Low pulse pressure does not reduce the efficacy of a heart failure exercise programme
dc.contributor.author | Leslie, Rosalind | * |
dc.contributor.author | Buckley, John P. | * |
dc.date.accessioned | 2013-04-19T13:00:13Z | |
dc.date.available | 2013-04-19T13:00:13Z | |
dc.date.issued | 2012-03 | |
dc.identifier.citation | British Journal of Cardiology, 2012, 19, pp. 30 –33 | |
dc.identifier.issn | 0969-6113 | en |
dc.identifier.doi | 10.5837/bjc.2012.006 | |
dc.identifier.uri | http://hdl.handle.net/10034/283232 | |
dc.description | This journal article is not available through ChesterRep. | |
dc.description.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. | |
dc.language.iso | en | en |
dc.publisher | New Cross Hospital, Wolverhampton ; University of Chester | |
dc.relation.url | http://bjcardio.co.uk | en_GB |
dc.subject | cardiac rehabilitation | en_GB |
dc.subject | chronic heart failure | en_GB |
dc.subject | exercise training | en_GB |
dc.subject | pulse pressure | en_GB |
dc.title | Low pulse pressure does not reduce the efficacy of a heart failure exercise programme | en |
dc.type | Article | en |
dc.identifier.journal | British Journal of Cardiology | en_GB |
html.description.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. |