Clinical Study

Increased Left Ventricular Stiffness Impairs Exercise Capacity in Patients with Heart Failure Symptoms Despite Normal Left Ventricular Ejection Fraction

Table 4

Indices of cardiopulmonary exercise testing (variable expressed as median [25–75% quartile]).

Patient population
( 𝑛 = 3 9 )
DHF
( 𝑛 = 2 7 )
noDHF
( 𝑛 = 1 2 )
P

Performance, watt117 [90–159]108 [87–146]148 [103–196].046
Heart rate, 1/min138 [119–162]133 [112–148]150 [128–166].110
VO2, mL/min/kg18 [16–20]16 [14–19]21.5 [18.5–27]<.001
O2 pulse, mL/beat11.6 [9.2–13.2]11.6 [9.2–13]11.5 [9–13.5].715
VO2/exercise level, mL/min/Watt9.6 [8.4–10.8]9.7 [8.3–11.5]9.2 [8.4–9.8].161
Breathing reserve, L64 [42–83]57 [37–72]81 [74–98].006
Breathing frequency, 1/min32 [29–37]32 [29–37]31 [25–40].502
VO2 at VT, L/min0.96 [0.75–1.25]0.94 [0.72–1.13]1.03 [0.82–1.39].172

Ventilation equivalents
 VECO2 at rest40 [37–46]43 [39–49]37 [34–39].002
 VECO2 at VT31 [30–33]33 [30–36]31 [24–33].023
 VEO2 at rest34 [32–37]35 [32–39]34 [29–36].138
 VEO2 at VT31 [29–35]31 [29–35]31 [23–34].423

VO2 indicates peak oxygen uptake, VT ventilatory threshold, VECO2 ventilation equivalent for carbon dioxide output, VEO2 ventilation equivalent for oxygen uptake.