However, this observation was valid for only one year and solely in patients with advanced congestive heart failure. Also, Alahdab et al (2009) observed that a distance shorter than 200 m is associated with selleck products higher risk of re-hospitalisation and correlates with the number of re-hospitalisations within an 18-month period in male African-American patients hospitalised due to acute decompensated heart failure. However, they did not confirm those relationships with regards to female heart failure patients. The prognosis of heart failure patients is modulated by an array of demographic, functional, haemodynamic, and neurohormonal factors,

including NT-proBNP, hsCRP, and uric acid (Cahalin et al 1996, Zugck et al 2000, Rubim et al 2006, Bettencourt et al 2000, Castel et al 2009, Reibis et al 2010). Unfortunately, they have not been considered in some studies dealing with the relationship

between 6-minute walk test distance and prognosis in heart failure patients. Among these, it was the concentration of NT-proBNP that, independently of other clinical parameters, was strongly prognostic of mortality and mortality or hospitalisation during the 1- and 3-year analyses in our study. This finding is consistent with previously published reports (Park et al 2010, MacGowan et al 2010). Our analysis of the mortality and hospitalisation risk factors also included other laboratory parameters that play a vital role in the diagnosis and treatment of heart failure, such as haemoglobin concentration, uric http://www.selleckchem.com/products/17-AAG(Geldanamycin).html acid,

and renal function assessed using eGFR. These variables were not taken into account in previous studies. Recently, an increasing number of authors highlight the important role of uric acid as a strong independent prognostic factor in people with heart failure. In our study, aside from 6-minute walk test and NT-proBNP, uric acid concentration also proved to be an independent risk factor of mortality and mortality or hospitalisation for cardiovascular reasons. for Uric acid levels > 7 mg/dL are associated with higher all-cause mortality in patients with both acute and chronic heart failure. Thus, it is recommended to consider uric acid concentration as an additional prognostic marker in heart failure patients, aside from previously established clinical prognostic factors (Manzano et al 2011, Tamariz et al 2011). Ethics: The Ethics Committee of the University School of Physical Education in Wroclaw approved this study. All participants gave written informed consent before data collection began. Competing interests: No author has any conflict of interest related to the data and ideas presented in the manuscript. “
“Clinicians often have to make early predictions about patients’ potential to walk independently or use their hemiplegic arm. Such predictions are necessary to provide information to patients, set realistic goals for therapy, and plan for discharge.