Research Article

The Correlation of Decreased Heart Rate Recovery and Chronotropic Incompetence with Exercise Capacity in Idiopathic Pulmonary Arterial Hypertension Patients

Table 2

Summary of demographics, PFT, and CPET of IPAH patients with HRR1 < 16 and HRR1 ≥ 16.

IPAH patients with HRR1 < 16IPAH patients with HRR1 ≥ 16

Demographics
3127
 Sex (F/M)22/915/12>0.05
 Age (y)37.7 ± 13.432.7 ± 14.1>0.05
 BMI (kg/m2)22.4 ± 3.322.6 ± 5.2>0.05
PFT
 FVC (L)2.8 ± 0.93.2 ± 0.9>0.05
 FVC% pred80.2 ± 16.184.0 ± 14.5>0.05
 FEV1 (L)2.2 ± 0.72.6 ± 0.7<0.05
 FEV1% pred74.6 ± 13.880.8 ± 15.7>0.05
 FEV1/FVC (%)78.1 ± 7.982.8 ± 6.0<0.05
 FEF25 (L/s)4.5 ± 2.15.1 ± 1.9>0.05
 FEF25%70.4 ± 24.575.8 ± 17.9>0.05
 FEF50 (L/s)2.4 ± 1.23.4 ± 1.4<0.05
 FEF50%59.6 ± 24.775.9 ± 24.7<0.05
 FEF75 (L/s)0.8 ± 0.61.4 ± 1.1<0.05
 FEF75%41.6 ± 24.062.3 ± 29.6<0.05
 DLco (% pred)61.1 ± 12.370.5 ± 16.3<0.05
Clinical parameters
 NYHA FC<0.05
(%)11 (35.5%)22 (81.5%)
(%)20 (64.5%)5 (18.5%)
 NT-proBNP (pg/ml)1354.7 ± 1613.4365.4 ± 358.4<0.01
 6MWD (m)443.8 ± 84.0489.3 ± 69.3<0.05
Background therapy>0.05
 Sildenafil, 89
 Tadalafil, 33
 Vardenafil, 45
 Bosentan, 86
 Ambrisentan, 42
 Ventavis, 42
RHC
 SBP, mmHg119.0 ± 18.0109.5 ± 16.9>0.05
 DBP, mmHg74.6 ± 13.272.1 ± 14.6>0.05
 mPAP, mmHg58.8 ± 13.259.0 ± 15.4>0.05
 mRAP, mmHg6.5 ± 4.19.2 ± 4.7<0.05
 CO, l/min4.5 ± 1.24.9 ± 2.0>0.05
 CRI, l/min/m22.9 ± 0.82.9 ± 1.0>0.05
 PVR, mmHg12.5 ± 5.812.8 ± 7.0>0.05
 PAWP, mmHg7.9 ± 3.58.4 ± 3.8>0.05
CPET
 HRR1 (bpm)10.9 ± 3.823.7 ± 6.8<0.01
 HR at baseline (bpm)89.2 ± 12.480.9 ± 10.1<0.01
 HR at end (bpm)135.7 ± 22.2146.4 ± 19.2>0.05
 ΔHR(bpm)46.4 ± 19.365.5 ± 19.2<0.01
 HR 1 min post (bpm)124.6 ± 21.7123.1 ± 19.9>0.05
 HRR1 (bpm)11.0 ± 4.023.3 ± 6.8<0.01
 CR0.5 ± 0.290.6 ± 0.2<0.01
 CRI ()28 (90.3%)24 (88.9%)>0.05
 Peak Load (W)56.3 ± 22.875.6 ± 26.9<0.01
 Peak VO2 (ml/min)689.4 ± 210.8891.2 ± 286.2<0.01
 Peak VO2% pred37.2 ± 11.245.9 ± 11.0<0.01
 Peak HR (beats/min)136.5 ± 22.5145.1 ± 18.7>0.05
 Peak (L/min)42.3 ± 18.245.3 ± 13.7<0.05
 Peak BF (breaths/min)34.1 ± 7.433.5 ± 6.9>0.05
 Peak O2 pulse (ml/beat)5.2 ± 1.76.20 ± 1.9<0.05
 Peak PET CO223.5 ± 9.425.7 ± 6.6>0.05
 Peak PET O2127.4 ± 9.7124.9 ± 6.5>0.05
 VE/VCO2 Slope42.0 ± 12.041.0 ± 8.3>0.05

Values are expressed as mean ± SD.
, , versus IPAH patients with HRR1 ≥ 16 using unpaired -test.
NT-proBNP = n-terminal natriuretic peptide type-B; FC = New York Heart Association functional classification; 6MWD = 6-minute walking distance; PETCO2 = partial pressure of end-tidal carbon dioxide; PETO2 = partial pressure of end-tidal oxygen; SBP = systolic blood pressure; DBP = diastolic blood pressure; other abbreviation definitions are same as Table 1.