Table 1

Baseline clinical and echocardiographic characteristics

VariableOverall (n = 196)LV responders (n = 136)LV non-responders (n = 60)P value
Clinical characteristics
 Age, years63.8 ± 10.564.2 ± 9.563.0 ± 12.70.448
 Male sex, n (%)122 (62.2%)85 (62.5%)37 (61.7%)0.912
 Body mass index, kg/m²26.1 ± 4.626.1 ± 4.926.0 ± 4.00.868
 NYHA III or IV, n (%)128 (65.6%)87 (64.0%)41 (69.5%)0.456
 Quality of life29.0 (16.0, 44.5)30 (15.0, 44.0)27 (17.5, 24.3)0.713
 6MWD, m368.0 ± 117.6365.2 ± 114.2375.3 ± 127.50.648
 ECG variables
  Baseline rhythm
   Sinus rhythm, n (%)180 (91.8%)128 (94.1%)52 (86.7%)0.079
   Atrial fibrillation, n (%)15 (7.7%)7 (5.1%)8 (13.3%)0.047
   Pacemaker, n (%)1 (0.5%)1 (0.7%)0 (0.0%)0.694
  QRS duration, ms166.3 ± 20.2167.0 ± 18.0164.8 ± 24.60.485
  QRS axis, °−26.0 (−47.5, 7.0)−26.0 (−47.0, 6.5)−28.0 (−48.0, 13.0)0.823
 Medication
  Combination of 3 HF therapies70 (35.7%)49 (36.0%)21 (35.0%)0.890
  Beta-blocker, n (%)160 (81.6%)109 (80.1%)51 (85.0%)0.419
  ACE-I/ARB, n (%)178 (90.8%)125 (91.9%)53 (88.3%)0.424
  Loop diuretic, n (%)153 (78.1%)100 (73.5%)53 (88.3%)0.021
  MRA, n (%)92 (46.9%)63 (46.3%)29 (48.3%)0.795
Echocardiographic characteristics
 LV end-diastolic volume, mL214.8 ± 80.4211.5 ± 70.8222.3 ± 98.90.385
 LV end-systolic volume, mL162.1 ± 66.9158.9 ± 60.0169.3 ± 80.80.317
 LV ejection fraction, %25.3 ± 6.325.7 ± 6.424.5 ± 5.90.228
 LV global longitudinal strain, %7.2 ± 3.07.8 ± 3.06.2 ± 3.00.001
 Left atrial volume index, mL/m²40.3 ± 16.938.1 ± 15.545.6 ± 19.10.006
 Significant MR, n (%) or severe MR78 (42.2%)52 (40.3%)26 (46.4%)0.439
 Significant AR, n (%)18 (9.2%)9 (6.6%)9 (15.0%)0.061
 Significant AS, n (%)6 (3.1%)2 (1.5%)4 (6.7%)0.052
 Haemodynamic force parameters in the complete heart cycle
  Apical–basal strength, %4.8 (3.5, 6.3)4.9 (3.6, 6.6)4.4 (3.3, 5.7)0.085
  Lateral–septal strength, %1.5 (1.1, 2.0)1.5 (1.1, 2.0)1.7 (1.2, 2.2)0.321
  Force vector angle, °66.2 ± 6.167.1 ± 5.864.1 ± 6.40.002
 Haemodynamic force parameters in the systolic thrust
  Apical–basal impulse, %4.8 (3.3, 6.5)5.0 (3.8, 6.6)3.4 (2.8, 6.1)0.012
  Systolic force vector angle, °74.0 (70.0, 78.0)74.0 (71.0, 78.0)71.0 (65.0 76.0)<0.001
VariableOverall (n = 196)LV responders (n = 136)LV non-responders (n = 60)P value
Clinical characteristics
 Age, years63.8 ± 10.564.2 ± 9.563.0 ± 12.70.448
 Male sex, n (%)122 (62.2%)85 (62.5%)37 (61.7%)0.912
 Body mass index, kg/m²26.1 ± 4.626.1 ± 4.926.0 ± 4.00.868
 NYHA III or IV, n (%)128 (65.6%)87 (64.0%)41 (69.5%)0.456
 Quality of life29.0 (16.0, 44.5)30 (15.0, 44.0)27 (17.5, 24.3)0.713
 6MWD, m368.0 ± 117.6365.2 ± 114.2375.3 ± 127.50.648
 ECG variables
  Baseline rhythm
   Sinus rhythm, n (%)180 (91.8%)128 (94.1%)52 (86.7%)0.079
   Atrial fibrillation, n (%)15 (7.7%)7 (5.1%)8 (13.3%)0.047
   Pacemaker, n (%)1 (0.5%)1 (0.7%)0 (0.0%)0.694
  QRS duration, ms166.3 ± 20.2167.0 ± 18.0164.8 ± 24.60.485
  QRS axis, °−26.0 (−47.5, 7.0)−26.0 (−47.0, 6.5)−28.0 (−48.0, 13.0)0.823
 Medication
  Combination of 3 HF therapies70 (35.7%)49 (36.0%)21 (35.0%)0.890
  Beta-blocker, n (%)160 (81.6%)109 (80.1%)51 (85.0%)0.419
  ACE-I/ARB, n (%)178 (90.8%)125 (91.9%)53 (88.3%)0.424
  Loop diuretic, n (%)153 (78.1%)100 (73.5%)53 (88.3%)0.021
  MRA, n (%)92 (46.9%)63 (46.3%)29 (48.3%)0.795
Echocardiographic characteristics
 LV end-diastolic volume, mL214.8 ± 80.4211.5 ± 70.8222.3 ± 98.90.385
 LV end-systolic volume, mL162.1 ± 66.9158.9 ± 60.0169.3 ± 80.80.317
 LV ejection fraction, %25.3 ± 6.325.7 ± 6.424.5 ± 5.90.228
 LV global longitudinal strain, %7.2 ± 3.07.8 ± 3.06.2 ± 3.00.001
 Left atrial volume index, mL/m²40.3 ± 16.938.1 ± 15.545.6 ± 19.10.006
 Significant MR, n (%) or severe MR78 (42.2%)52 (40.3%)26 (46.4%)0.439
 Significant AR, n (%)18 (9.2%)9 (6.6%)9 (15.0%)0.061
 Significant AS, n (%)6 (3.1%)2 (1.5%)4 (6.7%)0.052
 Haemodynamic force parameters in the complete heart cycle
  Apical–basal strength, %4.8 (3.5, 6.3)4.9 (3.6, 6.6)4.4 (3.3, 5.7)0.085
  Lateral–septal strength, %1.5 (1.1, 2.0)1.5 (1.1, 2.0)1.7 (1.2, 2.2)0.321
  Force vector angle, °66.2 ± 6.167.1 ± 5.864.1 ± 6.40.002
 Haemodynamic force parameters in the systolic thrust
  Apical–basal impulse, %4.8 (3.3, 6.5)5.0 (3.8, 6.6)3.4 (2.8, 6.1)0.012
  Systolic force vector angle, °74.0 (70.0, 78.0)74.0 (71.0, 78.0)71.0 (65.0 76.0)<0.001

Bold values represent significant P values (<0.05).

6MWD, 6 min walking distance; ACE-I, angiotensin converting enzyme inhibitor; AR, aortic regurgitation; ARB, angiotensin receptor blocker; AS, aortic stenosis; LV, left ventricular; MR, mitral regurgitation; MRA, mineralocorticoid receptor antagonist; NYHA, New York Heart Association class.

Table 1

Baseline clinical and echocardiographic characteristics

VariableOverall (n = 196)LV responders (n = 136)LV non-responders (n = 60)P value
Clinical characteristics
 Age, years63.8 ± 10.564.2 ± 9.563.0 ± 12.70.448
 Male sex, n (%)122 (62.2%)85 (62.5%)37 (61.7%)0.912
 Body mass index, kg/m²26.1 ± 4.626.1 ± 4.926.0 ± 4.00.868
 NYHA III or IV, n (%)128 (65.6%)87 (64.0%)41 (69.5%)0.456
 Quality of life29.0 (16.0, 44.5)30 (15.0, 44.0)27 (17.5, 24.3)0.713
 6MWD, m368.0 ± 117.6365.2 ± 114.2375.3 ± 127.50.648
 ECG variables
  Baseline rhythm
   Sinus rhythm, n (%)180 (91.8%)128 (94.1%)52 (86.7%)0.079
   Atrial fibrillation, n (%)15 (7.7%)7 (5.1%)8 (13.3%)0.047
   Pacemaker, n (%)1 (0.5%)1 (0.7%)0 (0.0%)0.694
  QRS duration, ms166.3 ± 20.2167.0 ± 18.0164.8 ± 24.60.485
  QRS axis, °−26.0 (−47.5, 7.0)−26.0 (−47.0, 6.5)−28.0 (−48.0, 13.0)0.823
 Medication
  Combination of 3 HF therapies70 (35.7%)49 (36.0%)21 (35.0%)0.890
  Beta-blocker, n (%)160 (81.6%)109 (80.1%)51 (85.0%)0.419
  ACE-I/ARB, n (%)178 (90.8%)125 (91.9%)53 (88.3%)0.424
  Loop diuretic, n (%)153 (78.1%)100 (73.5%)53 (88.3%)0.021
  MRA, n (%)92 (46.9%)63 (46.3%)29 (48.3%)0.795
Echocardiographic characteristics
 LV end-diastolic volume, mL214.8 ± 80.4211.5 ± 70.8222.3 ± 98.90.385
 LV end-systolic volume, mL162.1 ± 66.9158.9 ± 60.0169.3 ± 80.80.317
 LV ejection fraction, %25.3 ± 6.325.7 ± 6.424.5 ± 5.90.228
 LV global longitudinal strain, %7.2 ± 3.07.8 ± 3.06.2 ± 3.00.001
 Left atrial volume index, mL/m²40.3 ± 16.938.1 ± 15.545.6 ± 19.10.006
 Significant MR, n (%) or severe MR78 (42.2%)52 (40.3%)26 (46.4%)0.439
 Significant AR, n (%)18 (9.2%)9 (6.6%)9 (15.0%)0.061
 Significant AS, n (%)6 (3.1%)2 (1.5%)4 (6.7%)0.052
 Haemodynamic force parameters in the complete heart cycle
  Apical–basal strength, %4.8 (3.5, 6.3)4.9 (3.6, 6.6)4.4 (3.3, 5.7)0.085
  Lateral–septal strength, %1.5 (1.1, 2.0)1.5 (1.1, 2.0)1.7 (1.2, 2.2)0.321
  Force vector angle, °66.2 ± 6.167.1 ± 5.864.1 ± 6.40.002
 Haemodynamic force parameters in the systolic thrust
  Apical–basal impulse, %4.8 (3.3, 6.5)5.0 (3.8, 6.6)3.4 (2.8, 6.1)0.012
  Systolic force vector angle, °74.0 (70.0, 78.0)74.0 (71.0, 78.0)71.0 (65.0 76.0)<0.001
VariableOverall (n = 196)LV responders (n = 136)LV non-responders (n = 60)P value
Clinical characteristics
 Age, years63.8 ± 10.564.2 ± 9.563.0 ± 12.70.448
 Male sex, n (%)122 (62.2%)85 (62.5%)37 (61.7%)0.912
 Body mass index, kg/m²26.1 ± 4.626.1 ± 4.926.0 ± 4.00.868
 NYHA III or IV, n (%)128 (65.6%)87 (64.0%)41 (69.5%)0.456
 Quality of life29.0 (16.0, 44.5)30 (15.0, 44.0)27 (17.5, 24.3)0.713
 6MWD, m368.0 ± 117.6365.2 ± 114.2375.3 ± 127.50.648
 ECG variables
  Baseline rhythm
   Sinus rhythm, n (%)180 (91.8%)128 (94.1%)52 (86.7%)0.079
   Atrial fibrillation, n (%)15 (7.7%)7 (5.1%)8 (13.3%)0.047
   Pacemaker, n (%)1 (0.5%)1 (0.7%)0 (0.0%)0.694
  QRS duration, ms166.3 ± 20.2167.0 ± 18.0164.8 ± 24.60.485
  QRS axis, °−26.0 (−47.5, 7.0)−26.0 (−47.0, 6.5)−28.0 (−48.0, 13.0)0.823
 Medication
  Combination of 3 HF therapies70 (35.7%)49 (36.0%)21 (35.0%)0.890
  Beta-blocker, n (%)160 (81.6%)109 (80.1%)51 (85.0%)0.419
  ACE-I/ARB, n (%)178 (90.8%)125 (91.9%)53 (88.3%)0.424
  Loop diuretic, n (%)153 (78.1%)100 (73.5%)53 (88.3%)0.021
  MRA, n (%)92 (46.9%)63 (46.3%)29 (48.3%)0.795
Echocardiographic characteristics
 LV end-diastolic volume, mL214.8 ± 80.4211.5 ± 70.8222.3 ± 98.90.385
 LV end-systolic volume, mL162.1 ± 66.9158.9 ± 60.0169.3 ± 80.80.317
 LV ejection fraction, %25.3 ± 6.325.7 ± 6.424.5 ± 5.90.228
 LV global longitudinal strain, %7.2 ± 3.07.8 ± 3.06.2 ± 3.00.001
 Left atrial volume index, mL/m²40.3 ± 16.938.1 ± 15.545.6 ± 19.10.006
 Significant MR, n (%) or severe MR78 (42.2%)52 (40.3%)26 (46.4%)0.439
 Significant AR, n (%)18 (9.2%)9 (6.6%)9 (15.0%)0.061
 Significant AS, n (%)6 (3.1%)2 (1.5%)4 (6.7%)0.052
 Haemodynamic force parameters in the complete heart cycle
  Apical–basal strength, %4.8 (3.5, 6.3)4.9 (3.6, 6.6)4.4 (3.3, 5.7)0.085
  Lateral–septal strength, %1.5 (1.1, 2.0)1.5 (1.1, 2.0)1.7 (1.2, 2.2)0.321
  Force vector angle, °66.2 ± 6.167.1 ± 5.864.1 ± 6.40.002
 Haemodynamic force parameters in the systolic thrust
  Apical–basal impulse, %4.8 (3.3, 6.5)5.0 (3.8, 6.6)3.4 (2.8, 6.1)0.012
  Systolic force vector angle, °74.0 (70.0, 78.0)74.0 (71.0, 78.0)71.0 (65.0 76.0)<0.001

Bold values represent significant P values (<0.05).

6MWD, 6 min walking distance; ACE-I, angiotensin converting enzyme inhibitor; AR, aortic regurgitation; ARB, angiotensin receptor blocker; AS, aortic stenosis; LV, left ventricular; MR, mitral regurgitation; MRA, mineralocorticoid receptor antagonist; NYHA, New York Heart Association class.

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