PMID- 1467030
OWN - NLM
STAT- MEDLINE
DCOM- 19930128
LR  - 20190503
IS  - 0007-0769 (Print)
IS  - 0007-0769 (Linking)
VI  - 68
IP  - 5
DP  - 1992 Nov
TI  - Short-stepping gait in severe heart failure.
PG  - 469-72
AB  - BACKGROUND: Patients with severe chronic heart failure seem to take shorter steps 
      than healthy controls when walking on a treadmill and when walking freely along a 
      corridor. In healthy individuals the pattern of walking affects the oxygen cost 
      of exercise, and so this observation might be relevant to the limitation of 
      exercise in heart failure. METHOD: Length of stride was analysed as 
      stride/stature index in 15 controls, 10 patients with moderate heart failure, 10 
      patients with severe heart failure, and 10 patients with angina, walking at a 
      constant speed/stature index. RESULTS: The stride/stature index was 0.64 in the 
      controls in patients with New York Heart Association (NYHA) class II heart 
      failure, and in patients with angina. It was 0.49 in patients with NYHA class III 
      heart failure. In the patients with heart failure the stride/stature index 
      correlated with exercise capacity determined as peak oxygen consumption VO2max (R 
      = +0.62, p < 0.005). When healthy controls walked in time to a metronome adjusted 
      to decrease their stride/stature index to approximately that seen in severe heart 
      failure steady-state oxygen consumption increased by a mean of 15%. CONCLUSIONS: 
      The length of stride is reduced in severe heart failure, and when healthy 
      controls adopt this gait the oxygen cost of walking is increased. A 
      short-stepping gait may contribute to the limitation of exercise capacity in 
      heart failure.
FAU - Davies, S W
AU  - Davies SW
AD  - Department of Cardiology, Royal Free Hospital, London.
FAU - Greig, C A
AU  - Greig CA
FAU - Jordan, S L
AU  - Jordan SL
FAU - Grieve, D W
AU  - Grieve DW
FAU - Lipkin, D P
AU  - Lipkin DP
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Br Heart J
JT  - British heart journal
JID - 0370634
SB  - IM
MH  - Aged
MH  - Angina Pectoris/physiopathology
MH  - Chronic Disease
MH  - Exercise Test
MH  - Female
MH  - Gait/*physiology
MH  - Heart/physiology/*physiopathology
MH  - Heart Failure/*physiopathology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Oxygen Consumption/physiology
PMC - PMC1025189
EDAT- 1992/11/01 00:00
MHDA- 1992/11/01 00:01
PMCR- 1992/11/01
CRDT- 1992/11/01 00:00
PHST- 1992/11/01 00:00 [pubmed]
PHST- 1992/11/01 00:01 [medline]
PHST- 1992/11/01 00:00 [entrez]
PHST- 1992/11/01 00:00 [pmc-release]
AID - 10.1136/hrt.68.11.469 [doi]
PST - ppublish
SO  - Br Heart J. 1992 Nov;68(5):469-72. doi: 10.1136/hrt.68.11.469.