No EIPH (n=327) | EIPH (n=171) | Overall p value* | ||
Normal exercise E/Ea (n=122) | Elevated exercise E/Ea (n=49) | |||
Exercise duration (s) | 620±197 | 517±154† | 462±130† ‡ | <0.001 |
Peak RER | 1.18±0.10 | 1.16±0.10 | 1.13±0.09† | 0.192 |
METs | 6.2±1.3 | 5.5±1.1† | 4.8±0.9† ‡ | <0.001 |
Peak Vo2 (ml/kg/ml) | 19.9±5.7 | 18.3±5.1† | 16.5±5.0† ‡ | <0.001 |
VE/Vco2 slope | 24.0±7.2 | 25.1±7.8 | 26.5±6.8† | 0.107 |
Systolic BP (mm Hg) | ||||
At rest | 125.8±17.3 | 129.0±19.0 | 130.0±15.4 | 0.086 |
25 W exercise | 143.2±19.8 | 152.2±21.6† | 154.5±23.0† | <0.001 |
50 W exercise | 154.4±21.7 | 168.7±23.4† | 172.1±23.5† | <0.001 |
Diastolic BP (mm Hg) | ||||
At rest | 75.5±10.8 | 76.6±11.4 | 73.0±10.9 | 0.146 |
25 W exercise | 81.9±13.9 | 84.7±12.8† | 82.2±15.8 | 0.153 |
50 W exercise | 86.5±12.7 | 90.0±13.3† | 89.7±18.4 | 0.029 |
Heart rate (beats/min) | ||||
At rest | 63.2±9.1 | 63.5±9.2 | 62.0±8.6 | 0.595 |
25 W exercise | 86.6±10.5 | 90.7±11.0† | 89.5±12.6 | 0.001 |
50 W exercise | 98.2±11.8 | 103.9±12.8† | 103.6±14.0† | <0.001 |
LVEDD (mm) | 48.8±3.5 | 48.7±3.7 | 48.4±4.2 | 0.751 |
LVESD (mm) | 32.1±3.9 | 31.4±3.2 | 31.6±4.4 | 0.192 |
LV ejection fraction (%) | 67.0±5.3 | 68.0±5.5 | 67.6±6.5 | 0.132 |
LV mass index (g/m2) | 93.5±19.7 | 96.5±23.0 | 104.7±29.8† | 0.009 |
LA volume index (ml/m2) | 23.5±6.1 | 24.8±6.6 | 28.9±9.3† ‡ | <0.001 |
Stroke volume (ml) | ||||
At rest | 69.0±14.1 | 70.3±13.6 | 69.5±13.1 | 0.685 |
25 W exercise | 76.4±15.4 | 76.0±15.8 | 72.8±13.0 | 0.350 |
50 W exercise | 78.2±15.3 | 77.5±15.0 | 75.4±14.3 | 0.494 |
Cardiac output (litres) | ||||
At rest | 4.3±1.0 | 4.4±0.9 | 4.3±0.7 | 0.806 |
25 W exercise | 6.6±1.4 | 6.8±1.3 | 6.5±1.2 | 0.498 |
50 W exercise | 7.7±1.5 | 7.9±1.4 | 7.7±1.4 | 0.451 |
E velocity (cm/s) | ||||
At rest | 64.0±13.9 | 65.3±15.1 | 71.5±18.0† ‡ | 0.004 |
25 W exercise | 91.1±16.8 | 93.8±22.3 | 102.2±25.0† ‡ | 0.001 |
50 W exercise | 104.2±19.0 | 107.1±22.0 | 124.7±25.0† ‡ | <0.001 |
Deceleration time (ms) | ||||
At rest | 198.0±35.6 | 203.8±42.7 | 217.6±48.2† | 0.003 |
25 W exercise | 153.5±28.7 | 155.8±31.0 | 161.5±32.2 | 0.197 |
50 W exercise | 140.6±27.0 | 136.3±26.9 | 139.0±24.7 | 0.362 |
Ea velocity (cm/s) | ||||
At rest | 6.9±2.3 | 6.4±2.1† | 4.6±1.1† ‡ | <0.001 |
25 W exercise | 9.1±2.5 | 8.8±2.4 | 6.2±1.6† ‡ | <0.001 |
50 W exercise | 9.9±2.6 | 9.9±2.6 | 6.7±1.5† ‡ | <0.001 |
Sa velocity (cm/s) | ||||
At rest | 6.8±1.2 | 6.6±1.1 | 5.9±1.2† ‡ | <0.001 |
25 W exercise | 7.6±1.4 | 7.4±1.3 | 6.6±1.6† ‡ | <0.001 |
50 W exercise | 8.5±1.7 | 8.6±1.6 | 7.5±1.6† ‡ | <0.001 |
E/Ea | ||||
At rest | 9.9±2.9 | 10.8±3.0† | 16.1±4.7† ‡ | <0.001 |
25 W exercise | 10.7±3.2 | 11.1±2.3 | 17.3±5.1† ‡ | <0.001 |
50 W exercise | 11.1±3.1 | 11.3±2.2 | 18.6±4.4† ‡ | <0.001 |
TR velocity (m/s) | ||||
At rest | 2.1±0.2 | 2.3±0.3† | 2.4±0.3† | <0.001 |
25 W exercise | 2.5±3.1 | 3.1±0.3† | 3.1±0.3† | <0.001 |
50 W exercise | 2.7±0.3 | 3.4±0.3† | 3.5±0.2† | <0.001 |
PASP (mm Hg) | ||||
At rest | 22.4±3.8 | 27.1±4.6† | 28.6±6.5† | <0.001 |
25 W exercise | 30.9±6.2 | 43.4±7.1† | 44.8±8.3† | <0.001 |
50 W exercise | 40.0±6.6 | 57.0±9.1† | 58.2±7.0† | <0.001 |
O2 saturation (%) | ||||
At rest | 97.0±1.5 | 96.7±3.0 | 96.6±1.5 | 0.095 |
25 W exercise | 96.7±1.6 | 96.2±2.9 | 95.5±2.0† | 0.001 |
50 W exercise | 96.5±1.6 | 95.9±4.4 | 95.5±2.2† | 0.022 |
PVR | 1.55±0.61 | 1.79±0.58† | 1.79±0.68† | 0.003 |
Values are mean±SD.
↵* p<0.05 is considered significant.
↵† p<0.05 versus no EIPH group.
↵‡ p<0.05 versus EIPH with normal exercise E/Ea group.
BP, blood pressure; E, early diastolic mitral inflow; Ea, early diastolic mitral annular; EIPH, exercise-induced pulmonary hypertension; LA, left atrial; LV, left ventricular; LVEDD, left ventricular end-diastolic dimension; LVESD, left ventricular end-systolic dimension; METS, metabolic equivalents; PASP, pulmonary artery systolic pressure; PVR, pulmonary vascular resistance; RER, respiratory exchange ratio; Sa, systolic mitral annular; TR, tricuspid regurgitation.