Bendopnea: The next prognostic marker of advanced heart failure?

Baeza‐Trinidad, Ramón; Mosquera‐Lozano, Jose Daniel

doi:10.1016/j.ahj.2017.01.002

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…The HFSPS 6-item subscale for dyspnea (HFSPS Dyspnea), the primary symptom of fluid retention, has a Cronbach’s α of 0.90, and is predictive of clinical events at 180 days and one year. 42 Additional items assessing inability to sleep and bendopnea (i.e., shortness of breath when leaning forward) 43 were assessed daily, as was the 7-item Multidimensional Fatigue Inventory. 44 All symptoms were assessed using the HFSPS 0–5 point rating scale to minimize confusion.…”

Section: Methodsmentioning

confidence: 99%

A mixed methods study of symptom perception in patients with chronic heart failure

et al. 2018

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Section: Methodsmentioning

confidence: 99%

A mixed methods study of symptom perception in patients with chronic heart failure

et al. 2018

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“…Climbing stairs, walking, moving around, cleaning, and bathing are the most burdensome problems in heart failure patients’ everyday activities [ 2 ]. Patients also have problems bending down [ 3 ] and lifting heavy objects [ 4 ]. The assessment of functional abilities reflects the ability to perform everyday life activities that require specific endurance and physical fitness [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

The Evaluation of Functional Abilities Using the Modified Fullerton Functional Fitness Test Is a Valuable Accessory in Diagnosing Men with Heart Failure

Migaj

Kałużna‐Oleksy

Migaj

et al. 2022

IJERPH

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The assessment of functional abilities reflects the ability to perform everyday life activities that require specific endurance and physical fitness. The Fullerton functional fitness test (FFFT) seems to be the most appropriate for assessing physical fitness in heart failure (HF) patients. The study group consisted of 30 consecutive patients hospitalized for the routine assessment of HF with a reduced ejection fraction (HFrEF). They formed the study group, and 24 healthy subjects formed the control group. Each patient underwent a cardiopulmonary exercise test (CPET), transthoracic echocardiography and FFFT modified by adding the measurement of the handgrip force of the dominant limb with the digital dynamometer. The HF patients had significantly lower peak oxygen uptake (peakVO2), maximal minute ventilation, and higher ventilatory equivalent (VE/VCO2). The concentrations of B-type natriuretic peptide (BNP) and N-terminal proBNP (NT-proBNP) were significantly higher in the study group. The results of all the FFFT items were significantly worse in the study group. FFFT parameters, together with the assessment of the strength of the handgrip, strongly correlated with the results of standard tests in HF. FFFT is an effective and safe tool for the functional evaluation of patients with HFrEF. Simple muscle strength measurement with a hand-held dynamometer can become a convenient and practical indicator of muscle strength in HF patients.

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How Patients With Heart Failure Perform Daily Life Activities

Mapelli

Salvioni

Bonomi

et al. 2020

Circ: Heart Failure

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Background: Cardiopulmonary exercise test and 6-minute walking test are frequently used tools to evaluate physical performance in heart failure (HF), but they do neither represent activities of daily living (ADLs) nor fully reproduce patients’ symptoms. We assessed differences in task oxygen uptake, both as absolute value and as percentage of peak oxygen consumption (peakVO 2 ), ventilation efficiency (VE/VCO 2 ratio), and dyspnea intensity (Borg scale) in HF and healthy subjects during standard ADLs and other common physical actions. Methods: Healthy and HF subjects (ejection fraction <45%, stable conditions) underwent cardiopulmonary exercise test. All of them, carrying a wearable metabolic cart, performed a 6-minute walking test, two 4-minute treadmill exercises (at 2 and 3 km/h), and ADLs: ADL1 (getting dressed), ADL2 (folding 8 towels), ADL3 (putting away 6 bottles), ADL4 (making a bed), ADL5 (sweeping the floor for 4 minutes), ADL6 (climbing 1 flight of stairs carrying a load). Results: Sixty patients with HF (age 65.2±12.1 years; ejection fraction 30.4±6.7%, peakVO 2 14.2±4.0 mL/[min·kg]) and 40 healthy volunteers (58.9±8.2 years, peakVO 2 28.1±7.4 mL/[min·kg]) were enrolled. For each exercise, patients showed higher VE/VCO 2 ratio, percentage of peakVO 2 , and Borg scale value than controls, while absolute values of task oxygen uptake and exercise duration were lower and higher, respectively, in all activities, except for treadmill (fixed execution time and intensity). Differently from Borg Scale data, metabolic values and exercise time length changed in parallel with HF severity, except for ADL duration in very short (ADL3) and composite (ADL1) activities. Borg scale values correlated with percentage of peakVO 2 . Conclusions: During ADLs, patients self-regulated activities in parallel with HF severity by decreasing intensity (VO 2 ) and prolonging the effort.

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Bendopnea: The next prognostic marker of advanced heart failure?

Cited by 3 publications

References 4 publications

A mixed methods study of symptom perception in patients with chronic heart failure

A mixed methods study of symptom perception in patients with chronic heart failure

The Evaluation of Functional Abilities Using the Modified Fullerton Functional Fitness Test Is a Valuable Accessory in Diagnosing Men with Heart Failure

How Patients With Heart Failure Perform Daily Life Activities

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