{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T03:13:54Z","timestamp":1771298034550,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,1,17]],"date-time":"2019-01-17T00:00:00Z","timestamp":1547683200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Physio Funct Imaging"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>ST elevation myocardial infarction (STEMI) is one of the main causes of congestive heart failure (CHF). The main symptom of CHF is exercise tolerance impairment. The aim of the study was to evaluate the prevalence and risk factors for impaired exercise tolerance in patients after STEMI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>A total of 84 patients with STEMI were analysed in the study. Cardiopulmonary exercise test (CPET) was performed 6\u00a0months after STEMI. Impaired exercise tolerance defined as peak VO2\u00a0&lt;\u00a084% predicted for age and sex was present in 49 (58%) patients and was connected with lack of abciximab administration (91.4 versus 69%, <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0\u00b702) and the presence of mitral regurgitation (47 versus 23%, <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0\u00b702). In univariate analysis, the troponin I level at admission (OR 1\u00b789, <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0\u00b7047), the use of abciximab (OR 0\u00b721, <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0\u00b703), the presence of mitral regurgitation (OR 2\u00b798, <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0\u00b703) and NT\u2010proBNP concentration (OR 2\u00b717, <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0\u00b7021) were related to impaired exercise tolerance. The best multivariate model for predicting impaired exercise\u00a0tolerance included mitral regurgitation and lack of abciximab administration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Impaired exercise tolerance after STEMI is common. Mitral regurgitation and lack of abciximab administration are the best predicting factors of impaired exercise tolerance after STEMI.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cpf.12560","type":"journal-article","created":{"date-parts":[[2018,12,27]],"date-time":"2018-12-27T16:39:42Z","timestamp":1545928782000},"page":"209-214","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Factors determining exercise capacity evaluated during cardiopulmonary exercise testing in 6\u2010month follow\u2010up after ST elevation myocardial infarction"],"prefix":"10.1111","volume":"39","author":[{"given":"Maciej","family":"Turski","sequence":"first","affiliation":[{"name":"1st Department of Cardiology Upper Silesian Medical Center Medical University of Silesia Katowice Poland"},{"name":"Department of Outpatient Cardiac Rehabilitation Upper Silesian Medical Center Medical University of Silesia Katowice Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9073-4638","authenticated-orcid":false,"given":"Magdalena","family":"Kocierz\u2010Wo\u017anowska","sequence":"additional","affiliation":[{"name":"1st Department of Cardiology Upper Silesian Medical Center Medical University of Silesia Katowice Poland"},{"name":"Department of Outpatient Cardiac Rehabilitation Upper Silesian Medical Center Medical University of Silesia Katowice Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maciej","family":"Wybraniec","sequence":"additional","affiliation":[{"name":"1st Department of Cardiology Upper Silesian Medical Center Medical University of Silesia Katowice Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marek","family":"Grabka","sequence":"additional","affiliation":[{"name":"1st Department of Cardiology Upper Silesian Medical Center Medical University of Silesia Katowice Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcin","family":"Wita","sequence":"additional","affiliation":[{"name":"1st Department of Cardiology Upper Silesian Medical Center Medical University of Silesia Katowice Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrianna","family":"Berger\u2010Kucza","sequence":"additional","affiliation":[{"name":"1st Department of Cardiology Upper Silesian Medical Center Medical University of Silesia Katowice Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krystian","family":"Wita","sequence":"additional","affiliation":[{"name":"1st Department of Cardiology Upper Silesian Medical Center Medical University of Silesia Katowice Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katarzyna","family":"Mizia\u2010Stec","sequence":"additional","affiliation":[{"name":"1st Department of Cardiology Upper Silesian Medical Center Medical University of Silesia Katowice Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,1,17]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1164\/rccm.167.2.211","article-title":"Statement on cardiopulmonary exercise testing","volume":"167","author":"American Thoracic Society and American College of Chest Physicians","year":"2003","journal-title":"Am J Respir Crit Care Med"},{"key":"e_1_2_8_3_1","first-page":"636","article-title":"Long\u2010term survival and functional outcome of unselected patients undergoing percutaneous coronary intervention for acute myocardial infarction","volume":"139","author":"Anabitarte P","year":"2009","journal-title":"Swiss Med Wkly"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.686576"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2010.05.056"},{"key":"e_1_2_8_6_1","first-page":"268","article-title":"Clinical profile and outcome of first acute myocardial infarction with ischemic mitral regurgitation Chang Gung","volume":"31","author":"Chung SY","year":"2008","journal-title":"Med J."},{"key":"e_1_2_8_7_1","first-page":"VI\u20105","article-title":"Ejection fraction, peak exercise oxygen consumption, cardiothoracic ratio, ventricular arrythmias, and plasma norepinephrine as determinants of prognosis in heart failure","volume":"87","author":"Cohn JN","year":"1993","journal-title":"Circulation"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00380-013-0323-4"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2006.08.053"},{"key":"e_1_2_8_10_1","first-page":"115","article-title":"Management and mortality in patients with non\u2010ST\u2010segment elevation vs. ST\u2010segment elevation myocardial infarction. 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