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

Identifieur interne : 000197 ( PascalFrancis/Corpus ); précédent : 000196; suivant : 000198

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

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

Source :

RBID : Pascal:10-0180451

Descripteurs français

English descriptors

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0167-5273
A02 01      @0 IJCDD5
A03   1    @0 Int. j. cardiol.
A05       @2 140
A06       @2 1
A08 01  1  ENG  @1 Prognostic value of cycle exercise testing prior to and after outpatient cardiac rehabilitation
A11 01  1    @1 DI VALENTINO (Marcello)
A11 02  1    @1 MAEDER (Micha T.)
A11 03  1    @1 JAGGI (Sabina)
A11 04  1    @1 SCHUMANN (Jörg)
A11 05  1    @1 SOMMERFELD (Karin)
A11 06  1    @1 PIAZZALONGA (Simone)
A11 07  1    @1 HOFFMANN (Andreas)
A14 01      @1 Cardiovascular Rehabilitation, Department of Cardiology, University Hospital @2 Basel @3 CHE @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut. @Z 7 aut.
A14 02      @1 Cardiology Division, Ospedale San Giovanni @2 Bellinzona @3 CHE @Z 1 aut.
A14 03      @1 Baker IDI Heart and Diabetes Institute @2 Melbourne @3 AUS @Z 2 aut.
A20       @1 34-41
A21       @1 2010
A23 01      @0 ENG
A43 01      @1 INIST @2 16457 @5 354000189669200050
A44       @0 0000 @1 © 2010 INIST-CNRS. All rights reserved.
A45       @0 26 ref.
A47 01  1    @0 10-0180451
A60       @1 P
A61       @0 A
A64 01  1    @0 International journal of cardiology
A66 01      @0 IRL
C01 01    ENG  @0 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.
C02 01  X    @0 002B12
C03 01  X  FRE  @0 Pathologie de l'appareil circulatoire @5 01
C03 01  X  ENG  @0 Cardiovascular disease @5 01
C03 01  X  SPA  @0 Aparato circulatorio patología @5 01
C03 02  X  FRE  @0 Valeur prédictive @5 09
C03 02  X  ENG  @0 Predictive value @5 09
C03 02  X  SPA  @0 Valor predictivo @5 09
C03 03  X  FRE  @0 Cycle @5 10
C03 03  X  ENG  @0 Cycle @5 10
C03 03  X  SPA  @0 Ciclo @5 10
C03 04  X  FRE  @0 Exercice physique @5 11
C03 04  X  ENG  @0 Physical exercise @5 11
C03 04  X  SPA  @0 Ejercicio físico @5 11
C03 05  X  FRE  @0 Epreuve effort @5 12
C03 05  X  ENG  @0 Exercise tolerance test @5 12
C03 05  X  SPA  @0 Prueba esfuerzo @5 12
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C03 06  X  ENG  @0 Ambulatory @5 13
C03 06  X  SPA  @0 Ambulatorio @5 13
C03 07  X  FRE  @0 Réadaptation @5 14
C03 07  X  ENG  @0 Rehabilitation(human) @5 14
C03 07  X  SPA  @0 Readaptación @5 14
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C03 08  X  ENG  @0 Mortality @5 15
C03 08  X  SPA  @0 Mortalidad @5 15
C03 09  X  FRE  @0 Pronostic @5 16
C03 09  X  ENG  @0 Prognosis @5 16
C03 09  X  SPA  @0 Pronóstico @5 16
C03 10  X  FRE  @0 Long terme @5 17
C03 10  X  ENG  @0 Long term @5 17
C03 10  X  SPA  @0 Largo plazo @5 17
C03 11  X  FRE  @0 Capacité @5 18
C03 11  X  ENG  @0 Capacity @5 18
C03 11  X  SPA  @0 Capacidad @5 18
C03 12  X  FRE  @0 Cardiologie @5 19
C03 12  X  ENG  @0 Cardiology @5 19
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Format Inist (serveur)

NO : PASCAL 10-0180451 INIST
ET : Prognostic value of cycle exercise testing prior to and after outpatient cardiac rehabilitation
AU : DI VALENTINO (Marcello); MAEDER (Micha T.); JAGGI (Sabina); SCHUMANN (Jörg); SOMMERFELD (Karin); PIAZZALONGA (Simone); HOFFMANN (Andreas)
AF : Cardiovascular Rehabilitation, Department of Cardiology, University Hospital/Basel/Suisse (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut., 7 aut.); Cardiology Division, Ospedale San Giovanni/Bellinzona/Suisse (1 aut.); Baker IDI Heart and Diabetes Institute/Melbourne/Australie (2 aut.)
DT : Publication en série; Niveau analytique
SO : International journal of cardiology; ISSN 0167-5273; Coden IJCDD5; Irlande; Da. 2010; Vol. 140; No. 1; Pp. 34-41; Bibl. 26 ref.
LA : Anglais
EA : 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.
CC : 002B12
FD : Pathologie de l'appareil circulatoire; Valeur prédictive; Cycle; Exercice physique; Epreuve effort; Ambulatoire; Réadaptation; Mortalité; Pronostic; Long terme; Capacité; Cardiologie
ED : Cardiovascular disease; Predictive value; Cycle; Physical exercise; Exercise tolerance test; Ambulatory; Rehabilitation(human); Mortality; Prognosis; Long term; Capacity; Cardiology
SD : Aparato circulatorio patología; Valor predictivo; Ciclo; Ejercicio físico; Prueba esfuerzo; Ambulatorio; Readaptación; Mortalidad; Pronóstico; Largo plazo; Capacidad; Cardiología
LO : INIST-16457.354000189669200050
ID : 10-0180451

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Pascal:10-0180451

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<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>
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<fA03 i2="1">
<s0>Int. j. cardiol.</s0>
</fA03>
<fA05>
<s2>140</s2>
</fA05>
<fA06>
<s2>1</s2>
</fA06>
<fA08 i1="01" i2="1" l="ENG">
<s1>Prognostic value of cycle exercise testing prior to and after outpatient cardiac rehabilitation</s1>
</fA08>
<fA11 i1="01" i2="1">
<s1>DI VALENTINO (Marcello)</s1>
</fA11>
<fA11 i1="02" i2="1">
<s1>MAEDER (Micha T.)</s1>
</fA11>
<fA11 i1="03" i2="1">
<s1>JAGGI (Sabina)</s1>
</fA11>
<fA11 i1="04" i2="1">
<s1>SCHUMANN (Jörg)</s1>
</fA11>
<fA11 i1="05" i2="1">
<s1>SOMMERFELD (Karin)</s1>
</fA11>
<fA11 i1="06" i2="1">
<s1>PIAZZALONGA (Simone)</s1>
</fA11>
<fA11 i1="07" i2="1">
<s1>HOFFMANN (Andreas)</s1>
</fA11>
<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>
</fA14>
<fA14 i1="02">
<s1>Cardiology Division, Ospedale San Giovanni</s1>
<s2>Bellinzona</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
</fA14>
<fA14 i1="03">
<s1>Baker IDI Heart and Diabetes Institute</s1>
<s2>Melbourne</s2>
<s3>AUS</s3>
<sZ>2 aut.</sZ>
</fA14>
<fA20>
<s1>34-41</s1>
</fA20>
<fA21>
<s1>2010</s1>
</fA21>
<fA23 i1="01">
<s0>ENG</s0>
</fA23>
<fA43 i1="01">
<s1>INIST</s1>
<s2>16457</s2>
<s5>354000189669200050</s5>
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<s0>0000</s0>
<s1>© 2010 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45>
<s0>26 ref.</s0>
</fA45>
<fA47 i1="01" i2="1">
<s0>10-0180451</s0>
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<fA60>
<s1>P</s1>
</fA60>
<fA61>
<s0>A</s0>
</fA61>
<fA64 i1="01" i2="1">
<s0>International journal of cardiology</s0>
</fA64>
<fA66 i1="01">
<s0>IRL</s0>
</fA66>
<fC01 i1="01" l="ENG">
<s0>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.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002B12</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Pathologie de l'appareil circulatoire</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Cardiovascular disease</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Aparato circulatorio patología</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Valeur prédictive</s0>
<s5>09</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Predictive value</s0>
<s5>09</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Valor predictivo</s0>
<s5>09</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Cycle</s0>
<s5>10</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Cycle</s0>
<s5>10</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Ciclo</s0>
<s5>10</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Exercice physique</s0>
<s5>11</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Physical exercise</s0>
<s5>11</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Ejercicio físico</s0>
<s5>11</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Epreuve effort</s0>
<s5>12</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Exercise tolerance test</s0>
<s5>12</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Prueba esfuerzo</s0>
<s5>12</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Ambulatoire</s0>
<s5>13</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Ambulatory</s0>
<s5>13</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Ambulatorio</s0>
<s5>13</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Réadaptation</s0>
<s5>14</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Rehabilitation(human)</s0>
<s5>14</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Readaptación</s0>
<s5>14</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Mortalité</s0>
<s5>15</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Mortality</s0>
<s5>15</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Mortalidad</s0>
<s5>15</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Pronostic</s0>
<s5>16</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Prognosis</s0>
<s5>16</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Pronóstico</s0>
<s5>16</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Long terme</s0>
<s5>17</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Long term</s0>
<s5>17</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Largo plazo</s0>
<s5>17</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Capacité</s0>
<s5>18</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Capacity</s0>
<s5>18</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Capacidad</s0>
<s5>18</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE">
<s0>Cardiologie</s0>
<s5>19</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG">
<s0>Cardiology</s0>
<s5>19</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA">
<s0>Cardiología</s0>
<s5>19</s5>
</fC03>
<fN21>
<s1>123</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
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<server>
<NO>PASCAL 10-0180451 INIST</NO>
<ET>Prognostic value of cycle exercise testing prior to and after outpatient cardiac rehabilitation</ET>
<AU>DI VALENTINO (Marcello); MAEDER (Micha T.); JAGGI (Sabina); SCHUMANN (Jörg); SOMMERFELD (Karin); PIAZZALONGA (Simone); HOFFMANN (Andreas)</AU>
<AF>Cardiovascular Rehabilitation, Department of Cardiology, University Hospital/Basel/Suisse (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut., 7 aut.); Cardiology Division, Ospedale San Giovanni/Bellinzona/Suisse (1 aut.); Baker IDI Heart and Diabetes Institute/Melbourne/Australie (2 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>International journal of cardiology; ISSN 0167-5273; Coden IJCDD5; Irlande; Da. 2010; Vol. 140; No. 1; Pp. 34-41; Bibl. 26 ref.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B12</CC>
<FD>Pathologie de l'appareil circulatoire; Valeur prédictive; Cycle; Exercice physique; Epreuve effort; Ambulatoire; Réadaptation; Mortalité; Pronostic; Long terme; Capacité; Cardiologie</FD>
<ED>Cardiovascular disease; Predictive value; Cycle; Physical exercise; Exercise tolerance test; Ambulatory; Rehabilitation(human); Mortality; Prognosis; Long term; Capacity; Cardiology</ED>
<SD>Aparato circulatorio patología; Valor predictivo; Ciclo; Ejercicio físico; Prueba esfuerzo; Ambulatorio; Readaptación; Mortalidad; Pronóstico; Largo plazo; Capacidad; Cardiología</SD>
<LO>INIST-16457.354000189669200050</LO>
<ID>10-0180451</ID>
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