Table 4.
Exercise Physiological Parameters in Relation to RV Function
| Overall (n=2051) |
RV Dysfunction − (n=1928) |
RV Dysfunction + (n=123) |
p | |
|---|---|---|---|---|
| Effort Tolerance | ||||
| Exercise Duration (time) | 7.8 ± 2.9 | 7.9± 2.9 | 6.7 ± 2.8 | <0.001 |
| Peak Treadmill Stage Achieved | 2.6 ± 0.96 | 2.6 ± 0.96 | 2.2 ± 0.91 | <0.001 |
| Workload (METS) | 9.4 ± 2.1 | 9.5 ± 2.1 | 8.5 ± 2.3 | <0.001 |
| Heart Rate | ||||
| Rest | 70.4 ± 12.3 | 70.3 ± 12.2 | 72.1± 13.3 | 0.15 |
| Peak Stress | 138.4 ± 25.2 | 139.1 ± 25.0 | 128.3± 26.9 | <0.001 |
| Change in Heart Rate (stress - rest) | 68.0 ± 24.4 | 68.8 ± 24.1 | 56.2± 26.4 | <0.001 |
| Predicted maximum heart rate | 156.5±11.7 | 156.7 ± 11.7 | 154.0± 11.5 | 0.014 |
| % Converted to pharm stress testing* | 415 (20%) | 372 (19%) | 43 (35%) | <0.001 |
| Systolic Blood Pressure | ||||
| Rest | 126.4 ± 17.0 | 126.3 ± 16.9 | 127.7 ± 18.0 | 0.40 |
| Peak Stress | 166.6 ± 29.2 | 167.3 ± 28.4 | 155.5 ± 32.3 | 0.001 |
| Change in Blood Pressure (stress - rest) | 40.2 ± 27.7 | 41.0 ± 27.3 | 27.9 ± 31.0 | <0.001 |
| Exercise ECG Response | ||||
| ≥ 1 mm ST Depression (%) | 389 (19%) | 371(19%) | 18(15%) | 0.21 |
| Maximal ST Depression (mm) | 0.32 ± 0.75 | 0.33 ± 0.74 | 0.30 ± 0.84 | 0.67 |
| Exercise Clinical Response | ||||
| Chest pain | 104(5%) | 94 (5%) | 10(8%) | 0.11 |
| Shortness of breath | 273(13%) | 254 (13%) | 19 (15%) | 0.47 |
| Duke Treadmill Score | 4.9 ±5.5 | 5.0 ± 5.4 | 4.2 ± 6.5 | 0.13 |
Failure to attain target heart rate (220-age)