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    Low pulse pressure does not reduce the efficacy of a heart failure exercise programme

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    Authors
    Leslie, Rosalind
    Buckley, John P.
    Publication Date
    2012-03
    
    Metadata
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    Abstract
    Patients with chronic heart failure (CHF) may have low pulse pressures (PP). This retrospective study was undertaken to analyse the relationship between PP and outcomes of a 12-week exercise training programme. Data analysed from 86 patients (69 male) aged 40 to 86 years, included: PP, functional capacity (metabolic equivalents [METS]) and quality of life (QoL) using the Minnesota Living with Heart Failure Questionnaire (MLHFQ). Median pre-training PP was 54 ± 19 mmHg. Functional capacity for the same heart rate (estimated 60% heart rate reserve) and Borg rating of 13 increased from 3.6 ± 1.1 to 4.0 ± 1.2 METS (p=0.0005); MLHFQ scores improved from 26 ± 19 to 22 ± 20 (p=0.0005). There was a high correlation between PP and systolic blood pressure pre- and post-training (pre: r=0.77, p=0.0005; post: r=0.80, p=0.0005). Changes in all the above outcomes were independent of pre-training PP. In conclusion, low PP did not reduce the efficacy of an exercise training programme, indicating that CHF patients with low PP can benefit similarly to those with normal/raised PP.
    Citation
    British Journal of Cardiology, 2012, 19, pp. 30 –33
    Publisher
    New Cross Hospital, Wolverhampton ; University of Chester
    Journal
    British Journal of Cardiology
    URI
    http://hdl.handle.net/10034/283232
    DOI
    10.5837/bjc.2012.006
    Additional Links
    http://bjcardio.co.uk
    Type
    Article
    Language
    en
    Description
    This journal article is not available through ChesterRep.
    ISSN
    0969-6113
    ae974a485f413a2113503eed53cd6c53
    10.5837/bjc.2012.006
    Scopus Count
    Collections
    Clinical Sciences and Nutrition

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