Heart failure & cardiomyopathies

Integrating pulmonary function testing with cardiopulmonary exercise testing for enhanced stratification in hypertrophic cardiomyopathy

HeartPublished prospective two-centre study

Authors' conclusion

PFT metrics strongly correlate with CPET parameters in HCM, suggesting that PFT could complement CPET for a more comprehensive assessment of exercise capacity and patient stratification.

Study context

Population
Clinically stable patients with hypertrophic cardiomyopathy (HCM)clinically stable patients with HCM who underwent pulmonary function testing (PFT) and cardiopulmonary exercise testing (CPET)
Participants
102 patients
Exposure
Relationships between PFT (forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV ₁ )) and CPET variables, adjusting for confounders
Outcome
Lung function

Main finding

As reported in the abstract

Mean FVC

90.7%

FEV 1

92.5%

Observational data: associations, not effects.

Further findings

Correlation of PFT with peak VO ₂

FVC
r=0.649, p<0.001
FEV ₁
r=0.691, p<0.001
  • Spearman’s correlation

Correlation of PFT with peak ventilation

FVC
r=0.682, p<0.001
FEV ₁
r=0.688, p<0.001
  • Spearman’s correlation

Independent associations between PFT and CPET performance (regression analysis)

Regression analysis confirmed independent associations
all p<0.001
  • Multiple linear regression, adjusting for confounders

Original publication

Integrating pulmonary function testing with cardiopulmonary exercise testing for enhanced stratification in hypertrophic cardiomyopathy. Heart. Published 16 April 2025. doi:10.1136/heartjnl-2025-325737

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