Table 1.
Demographic and Cardiopulmonary Exercise Test Comparisons Between Survivors and Nonsurvivors
Variables | No Events (n=2290) | Cardiac Mortality (n=224) | Secondary Outcomes (Transplant/LVAD) (n=121) | P Value* |
---|---|---|---|---|
Age, y | 55.6±14 | 61.0±13† | 50.3±13‡ | <0.0001 |
BMI, kg/m2 | 28.7±6.1 | 27.8±5.6 | 27.7±5.8† | 0.022 |
Ejection fraction, % | 36.7±15.8 | 31.1±13.4† | 22.6±11.7‡ | <0.0001 |
NYHA Class | 2.32±0.83 | 2.69±0.77† | 3.06±0.69‡ | <0.0001 |
Medications (n%) | ||||
β-Blocker | 1410 (66.1) | 112 (55.2)† | 88 (73.9)§ | 0.001 |
ACE inhibitor | 1261 (55.1) | 135 (60.3) | 72 (59.5) | 0.229 |
Diuretic | 1056 (54.5) | 93 (60.8) | 98 (82.4)‡ | <0.0001 |
Exercise test responses‖ | ||||
Resting heart rate, beats/min | 75±14 | 80±16† | 75±15§ | <0.0001 |
Maximal heart rate, beats/min | 130±26 | 122±22† | 110±27‡ | <0.0001 |
Peak VO2 , ml·kg−1·min−1 | 18.8±8.5 | 14.9±5.6† | 12.1±3.8‡ | <0.0001 |
Peak RER | 1.10±0.14 | 1.10±0.17 | 1.14±0.16‡ | 0.008 |
HRR, beats | 20.1±13.4 | 13.7±10.3† | 15.9±11.8† | <0.0001 |
VE/VCO2 slope | 32.5±8.6 | 37.6±11.7† | 42.3±11.7‡ | <0.0001 |
OUES | 2.09±0.89 | 1.60±0.65† | 1.31±0.61† | <0.0001 |
PetCO2, mm Hg | 33.9±4.6 | 32.6±4.4† | 31.5±3.9† | <0.0001 |
Weighted summed score | 5.26±4.3 | 7.4±4.6† | 8.6±4.2‡ | <0.0001 |
ACE indicates angiotensin receptor blocker; BMI, body mass index; HRR, heart rate recovery at 1 min; LVAD, left ventricular assist device; NYHA, New York Heart Association; OUES, oxygen uptake efficiency slope; PetCO2, end-tidal carbon dioxide pressure; and RER, respiratory exchange ratio.
P value represents main effect.
P<0.05 vs no events.
P<0.05 vs no events and cardiac mortality.
P<0.05 vs cardiac mortality.
Using standard clinical indications, reasons for stopping exercise included 22% overall fatigue/exhaustion, 31% shortness of breath/dyspnea, 22% leg fatigue, 6% chest discomfort, 5% claudication, 0.4% knee pain, and 13.6% for other reasons.