Response to Exercise Training and Outcomes in Patients With Heart Failure and Diabetes Mellitus: Insights From the HF-ACTION Trial
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DM was associated with lower adherence to exercise and reduced peak VO2 and 6MWD at baseline.

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DM patients have an attenuated response to exercise, independent of reduced adherence.

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DM patients have cardiac and peripheral dysfunction that result in attenuated exercise tolerance.

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DM was associated with increased hospitalization, driven by non-HF hospitalizations.

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