Haemodynamic determinants of quality of life in chronic heart failure

Abstract Background Heart failure patients demonstrate reduced functional capacity, hemodynamic function, and quality of life (QOL) which are associated with high mortality and morbidity rate. The aim of the present study was to assess the relationship between functional capacity, hemodynamic respon...

Full description

Bibliographic Details
Main Authors: Serlie Fatrin, Nduka C. Okwose, Kristian Bailey, Lazar Velicki, Dejana Popovic, Arsen Ristic, Petar M. Seferovic, Guy A. MacGowan, Djordje G. Jakovljevic
Format: Article
Language:English
Published: BMC 2022-09-01
Series:BMC Cardiovascular Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12872-022-02829-w
_version_ 1798036365750829056
author Serlie Fatrin
Nduka C. Okwose
Kristian Bailey
Lazar Velicki
Dejana Popovic
Arsen Ristic
Petar M. Seferovic
Guy A. MacGowan
Djordje G. Jakovljevic
author_facet Serlie Fatrin
Nduka C. Okwose
Kristian Bailey
Lazar Velicki
Dejana Popovic
Arsen Ristic
Petar M. Seferovic
Guy A. MacGowan
Djordje G. Jakovljevic
author_sort Serlie Fatrin
collection DOAJ
description Abstract Background Heart failure patients demonstrate reduced functional capacity, hemodynamic function, and quality of life (QOL) which are associated with high mortality and morbidity rate. The aim of the present study was to assess the relationship between functional capacity, hemodynamic response to exercise and QOL in chronic heart failure. Methods A single-centre prospective study recruited 42 chronic heart failure patients (11 females, mean age 60 ± 10 years) with reduced left ventricular ejection fraction (LVEF = 23 ± 7%). All participants completed a maximal graded cardiopulmonary exercise test with non-invasive hemodynamic (bioreactance) monitoring. QOL was assessed using Minnesota Living with Heart Failure Questionnaire. Results The average value of QOL score was 40 ± 23. There was a significant negative relationship between the QOL and peak O2 consumption (r = − 0.50, p ≤ 0.01). No significant relationship between the QOL and selected exercise hemodynamic measures was found, including peak exercise cardiac power output (r = 0.15, p = 0.34), cardiac output (r = 0.22, p = 0.15), and mean arterial blood pressure (r = − 0.08, p = 0.60). Conclusion Peak O2 consumption, but not hemodynamic response to exercise, is a significant determinant of QOL in chronic heart failure patients.
first_indexed 2024-04-11T21:11:51Z
format Article
id doaj.art-4f5abb7657424ec5976e49cbaba0a450
institution Directory Open Access Journal
issn 1471-2261
language English
last_indexed 2024-04-11T21:11:51Z
publishDate 2022-09-01
publisher BMC
record_format Article
series BMC Cardiovascular Disorders
spelling doaj.art-4f5abb7657424ec5976e49cbaba0a4502022-12-22T04:03:00ZengBMCBMC Cardiovascular Disorders1471-22612022-09-012211610.1186/s12872-022-02829-wHaemodynamic determinants of quality of life in chronic heart failureSerlie Fatrin0Nduka C. Okwose1Kristian Bailey2Lazar Velicki3Dejana Popovic4Arsen Ristic5Petar M. Seferovic6Guy A. MacGowan7Djordje G. Jakovljevic8Cardiovascular Research Theme, Translational and Clinical, and Biosciences Research Institutes, Medical School, Faculty of Medical Sciences, Newcastle UniversityCardiovascular Research Theme, Translational and Clinical, and Biosciences Research Institutes, Medical School, Faculty of Medical Sciences, Newcastle UniversityNewcastle upon Tyne Hospitals NHS Foundation TrustInstitute of Cardiovascular Diseases Vojvodina, University of Novi SadDepartment of Cardiology, Medical School, Clinical Centre of Serbia, University of BelgradeDepartment of Cardiology, Medical School, Clinical Centre of Serbia, University of BelgradeDepartment of Cardiology, Medical School, Clinical Centre of Serbia, University of BelgradeCardiovascular Research Theme, Translational and Clinical, and Biosciences Research Institutes, Medical School, Faculty of Medical Sciences, Newcastle UniversityCardiovascular Research Theme, Translational and Clinical, and Biosciences Research Institutes, Medical School, Faculty of Medical Sciences, Newcastle UniversityAbstract Background Heart failure patients demonstrate reduced functional capacity, hemodynamic function, and quality of life (QOL) which are associated with high mortality and morbidity rate. The aim of the present study was to assess the relationship between functional capacity, hemodynamic response to exercise and QOL in chronic heart failure. Methods A single-centre prospective study recruited 42 chronic heart failure patients (11 females, mean age 60 ± 10 years) with reduced left ventricular ejection fraction (LVEF = 23 ± 7%). All participants completed a maximal graded cardiopulmonary exercise test with non-invasive hemodynamic (bioreactance) monitoring. QOL was assessed using Minnesota Living with Heart Failure Questionnaire. Results The average value of QOL score was 40 ± 23. There was a significant negative relationship between the QOL and peak O2 consumption (r = − 0.50, p ≤ 0.01). No significant relationship between the QOL and selected exercise hemodynamic measures was found, including peak exercise cardiac power output (r = 0.15, p = 0.34), cardiac output (r = 0.22, p = 0.15), and mean arterial blood pressure (r = − 0.08, p = 0.60). Conclusion Peak O2 consumption, but not hemodynamic response to exercise, is a significant determinant of QOL in chronic heart failure patients.https://doi.org/10.1186/s12872-022-02829-wHeart failureQuality of lifeExercise haemodynamics
spellingShingle Serlie Fatrin
Nduka C. Okwose
Kristian Bailey
Lazar Velicki
Dejana Popovic
Arsen Ristic
Petar M. Seferovic
Guy A. MacGowan
Djordje G. Jakovljevic
Haemodynamic determinants of quality of life in chronic heart failure
BMC Cardiovascular Disorders
Heart failure
Quality of life
Exercise haemodynamics
title Haemodynamic determinants of quality of life in chronic heart failure
title_full Haemodynamic determinants of quality of life in chronic heart failure
title_fullStr Haemodynamic determinants of quality of life in chronic heart failure
title_full_unstemmed Haemodynamic determinants of quality of life in chronic heart failure
title_short Haemodynamic determinants of quality of life in chronic heart failure
title_sort haemodynamic determinants of quality of life in chronic heart failure
topic Heart failure
Quality of life
Exercise haemodynamics
url https://doi.org/10.1186/s12872-022-02829-w
work_keys_str_mv AT serliefatrin haemodynamicdeterminantsofqualityoflifeinchronicheartfailure
AT ndukacokwose haemodynamicdeterminantsofqualityoflifeinchronicheartfailure
AT kristianbailey haemodynamicdeterminantsofqualityoflifeinchronicheartfailure
AT lazarvelicki haemodynamicdeterminantsofqualityoflifeinchronicheartfailure
AT dejanapopovic haemodynamicdeterminantsofqualityoflifeinchronicheartfailure
AT arsenristic haemodynamicdeterminantsofqualityoflifeinchronicheartfailure
AT petarmseferovic haemodynamicdeterminantsofqualityoflifeinchronicheartfailure
AT guyamacgowan haemodynamicdeterminantsofqualityoflifeinchronicheartfailure
AT djordjegjakovljevic haemodynamicdeterminantsofqualityoflifeinchronicheartfailure