Activities of daily living in heart failure patients and healthy subjects: when the cardiopulmonary assessment goes beyond traditional exercise test protocols
Articolo
Data di Pubblicazione:
2023
Citazione:
Activities of daily living in heart failure patients and healthy subjects: when the cardiopulmonary assessment goes beyond traditional exercise test protocols / M. Mapelli, E. Salvioni, I. Mattavelli, P. Gugliandolo, A. Bonomi, P. Palermo, M. Rossi, D. Stolfo, F. Gustafsson, M. Piepoli, P. Agostoni. - In: EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY. - ISSN 2047-4881. - 30:Suppl 2(2023), pp. ii47-ii53. [10.1093/eurjpc/zwad155]
Abstract:
Heart failure (HF) patients traditionally report dyspnoea as their main symptom. Although the cardiopulmonary exercise
test (CPET) and 6 min walking test are the standardized tools in assessing functional capacity, neither cycle ergometers
nor treadmill maximal efforts do fully represent the actual HF patients’ everyday activities [activities of daily living
(ADLs)] (i.e. climbing the stairs). New-generation portable metabolimeters allow the clinician to measure task-related oxy-
gen intake (VO 2 ) in different scenarios and exercise protocols. In the last years, we have made considerable progress in un-
derstanding the ventilatory and metabolic behaviours of HF patients and healthy subjects during tasks aimed to reproduce
ADLs. In this paper, we describe the most recent findings in the field, with special attention to the relationship between the
metabolic variables obtained during ADLs and CPET parameters (i.e. peak VO 2), demonstrating, for example, how exercises
traditionally thought to be undemanding, such as a walk, instead represent supramaximal efforts, particularly for subjects
with advanced HF and/or artificial heart (left ventricular assist devices) wearers.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
6MWT; ADLs; CPET; Heart failure; Six-minute walking test
Elenco autori:
M. Mapelli, E. Salvioni, I. Mattavelli, P. Gugliandolo, A. Bonomi, P. Palermo, M. Rossi, D. Stolfo, F. Gustafsson, M. Piepoli, P. Agostoni
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