PMID- 26743588 OWN - NLM STAT- MEDLINE DCOM- 20171211 LR - 20220321 IS - 2047-4881 (Electronic) IS - 2047-4873 (Linking) VI - 23 IP - 12 DP - 2016 Aug TI - Could the two-minute step test be an alternative to the six-minute walk test for patients with systolic heart failure? PG - 1307-13 LID - 10.1177/2047487315625235 [doi] AB - BACKGROUND: The consequence of exercise intolerance for patients with heart failure is the difficulty climbing stairs. The two-minute step test is a test that reflects the activity of climbing stairs. DESIGN: The aim of the study design is to evaluate the applicability of the two-minute step test in an assessment of exercise tolerance in patients with heart failure and the association between the six-minute walk test and the two-minute step test. METHODS: Participants in this study were 168 men with systolic heart failure (New York Heart Association (NYHA) class I-IV). In the study we used the two-minute step test, the six-minute walk test, the cardiopulmonary exercise test and isometric dynamometer armchair. RESULTS: Patients who performed more steps during the two-minute step test covered a longer distance during the six-minute walk test (r = 0.45). The quadriceps strength was correlated with the two-minute step test and the six-minute walk test (r = 0.61 and r = 0.48). The greater number of steps performed during the two-minute step test was associated with higher values of peak oxygen consumption (r = 0.33), ventilatory response to exercise slope (r = -0.17) and longer time of exercise during the cardiopulmonary exercise test (r = 0.34). Fatigue and leg fatigue were greater after the two-minute step test than the six-minute walk test whereas dyspnoea and blood pressure responses were similar. CONCLUSION: The two-minute step test is well tolerated by patients with heart failure and may thus be considered as an alternative for the six-minute walk test. CI - (c) The European Society of Cardiology 2016. FAU - Wegrzynowska-Teodorczyk, Kinga AU - Wegrzynowska-Teodorczyk K AD - Faculty of Physiotherapy, University School of Physical Education in Wroclaw, Poland Center for Heart Disease, 4th Military Academic Hospital Wroclaw, Poland kingawteodorczyk@gmail.com. FAU - Mozdzanowska, Dagmara AU - Mozdzanowska D AD - Faculty of Physiotherapy, University School of Physical Education in Wroclaw, Poland. FAU - Josiak, Krystian AU - Josiak K AD - Center for Heart Disease, 4th Military Academic Hospital Wroclaw, Poland Department of Heart Diseases, Wroclaw Medical University, Poland. FAU - Siennicka, Agnieszka AU - Siennicka A AD - Center for Heart Disease, 4th Military Academic Hospital Wroclaw, Poland Department of Physiology, Wroclaw Medical University, Poland. FAU - Nowakowska, Katarzyna AU - Nowakowska K AD - Center for Heart Disease, 4th Military Academic Hospital Wroclaw, Poland. FAU - Banasiak, Waldemar AU - Banasiak W AD - Center for Heart Disease, 4th Military Academic Hospital Wroclaw, Poland. FAU - Jankowska, Ewa A AU - Jankowska EA AD - Center for Heart Disease, 4th Military Academic Hospital Wroclaw, Poland Department of Heart Diseases, Wroclaw Medical University, Poland. FAU - Ponikowski, Piotr AU - Ponikowski P AD - Center for Heart Disease, 4th Military Academic Hospital Wroclaw, Poland Department of Heart Diseases, Wroclaw Medical University, Poland. FAU - Wozniewski, Marek AU - Wozniewski M AD - Faculty of Physiotherapy, University School of Physical Education in Wroclaw, Poland. LA - eng PT - Journal Article DEP - 20160107 PL - England TA - Eur J Prev Cardiol JT - European journal of preventive cardiology JID - 101564430 SB - IM MH - Exercise Test/*methods MH - Exercise Tolerance/*physiology MH - Follow-Up Studies MH - Heart Failure, Systolic/*diagnosis/physiopathology MH - Humans MH - Male MH - Middle Aged MH - Mobility Limitation MH - Muscle Strength MH - Reproducibility of Results MH - Time Factors MH - Walk Test MH - Walking/*physiology OTO - NOTNLM OT - Exercise tolerance OT - exercise test OT - heart failure OT - mobility limitation OT - walking EDAT- 2016/01/09 06:00 MHDA- 2017/12/12 06:00 CRDT- 2016/01/09 06:00 PHST- 2015/04/03 00:00 [received] PHST- 2015/12/12 00:00 [accepted] PHST- 2016/01/09 06:00 [entrez] PHST- 2016/01/09 06:00 [pubmed] PHST- 2017/12/12 06:00 [medline] AID - 2047487315625235 [pii] AID - 10.1177/2047487315625235 [doi] PST - ppublish SO - Eur J Prev Cardiol. 2016 Aug;23(12):1307-13. doi: 10.1177/2047487315625235. Epub 2016 Jan 7.