Chronic Heart Failure, Exercise intolerance, Skeletal muscle impairment. Chronisch hartfalen, inspanningsintolerantie, skeletspierbeperking
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Written informed consent; 2. Systolic heart failure secondary to ischemic or dilated cardiomyopathy; 3. New York Heart Association (NYHA) class II or III (without change in class or medication < 3 months prior to inclusion); 4. Left ventricular ejection fraction of ≤ 40% (assessed within 3 months before inclusion by echocardiography, MRI or radionuclear measurement).
Exclusion criteria
Exclusion criteria: 1. Myocardial infarction or unstable angina less than 3 months prior to inclusion; 2. Clinical signs of decompensated heart failure; 3. Ventricular tachycardia or ischemia during exercise; 4. Participation in a training program (≥ 2/week) in the last year; 5. Intracardiac shunts or congenital heart disease limiting exercise capacity; 6. Orthopaedic, vascular, pulmonary, neuromuscular and other disease limiting exercise capacity.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Difference (paired T-test when normally distributed) and agreement (intra-class correlation coefficients, limits of agreement and coefficients of variation) of the rate of muscle deoxygenation at exercise onset between two days (rate of decrease of muscle tissue saturation index expressed as MRT-TSI). | — |
Secondary
| Measure | Time frame |
|---|---|
| Difference (independent T-test when normally distributed) of VO2 kinetics (rate of increase in VO2 after onset of submaximal exercise expressed as ô-VO2) and NIRS kinetics (MRT-TSI) between healthy subjects and CHF patients during the first submaximal exercise test. | — |
Contacts
Postbus 7777