This Study

Laforgia et al. (2019) conducted a cross-sectional in Cardiovascular risk (n=599). Chronotropic insufficiency vs. No chronotropic insufficiency was evaluated on Prediction of chronotropic insufficiency by peak VO2 (OR 0.91, 95% CI 0.85-0.97, p=<0.05). In apparently healthy subjects with cardiovascular risk factors, lower peak VO2 independently predicted the presence of exercise chronotropic insufficiency (OR 0.91; 95% CI 0.85-0.97; p<0.05).

synapsesocial.com/papers/6ab8bb866673fe27445bf2dbhttps://doi.org/10.1177/2047487319863506
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