Table 3.
Cardiopulmonary exercise test characteristics at rest and during exercise in 93 patients with COPD divided into three groups by mPAP at rest and ΔmPAP/ΔCO slope
Variable | mPAPrest <25 mmHg
|
mPAPrest ≥25 mmHg | p-value | |
---|---|---|---|---|
ΔmPAP/ΔCO slope ≤3 mmHg/L/min | ΔmPAP/ΔCO slope >3 mmHg/L/min | |||
n=29 |
n=42 |
n=22 |
||
Peak load, watt | 89 (23) | 60 (31)* | 40 (21)*,# | <0.001 |
peak, mL/kg/min | 18.3 (4.8) | 17.1 (3.9) | 13.9 (3.0)*,# | 0.001 |
peak/kg % pred. | 57 (16) | 59 (14) | 46 (13)*,# | 0.003 |
MVV rest, L/min¤ | 67 (25) | 47 (21)* | 34 (12)*,# | <0.001 |
Ventilation peak, L/min¤ | 53 (15) | 42 (15)* | 35 (12)* | <0.001 |
Ventilation peak % pred. | 58 (17) | 55 (20) | 43 (15)* | 0.01 |
Ventilatory reserve, % | 16 (25) | 5 (19) | −7 (19)* | 0.001 |
nadir | 36 (7) | 37 (6) | 41 (8)* | 0.05 |
slope | 35 (9) | 34 (8) | 32 (9) | 0.53 |
Heart rate rest, beats/min | 87 (18) | 90 (16) | 96 (18) | 0.16 |
Heart rate peak, beats/min | 134 (18) | 134 (17) | 130 (19) | 0.68 |
O2-pulse peak mL/beat | 10.9 (2.7) | 8.3 (2.5)* | 7.5 (2.1)* | <0.001 |
O2-pulse peak % pred. | 72 (14) | 64 (20) | 55 (12)* | 0.003 |
Systemic MAP rest, mmHg | 95 (12) | 95 (16) | 93 (10) | 0.77 |
Systemic MAP peak, mmHg | 133 (21) | 136 (28) | 129 (23) | 0.55 |
RER peak | 0.96 (0.13) | 0.95 (0.13) | 0.90 (0.12) | 0.20 |
PaO2 rest, mmHg | 77 (11) | 72 (8) | 61 (11)*,# | <0.001 |
PaO2 peak, mmHg | 74 (12) | 68 (12) | 50 (8)*,# | <0.001 |
PaCO2 rest, mmHg | 39 (3) | 41 (5) | 44 (5)* | 0.008 |
PaCO2 peak, mmHg | 41 (5) | 43 (7) | 48 (8)*,# | <0.001 |
SaO2 rest, %¤ | 96 (2) | 95 (2)* | 92 (5)*,# | <0.001 |
SaO2 peak, %¤ | 94 (3) | 93 (4) | 84 (8)*,# | <0.001 |
pH peak | 7.36 (0.03) | 7.36 (0.03) | 7.35 (0.04) | 0.86 |
Lactate peak, mmol/L¤ | 5.6 (2.2) | 5.6 (2.9) | 4.1 (2.4)*,# | 0.03 |
Lactate peak % pred.¤ | 75 (31) | 81 (42) | 57 (39)*,# | 0.02 |
Notes: ANOVA was performed for variables with normal distribution, otherwise
non-parametric Kruskal–Wallis test was performed. Values are presented as mean (standard deviation).
p<0.05, significantly different from mPAPrest <25 mmHg and ΔmPAP/ΔCO slope ≤3 mmHg/L/min.
p<0.05, significantly different from mPAPrest <25 mmHg and ΔmPAP/ΔCO slope >3 mmHg/L/min.
Abbreviations: mPAP, mean pulmonary artery pressure; CO, cardiac output; , oxygen uptake; pred., predicted; , ventilation; , carbon dioxide production; O2-pulse, oxygen pulse; MAP, mean arterial pressure; RER, respiratory exchange ratio; PaO2, arterial oxygen tension; PaCO2, arterial carbon dioxide tension; SaO2, oxygen saturation; MVV, maximal voluntary ventilation.