We examined the relation between leg composition and VE/VCO2 during exercise in HF.
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VE/VCO2 was reduced with afferent inhibition (fentanyl) during submaximal exercise.
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The reduction in VE/VCO2 was strongly associated with leg muscle and fat mass.
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Leg fat mass was predictive of the reduced VE/VCO2 slope with afferent blockade.
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Greater reductions in VE/VCO2 were observed in patients with the lowest peak VO2.
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