Prognostic value of cycle exercise testing prior to and after outpatient cardiac rehabilitation
Identifieur interne : 000770 ( Main/Exploration ); précédent : 000769; suivant : 000771Prognostic 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.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Mortalité.
English descriptors
- KwdEn :
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:
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
Ou
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. |