a systematic review and descriptive meta-analysis

Cornelis, Justien; Taeymans, Jan; Hens, Wendy; Beckers, Paul; Vrints, Christiaan; Vissers, Dirk (2015). a systematic review and descriptive meta-analysis International Journal of Cardiology, 182, pp. 476-486. Elsevier 10.1016/j.ijcard.2015.01.029

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The purpose of this review was to describe the occurrence of prognostic variables as derived from cardiopulmonary exercise testing (CPET) in patients with heart failure (HF), presenting exercise oscillatory ventilation (EOV) compared to patients without EOV. The effect of EOV on peak oxygen consumption (VO2), minute ventilation/carbon dioxide production (VE/VCO2) slope, oxygen uptake efficiency slope (OUES), rest and peak pulmonary end-tidal carbon dioxide pressure (PETCO2) was meta-analysed. A systematic search strategy was performed in five databases (Pubmed, Cochrane Library, PEDro, Science Direct and Web of Science) assessing 252 articles for eligibility. Nineteen citations met the inclusion criteria totalling 3032 patients with HF (EOV = 1111; non-EOV = 1921). The risk of bias was assessed by two researchers. Extracted data were pooled using random or fixed effects meta-analysis, if appropriate. The level of significance was set at p ≤ 0.05. Overall, the presentation of EOV significantly indicated aggravated prognosticmarkers. Subgroup analysis revealed left ventricular ejection fraction (LVEF) andmode of CPET protocol as independent factors,whereas defining EOV significantly influenced the results. A meta-analysis of studies reporting hazard ratios for cardiovascular events demonstrated that HF patients with EOV run a fourfold risk for an adverse event compared to HF patients without EOV. In general, these findings suggest that the presence of EOV in patientswith HF is associatedwith a deterioration of the prognostic CPET parameters. Furthermore, EOV can occur in HF patientswith reduced aswell as preserved ejection fraction. Further research on defining and assessing EOV in a more accurate and reproducible way is required.

Item Type:	Journal Article (Original Article)
Division/Institute:	School of Health Professions
Name:	Cornelis, Justien; Taeymans, Jan; Hens, Wendy; Beckers, Paul; Vrints, Christiaan and Vissers, Dirk
ISSN:	0167-5273
Publisher:	Elsevier
Language:	English
Submitter:	Service Account
Date Deposited:	03 Sep 2019 08:32
Last Modified:	03 Sep 2019 08:32
Publisher DOI:	10.1016/j.ijcard.2015.01.029
ARBOR DOI:	10.24451/arbor.5586
URI:	https://arbor.bfh.ch/id/eprint/5586