Heart failure & cardiomyopathiesMechanistic study

Deceived by the Fick principle: blood flow distribution in heart failure

Eur J Prev CardiolPublished

  • Mechanistic study

Authors' conclusion

The bulk of these data suggests that blood flow distribution plays a pivotal role on peakV̇O2 determination regardless of HF treatment strategies.

Study context

Population
Heart failure (HF) patients before and 6 months after exercise training, CRT or percutaneous edge-to-edge mitral valve repair468 tests
Participants
234 patients
Comparison
Group 1 vs Group 2 vs Group 3
  • Group 1n = 93
  • Group 2n = 60
  • Group 3n = 81

Main finding

As reported in the abstract

Correlation of post-treatment peakQc vs peakΔC(a-v)O2 changes · 6 months after treatment
GroupR2
Group 10.64
Group 20.79
Group 30.58
Close negative correlation between peakQc and peakΔC(a-v)O2 changes, all patients (R2)
0.46
Patients with diverging peakQc and ΔC(a-v)O2 changes, regardless of treatment
76%

Original publication

Deceived by the Fick principle: blood flow distribution in heart failure. Eur J Prev Cardiol. Published 27 June 2024. doi:10.1093/eurjpc/zwae203

Summarised from the published abstract; every number is checked against it