Heart failure & cardiomyopathies

Lifetime cumulative activity burden is associated with symptomatic heart failure and arrhythmic risk in patients with arrhythmogenic right ventricular cardiomyopathy: a retrospective cohort study

EuropacePublished Retrospective cohort study

Authors' conclusion

This study demonstrates for the first time that cumulative physical activity as a continuous predictor variable is associated with symptomatic heart failure and arrhythmic risk in ARVC patients.

Study context

Population
Patients with arrhythmogenic right ventricular cardiomyopathy (ARVC), 93 with definite ARVC93 definite ARVC
Participants
124 patients
Exposure
Cumulative physical activity burden and clinical endpoints
Outcome
Symptomatic HF, sustained VT and ICD interventions, by cumulative overall activity burden (Cox regression)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Cumulative overall activity burden, continuous model (HR per 100 METh/week)
Per 100 METh/weekHazard ratio (95% CI)P value
Symptomatic HF
1.017(1.003–1.032)
P = 0.015
Sustained VT
1.021(1.006–1.037)
P = 0.007
ICD interventions
1.017(1.000–1.034)
P = 0.048

Per 100 METh/week, as printed

Observational data: associations, not effects.

Further findings

Reported activity

Metabolic equivalent of task-hours (METh)/week

Median overall activity
202.3
Sports-related activity
38.7

Sports-related vs non-sports-related activity as predictor

Consistent association for sports-related activity; no significant association for non-sports-related activity

Original publication

Lifetime cumulative activity burden is associated with symptomatic heart failure and arrhythmic risk in patients with arrhythmogenic right ventricular cardiomyopathy: a retrospective cohort study. Europace. Published 21 September 2024. doi:10.1093/europace/euae236

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