OcrV1, Main, Exploration, bibRecord, 000770

Prognostic value of cycle exercise testing prior to and after outpatient cardiac rehabilitation

Identifieur interne : 000770 ( Main/Exploration ); précédent : 000769; suivant : 000771

Prognostic value of cycle exercise testing prior to and after outpatient cardiac rehabilitation

Auteurs : Marcello Di Valentino [Suisse] ; Micha T. Maeder [Suisse, Australie] ; Sabina Jaggi [Suisse] ; Jörg Schumann [Suisse] ; Karin Sommerfeld [Suisse] ; Simone Piazzalonga [Suisse] ; Andreas Hoffmann [Suisse]

Source :

International journal of cardiology [ 0167-5273 ] ; 2010.

RBID : Pascal:10-0180451

Descripteurs français

Pascal (Inist)
- Pathologie de l'appareil circulatoire, Valeur prédictive, Cycle, Exercice physique, Epreuve effort, Ambulatoire, Réadaptation, Mortalité, Pronostic, Long terme, Capacité, Cardiologie.
Wicri :
- topic : Mortalité.

English descriptors

KwdEn :
- Ambulatory, Capacity, Cardiology, Cardiovascular disease, Cycle, Exercise tolerance test, Long term, Mortality, Physical exercise, Predictive value, Prognosis, Rehabilitation(human).

Abstract

Background: The prognostic value of cycle exercise testing prior to and after outpatient cardiac rehabilitation (OCR) is not well established. Methods: 2146 consecutive patients undergoing symptom-limited cycle exercise testing at OCR entry, of whom 1853 (86%) also had a test at end of OCR, were followed for a median of 33 months. Results: All-cause and cardiovascular annual mortality rates were 1.2% and 0.8%, respectively. At OCR entry, older age, diabetes, lower left ventricular ejection fraction (LVEF), calcium channel blocker use, and lower workload [hazard ratio (HR) 2.38 if ≤ 105 W; p<0.001] were independent predictors of death. Diabetes, diuretic use, and lower workload [HR 3.53 if ≤ 105 W; p=0.001] were independently associated with cardiovascular death. At end of OCR, older age, lower LVEF, lower workload (HR 2.34 if < 140 W; p=0.009), and lower increase in peak heart rate from entry to end of OCR (HR 2.46 if <4 bpm; p=0.002) were independently associated with all-cause mortality. Older age, lower LVEF, lower increase in systolic blood pressure (HR 2.97 if <54 mm Hg; p=0.02), and lower increase in peak heart from entry to end of OCR (HR 2.72 if <4 bpm; p=0.013) were independently associated with cardiovascular mortality. Failure to undergo a test at end of OCR was an additional independent predictor of all-cause (HR 2.51; p<0.001) and cardiovascular mortality (HR 2.56; p=0.003). Conclusion: Symptom-limited cycle exercise testing prior to and after OCR provides important prognostic information.

Affiliations:

Australie, Suisse

Links toward previous steps (curation, corpus...)

to stream PascalFrancis, to step Corpus: 000197
to stream PascalFrancis, to step Curation: 000580
to stream PascalFrancis, to step Checkpoint: 000144
to stream Main, to step Merge: 000775
to stream Main, to step Curation: 000770

Le document en format XML

<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Prognostic value of cycle exercise testing prior to and after outpatient cardiac rehabilitation</title>
<author><name sortKey="Di Valentino, Marcello" sort="Di Valentino, Marcello" uniqKey="Di Valentino M" first="Marcello" last="Di Valentino">Marcello Di Valentino</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Cardiovascular Rehabilitation, Department of Cardiology, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Cardiology Division, Ospedale San Giovanni</s1>
<s2>Bellinzona</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Bellinzona</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Maeder, Micha T" sort="Maeder, Micha T" uniqKey="Maeder M" first="Micha T." last="Maeder">Micha T. Maeder</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Cardiovascular Rehabilitation, Department of Cardiology, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Baker IDI Heart and Diabetes Institute</s1>
<s2>Melbourne</s2>
<s3>AUS</s3>
<sZ>2 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Baker IDI Heart and Diabetes Institute</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Jaggi, Sabina" sort="Jaggi, Sabina" uniqKey="Jaggi S" first="Sabina" last="Jaggi">Sabina Jaggi</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Cardiovascular Rehabilitation, Department of Cardiology, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Schumann, Jorg" sort="Schumann, Jorg" uniqKey="Schumann J" first="Jörg" last="Schumann">Jörg Schumann</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Cardiovascular Rehabilitation, Department of Cardiology, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sommerfeld, Karin" sort="Sommerfeld, Karin" uniqKey="Sommerfeld K" first="Karin" last="Sommerfeld">Karin Sommerfeld</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Cardiovascular Rehabilitation, Department of Cardiology, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Piazzalonga, Simone" sort="Piazzalonga, Simone" uniqKey="Piazzalonga S" first="Simone" last="Piazzalonga">Simone Piazzalonga</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Cardiovascular Rehabilitation, Department of Cardiology, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Hoffmann, Andreas" sort="Hoffmann, Andreas" uniqKey="Hoffmann A" first="Andreas" last="Hoffmann">Andreas Hoffmann</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Cardiovascular Rehabilitation, Department of Cardiology, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">INIST</idno>
<idno type="inist">10-0180451</idno>
<date when="2010">2010</date>
<idno type="stanalyst">PASCAL 10-0180451 INIST</idno>
<idno type="RBID">Pascal:10-0180451</idno>
<idno type="wicri:Area/PascalFrancis/Corpus">000197</idno>
<idno type="wicri:Area/PascalFrancis/Curation">000580</idno>
<idno type="wicri:Area/PascalFrancis/Checkpoint">000144</idno>
<idno type="wicri:doubleKey">0167-5273:2010:Di Valentino M:prognostic:value:of</idno>
<idno type="wicri:Area/Main/Merge">000775</idno>
<idno type="wicri:Area/Main/Curation">000770</idno>
<idno type="wicri:Area/Main/Exploration">000770</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Prognostic value of cycle exercise testing prior to and after outpatient cardiac rehabilitation</title>
<author><name sortKey="Di Valentino, Marcello" sort="Di Valentino, Marcello" uniqKey="Di Valentino M" first="Marcello" last="Di Valentino">Marcello Di Valentino</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Cardiovascular Rehabilitation, Department of Cardiology, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Cardiology Division, Ospedale San Giovanni</s1>
<s2>Bellinzona</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Bellinzona</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Maeder, Micha T" sort="Maeder, Micha T" uniqKey="Maeder M" first="Micha T." last="Maeder">Micha T. Maeder</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Cardiovascular Rehabilitation, Department of Cardiology, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Baker IDI Heart and Diabetes Institute</s1>
<s2>Melbourne</s2>
<s3>AUS</s3>
<sZ>2 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Baker IDI Heart and Diabetes Institute</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Jaggi, Sabina" sort="Jaggi, Sabina" uniqKey="Jaggi S" first="Sabina" last="Jaggi">Sabina Jaggi</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Cardiovascular Rehabilitation, Department of Cardiology, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Schumann, Jorg" sort="Schumann, Jorg" uniqKey="Schumann J" first="Jörg" last="Schumann">Jörg Schumann</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Cardiovascular Rehabilitation, Department of Cardiology, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sommerfeld, Karin" sort="Sommerfeld, Karin" uniqKey="Sommerfeld K" first="Karin" last="Sommerfeld">Karin Sommerfeld</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Cardiovascular Rehabilitation, Department of Cardiology, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Piazzalonga, Simone" sort="Piazzalonga, Simone" uniqKey="Piazzalonga S" first="Simone" last="Piazzalonga">Simone Piazzalonga</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Cardiovascular Rehabilitation, Department of Cardiology, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Hoffmann, Andreas" sort="Hoffmann, Andreas" uniqKey="Hoffmann A" first="Andreas" last="Hoffmann">Andreas Hoffmann</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Cardiovascular Rehabilitation, Department of Cardiology, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">International journal of cardiology</title>
<title level="j" type="abbreviated">Int. j. cardiol.</title>
<idno type="ISSN">0167-5273</idno>
<imprint><date when="2010">2010</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">International journal of cardiology</title>
<title level="j" type="abbreviated">Int. j. cardiol.</title>
<idno type="ISSN">0167-5273</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Ambulatory</term>
<term>Capacity</term>
<term>Cardiology</term>
<term>Cardiovascular disease</term>
<term>Cycle</term>
<term>Exercise tolerance test</term>
<term>Long term</term>
<term>Mortality</term>
<term>Physical exercise</term>
<term>Predictive value</term>
<term>Prognosis</term>
<term>Rehabilitation(human)</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Pathologie de l'appareil circulatoire</term>
<term>Valeur prédictive</term>
<term>Cycle</term>
<term>Exercice physique</term>
<term>Epreuve effort</term>
<term>Ambulatoire</term>
<term>Réadaptation</term>
<term>Mortalité</term>
<term>Pronostic</term>
<term>Long terme</term>
<term>Capacité</term>
<term>Cardiologie</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Mortalité</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Background: The prognostic value of cycle exercise testing prior to and after outpatient cardiac rehabilitation (OCR) is not well established. Methods: 2146 consecutive patients undergoing symptom-limited cycle exercise testing at OCR entry, of whom 1853 (86%) also had a test at end of OCR, were followed for a median of 33 months. Results: All-cause and cardiovascular annual mortality rates were 1.2% and 0.8%, respectively. At OCR entry, older age, diabetes, lower left ventricular ejection fraction (LVEF), calcium channel blocker use, and lower workload [hazard ratio (HR) 2.38 if ≤ 105 W; p<0.001] were independent predictors of death. Diabetes, diuretic use, and lower workload [HR 3.53 if ≤ 105 W; p=0.001] were independently associated with cardiovascular death. At end of OCR, older age, lower LVEF, lower workload (HR 2.34 if < 140 W; p=0.009), and lower increase in peak heart rate from entry to end of OCR (HR 2.46 if <4 bpm; p=0.002) were independently associated with all-cause mortality. Older age, lower LVEF, lower increase in systolic blood pressure (HR 2.97 if <54 mm Hg; p=0.02), and lower increase in peak heart from entry to end of OCR (HR 2.72 if <4 bpm; p=0.013) were independently associated with cardiovascular mortality. Failure to undergo a test at end of OCR was an additional independent predictor of all-cause (HR 2.51; p<0.001) and cardiovascular mortality (HR 2.56; p=0.003). Conclusion: Symptom-limited cycle exercise testing prior to and after OCR provides important prognostic information.</div>
</front>
</TEI>
<affiliations><list><country><li>Australie</li>
<li>Suisse</li>
</country>
</list>
<tree><country name="Suisse"><noRegion><name sortKey="Di Valentino, Marcello" sort="Di Valentino, Marcello" uniqKey="Di Valentino M" first="Marcello" last="Di Valentino">Marcello Di Valentino</name>
</noRegion>
<name sortKey="Di Valentino, Marcello" sort="Di Valentino, Marcello" uniqKey="Di Valentino M" first="Marcello" last="Di Valentino">Marcello Di Valentino</name>
<name sortKey="Hoffmann, Andreas" sort="Hoffmann, Andreas" uniqKey="Hoffmann A" first="Andreas" last="Hoffmann">Andreas Hoffmann</name>
<name sortKey="Jaggi, Sabina" sort="Jaggi, Sabina" uniqKey="Jaggi S" first="Sabina" last="Jaggi">Sabina Jaggi</name>
<name sortKey="Maeder, Micha T" sort="Maeder, Micha T" uniqKey="Maeder M" first="Micha T." last="Maeder">Micha T. Maeder</name>
<name sortKey="Piazzalonga, Simone" sort="Piazzalonga, Simone" uniqKey="Piazzalonga S" first="Simone" last="Piazzalonga">Simone Piazzalonga</name>
<name sortKey="Schumann, Jorg" sort="Schumann, Jorg" uniqKey="Schumann J" first="Jörg" last="Schumann">Jörg Schumann</name>
<name sortKey="Sommerfeld, Karin" sort="Sommerfeld, Karin" uniqKey="Sommerfeld K" first="Karin" last="Sommerfeld">Karin Sommerfeld</name>
</country>
<country name="Australie"><noRegion><name sortKey="Maeder, Micha T" sort="Maeder, Micha T" uniqKey="Maeder M" first="Micha T." last="Maeder">Micha T. Maeder</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Ticri/CIDE/explor/OcrV1/Data/Main/Exploration

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000770 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000770 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Ticri/CIDE
   |area=    OcrV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     Pascal:10-0180451
   |texte=   Prognostic value of cycle exercise testing prior to and after outpatient cardiac rehabilitation
}}

This area was generated with Dilib version V0.6.32.
Data generation: Sat Nov 11 16:53:45 2017. Site generation: Mon Mar 11 23:15:16 2024

	Serveur d'exploration sur l'OCR
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.

Serveur d'exploration sur l'OCR

Prognostic value of cycle exercise testing prior to and after outpatient cardiac rehabilitation

Prognostic value of cycle exercise testing prior to and after outpatient cardiac rehabilitation

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri