Heart failure & cardiomyopathies

Usefulness of Oxygen Uptake Efficiency Slope in a 6 Min Walk Test in Chronic Heart Failure

ESC Heart FailPublished Retrospective cohort study

Authors' conclusion

In frail patients with CHF who have difficulty performing maximal exercises, the OUES through the 6MWT may be applied instead of the OUES and peak VO2 from the CPET.

Study context

Population
Patients with chronic heart failure (HF) who underwent both 6MWT with portable gas analysis and cardiopulmonary exercise test (CPET), December 2016–May 202050% male
Participants
40 patients
Exposure
6MWT vs CPET
Outcome
Correlation of 6MWT parameters with OUES in CPET

Main finding

As reported in the abstract

Oxygen uptake efficiency slope (OUES) in 6MWT vs OUES in CPET, r

r = 0.729, P < 0.001

6MWD vs OUES in CPET, r

r = 0.434, P = 0.005

Observational data: associations, not effects.

Further findings

Peak VO2

Outcome6MWTCPET
OUES1528.87 (SD 579.01)1638.69 (SD 601.31)
  • Peak VO2: 6MWT peak VO2 only 74% of CPET peak VO2

Correlation of OUES 6MWT vs CPET, by CPET peak VO2 (subgroup)

Peak VO2 ≥ 20 mL/kg/min
r = 0.661, P = 0.001
Peak VO2 < 20 mL/kg/min
r = 0.526, P = 0.021

Correlation of 6MWT parameters with peak VO2 in CPET

6MWD
r = 0.627, P < 0.001
OUES
r = 0.452, P = 0.003
Peak VO2
r = 0.492, P = 0.001

Original publication

Usefulness of Oxygen Uptake Efficiency Slope in a 6 Min Walk Test in Chronic Heart Failure. ESC Heart Fail. Published 26 March 2024. doi:10.1002/ehf2.14754

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

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