Abstract 11499: Asymptomatic Peripheral Arterial Disease is an Independent Limiting Factor for a Delay in Recovery From Reduced Exercise Capacity After Hospital Discharge in Patients With Chronic Heart Failure
2014; Lippincott Williams & Wilkins; Linguagem: Inglês
ISSN
1524-4539
AutoresShinya Tanaka, Takashi Masuda, Kentaro Kamiya, Nobuaki Hamazaki, Ryota Matsuzawa, Kohei Nozaki, Ryosuke Shimizu, Yumi Kamada, Akihiro Aoyama, Chiharu Noda, Emi Maekawa, Minako Yamaoka‐Tojo, Junya Ako,
Tópico(s)Peripheral Artery Disease Management
ResumoBackground:Reduced exercise capacity is well known to increase mortality in patients with chronic heart failure (CHF). Although a symptomatic peripheral arterial disease (PAD) decreases exercise capacity in CHF patients, the relation of an asymptomatic PAD to its reduction is still unknown. The purpose of this study was to investigate whether an asymptomatic PAD contributed to a delay in recovery from reduced exercise capacity after hospital discharge in CHF patients. Methods: We studied 231 CHF patients (73 females) aged 65 ± 13 years who underwent a cardiac rehabilitation, after excluding patients with PAD of Fontaine stage 2 or more, patients on hemodialysis, or those who needed any assistance for walking. Patients were diagnosed to have an asymptomatic PAD of Fontaine stage 1, if their ankle-brachial index (ABI) measured at hospital discharge showed ≦0.90. They were divided into two groups based on 0.90 of ABI: PAD(+) and PAD(-) groups. We assessed patients’ characteristics including estimated glomeru...
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