Effects of exercise training on nitric oxide metabolites in heart failure with reduced or preserved ejection fraction: a secondary analysis of the SMARTEX-HF and OptimEx-Clin trials - Takeaways - MDSpire

Effects of exercise training on nitric oxide metabolites in heart failure with reduced or preserved ejection fraction: a secondary analysis of the SMARTEX-HF and OptimEx-Clin trials

  • By

  • Sophia Marie-Theres Dinges

  • Edzard Schwedhelm

  • Julia Schoenfeld

  • Andreas B Gevaert

  • Ephraim B Winzer

  • Bernhard Haller

  • Flavia Baldassarri

  • Axel Pressler

  • André Duvinage

  • Rainer Böger

  • Axel Linke

  • Volker Adams

  • Burkert Pieske

  • Frank Edelmann

  • Håvard Dalen

  • Torstein Hole

  • Alf Inge Larsen

  • Patrick Feiereisen

  • Trine Karlsen

  • Eva Prescott

  • Øyvind Ellingsen

  • Emeline M Van Craenenbroeck

  • Martin Halle

  • Stephan Mueller

  • March 14, 2025

  • 0 min

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  • 1

    Exercise training affects the nitric oxide pathway, which is crucial in the pathophysiology of endothelial dysfunction in heart failure.

  • 2

    Higher baseline levels of homoarginine and asymmetric dimethylarginine were found in patients with heart failure with reduced ejection fraction compared to preserved ejection fraction.

  • 3

    No significant changes in nitric oxide metabolite plasma levels were observed after 3 months of exercise training across different exercise modes.

  • 4

    Baseline nitric oxide metabolite profiles were linked to heart failure severity, with unfavorable profiles associated with lower exercise capacity.

  • 5

    Microvascular endothelial dysfunction was more prevalent in heart failure with reduced ejection fraction than in preserved ejection fraction.

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