title: Evaluation of the six-minute walk test in patients with chronic heart failure associated with Chagas' disease and systemic arterial hypertension.
abstract: BACKGROUND
  To evaluate physical capacity as determined by the six-minute walk test (6MWT) in patients with chronic heart failure due to Chagas' disease associated with systemic arterial hypertension (Chagas-SAH).
  
  
  METHODS
  A total of 98 patients routinely followed at the Cardiomyopathy Outpatient Service were recruited. Of these, 60 (61%) were diagnosed with Chagas disease and 38 (39%) with Chagas-SAH.
  
  
  RESULTS
  The distance walked during 6 min was 357.9 +/-98 m for Chagas-SAH patients and 395.8 +/- 121m for Chagas cardiomyopathy patients (p >0.05). In patients with Chagas-SAH, a negative correlation occurred between the 6MWT and the total score of the Minnesota Living with Heart Failure Questionnaire (r= -0.51; p=0.001). No other correlations were determined between 6MWT values and continuous variables in patients with Chagas-SAH.
  
  
  CONCLUSIONS
  The results of the 6MWT in Chagas-SAH patients are similar to those verified in Chagas cardiomyopathy patients with chronic heart failure. Coexistence of SAH does not seem to affect the functional capacity of Chagas cardiomyopathy patients with chronic heart failure.
authors.affiliation: Department of Cardiology and Cardiovascular Surgery, Hospital de Base, School of Medicine of São José do Rio Preto, SP, Brazil.
authors.forename: Kelly Cristina Colaço
authors.initials: KC
authors.lastname: Dourado
authors.forename: Reinaldo Bulgarelli
authors.initials: RB
authors.lastname: Bestetti
authors.forename: Augusto
authors.initials: A
authors.lastname: Cardinalli-Neto
authors.forename: José Antônio
authors.initials: JA
authors.lastname: Cordeiro
mesh_terms: D002598:Chagas Cardiomyopathy / Q000150:complications / Q000503:physiopathology*; D002908:Chronic Disease; D005080:Exercise Test / Q000379:methods*; D017079:Exercise Tolerance / Q000502:physiology; D005260:Female; D006333:Heart Failure / Q000209:etiology / Q000503:physiopathology*; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D016138:Walking / Q000502:physiology*