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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1993-8-12
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pubmed:abstractText |
We studied central and peripheral hemodynamics and exercise tolerance in 24 patients with left ventricular dysfunction. All were in NYHA class II or III, and echocardiographic left ventricular ejection fraction was < 35% without pharmacologic influences. Patients underwent to treadmill test (Naughton protocol), cardiopulmonary upright bicycle test, and supine bicycle test with haemodynamic measurements. All tests were exhaustive. Average exercise time was 9 +/- 3.4 min, (range 3-20). Average ejection fraction (.28 +/- 0.65) dis not correlate with working capacity (r = .32), nor did left ventricular filling pressure (pulmonary capillary wedge pressure) at rest and at peak exercise (r = .29 and r = .02). Stroke volume and stroke volume index were on average depressed, with no variations during work; cardiac output and cardiac index were also depressed, with a significant increase at peak exercise (both p < .001). Systemic and pulmonary resistances were increased, but systemic resistances tended to decrease during effort (p < .001), while pulmonary resistances did not (p = NS). We subdivided patients according to systemic vascular resistances lower or higher than 1500 dynes.cm.sec-5 at rest; this identifies two different working capacities (low systemic vascular resistances 11.7 +/- 4.4 min, high systemic vascular resistances 6.9 +/- 3.2 min, p < .05). Patients were then divided in two groups: group I (rest stroke volume > 60 ml) and group II (rest stroke volume < 60 ml). Group I worked 11 +/- 5 min, group II 8.5 +/- 3 min (p < .05). We performed a linear regression analysis between cardiac output and systemic vascular resistances at rest and during exercise in the two groups.(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0870-2551
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
12
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
445-53, 405, 407
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:8323781-Adult,
pubmed-meshheading:8323781-Aged,
pubmed-meshheading:8323781-Exercise Test,
pubmed-meshheading:8323781-Exercise Tolerance,
pubmed-meshheading:8323781-Female,
pubmed-meshheading:8323781-Heart Failure,
pubmed-meshheading:8323781-Hemodynamics,
pubmed-meshheading:8323781-Humans,
pubmed-meshheading:8323781-Least-Squares Analysis,
pubmed-meshheading:8323781-Male,
pubmed-meshheading:8323781-Middle Aged,
pubmed-meshheading:8323781-Multivariate Analysis,
pubmed-meshheading:8323781-Myocardial Ischemia,
pubmed-meshheading:8323781-Oxygen Consumption,
pubmed-meshheading:8323781-Rest,
pubmed-meshheading:8323781-Ventricular Function, Left
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pubmed:year |
1993
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pubmed:articleTitle |
Central and peripheral haemodynamic determinants of effort tolerance in patients with heart failure.
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pubmed:affiliation |
Divisione di Cardiologia, Fondazione Clinica del Lavoro, Pavia, Italia.
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pubmed:publicationType |
Journal Article,
Comparative Study
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