Table 2

Comparison of haemodynamic and echocardiographic variables at rest and during exercise between groups

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±197517±154462±130 <0.001
Peak RER1.18±0.101.16±0.101.13±0.090.192
METs6.2±1.35.5±1.14.8±0.9 <0.001
Peak Vo2 (ml/kg/ml)19.9±5.718.3±5.116.5±5.0 <0.001
VE/Vco2 slope24.0±7.225.1±7.826.5±6.80.107
Systolic BP (mm Hg)
 At rest125.8±17.3129.0±19.0130.0±15.40.086
 25 W exercise143.2±19.8152.2±21.6154.5±23.0<0.001
 50 W exercise154.4±21.7168.7±23.4172.1±23.5<0.001
Diastolic BP (mm Hg)
 At rest75.5±10.876.6±11.473.0±10.90.146
 25 W exercise81.9±13.984.7±12.882.2±15.80.153
 50 W exercise86.5±12.790.0±13.389.7±18.40.029
Heart rate (beats/min)
 At rest63.2±9.163.5±9.262.0±8.60.595
 25 W exercise86.6±10.590.7±11.089.5±12.60.001
 50 W exercise98.2±11.8103.9±12.8103.6±14.0<0.001
LVEDD (mm)48.8±3.548.7±3.748.4±4.20.751
LVESD (mm)32.1±3.931.4±3.231.6±4.40.192
LV ejection fraction (%)67.0±5.368.0±5.567.6±6.50.132
LV mass index (g/m2)93.5±19.796.5±23.0104.7±29.80.009
LA volume index (ml/m2)23.5±6.124.8±6.628.9±9.3 <0.001
Stroke volume (ml)
 At rest69.0±14.170.3±13.669.5±13.10.685
 25 W exercise76.4±15.476.0±15.872.8±13.00.350
 50 W exercise78.2±15.377.5±15.075.4±14.30.494
Cardiac output (litres)
 At rest4.3±1.04.4±0.94.3±0.70.806
 25 W exercise6.6±1.46.8±1.36.5±1.20.498
 50 W exercise7.7±1.57.9±1.47.7±1.40.451
E velocity (cm/s)
 At rest64.0±13.965.3±15.171.5±18.0 0.004
 25 W exercise91.1±16.893.8±22.3102.2±25.0 0.001
 50 W exercise104.2±19.0107.1±22.0124.7±25.0 <0.001
Deceleration time (ms)
 At rest198.0±35.6203.8±42.7217.6±48.20.003
 25 W exercise153.5±28.7155.8±31.0161.5±32.20.197
 50 W exercise140.6±27.0136.3±26.9139.0±24.70.362
Ea velocity (cm/s)
 At rest6.9±2.36.4±2.14.6±1.1 <0.001
 25 W exercise9.1±2.58.8±2.46.2±1.6 <0.001
 50 W exercise9.9±2.69.9±2.66.7±1.5 <0.001
Sa velocity (cm/s)
 At rest6.8±1.26.6±1.15.9±1.2 <0.001
 25 W exercise7.6±1.47.4±1.36.6±1.6 <0.001
 50 W exercise8.5±1.78.6±1.67.5±1.6 <0.001
E/Ea
 At rest9.9±2.910.8±3.016.1±4.7 <0.001
 25 W exercise10.7±3.211.1±2.317.3±5.1 <0.001
 50 W exercise11.1±3.111.3±2.218.6±4.4 <0.001
TR velocity (m/s)
 At rest2.1±0.22.3±0.32.4±0.3<0.001
 25 W exercise2.5±3.13.1±0.33.1±0.3<0.001
 50 W exercise2.7±0.33.4±0.33.5±0.2<0.001
PASP (mm Hg)
 At rest22.4±3.827.1±4.628.6±6.5<0.001
 25 W exercise30.9±6.243.4±7.144.8±8.3<0.001
 50 W exercise40.0±6.657.0±9.158.2±7.0<0.001
O2 saturation (%)
 At rest97.0±1.596.7±3.096.6±1.50.095
 25 W exercise96.7±1.696.2±2.995.5±2.00.001
 50 W exercise96.5±1.695.9±4.495.5±2.20.022
PVR1.55±0.611.79±0.581.79±0.680.003
  • 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.