Heart failure & cardiomyopathies

Exercise training improves cardiovascular fitness in dilated cardiomyopathy caused by truncating titin variants

HeartPublished Non-randomised clinical pre-post trial

Primary result · Peak VO2Result — go to the resultDifference +2.9 mL/kg/min 95% CI +1.2 to +4.5

Authors' conclusion

Our study shows that vigorous intensity exercise training improved peak VO2 in patients with DCM-TTNtv. Exercise training was associated with improved LV systolic function and increased blood volume and oxygen carrying capacity.

Study context

Population
Patients with dilated cardiomyopathy (DCM) caused by truncating titin variants (DCM-TTNtv), from outpatient clinics for inherited cardiac diseases13 completed
Participants
14 patients
Comparison
Vigorous-intensity exercise training vs usual care
Primary endpoint
Change in peak oxygen uptake (VO2)
Methodological details8 weeks usual care followed by 8 weeks exercise training
  • 8 weeks usual care followed by 8 weeks exercise training

Primary result

Peak VO2

Difference

+2.9 mL/kg/min

95% CI +1.2 to +4.5

P = 0.002

By group

Exercise training

+1.9

change · 95% CI +0.9 to +2.9 · mL/kg/min

As reported in the abstract

Secondary outcomes

Adaptations to exercise training

Resting cardiac output
+0.8 L/min, p=0.042
Total blood volume
+713 mL, p<0.001
Total haemoglobin mass
+73 g, p<0.001
LVEF
+3.2% (p=0.053)
Global longitudinal strain
−2.0% (p=0.044)

Safety

No exercise-related adverse events or change in plasma biomarkers of cardiac or skeletal muscle damage

Original publication

Exercise training improves cardiovascular fitness in dilated cardiomyopathy caused by truncating titin variants. Heart. Published 24 September 2024. doi:10.1136/heartjnl-2024-323995

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