Document Detail


Abnormalities of the peripheral circulation and respiratory function in patients with severe heart failure.
MedLine Citation:
PMID:  3947485     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To investigate the peripheral circulatory and respiratory abnormalities which occur in patients with heart failure, forearm and calf blood flow were measured before and after upright exercise, and respiratory gas exchange was measured during exercise in 26 patients with severe heart failure. Compared with a group of normal subjects the patients had reduced limb blood flow at rest and the response of limb blood flow to upright exercise was also abnormal. The increase in calf blood flow after exercise and the reduction in blood flow in the non-exercising forearm were both smaller in patients than in controls. There was a significant correlation between the maximum exercise duration of the patients and calf blood flow both after exercise and at rest. Compared with another group of control subjects the patients had a higher minute ventilation during exercise and a reduced oxygen consumption. The respiratory exchange ratio during exercise was also higher in patients than in controls. This suggests that there is early onset of anaerobic metabolism during exercise in patients with severe heart failure.
Authors:
A J Cowley; K Stainer; J M Rowley; J R Hampton
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British heart journal     Volume:  55     ISSN:  0007-0769     ISO Abbreviation:  Br Heart J     Publication Date:  1986 Jan 
Date Detail:
Created Date:  1986-04-03     Completed Date:  1986-04-03     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0370634     Medline TA:  Br Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  75-80     Citation Subset:  AIM; IM; S    
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MeSH Terms
Descriptor/Qualifier:
Aged
Extremities / blood supply*
Female
Forearm / blood supply
Heart Failure / physiopathology*
Humans
Leg / blood supply
Male
Middle Aged
Oxygen Consumption
Physical Exertion
Pulmonary Gas Exchange
Regional Blood Flow
Respiration*
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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