Document Detail

Comparative value of arm and leg exercise testing.
MedLine Citation:
PMID:  1496268     Owner:  NLM     Status:  MEDLINE    
Arm exercise test (AET) is described as an alternative to the classical leg exercise test (LET). The value of these two types of exercise was studied in a group of 32 patients aged 34 to 65 years. The patients performed LET for several reasons and, after 24 hrs, AET under the same conditions. The effort level reached under LET was always greater than that achieved under AET and the calculated functional aerobic impairment (FAI) was 50% greater during AET thus supporting the idea that AET cannot be used instead of LET in determining the functional capacity (NYHA) of cardiac patients. However, AET remains useful for the determination of the occupational working capacity in certain occupational categories. The double product (DP) (or index tension time (ITT) calculated after AET represented 85% of the calculated value after LET. The results proved that MVO2 is similar for both LET and AET, but in the latter at lower levels of exercise (VO2). The LET-DP was greater than the AET-DP in 66.5% of our cases, thus suggesting that AET should be reserved for situations in which LET cannot be performed. This is also supported by the presence of ST depression during AET in only 66% of the 18 subjects with ST depression during LET and in five of the six patients without ST depression, DP-AET was lower than DP-LET.
D Zdrenghea; E Bogdan; E Gligor; V Ossian
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Romanian journal of internal medicine = Revue roumaine de médecine interne     Volume:  30     ISSN:  1220-4749     ISO Abbreviation:  Rom J Intern Med     Publication Date:    1992 Apr-Jun
Date Detail:
Created Date:  1992-09-09     Completed Date:  1992-09-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9304507     Medline TA:  Rom J Intern Med     Country:  ROMANIA    
Other Details:
Languages:  eng     Pagination:  99-103     Citation Subset:  IM    
Clinical Hospital of Rehabilitation, Department of Cardiology, Cluj-Napoca, Romania.
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MeSH Terms
Arm / physiology*
Blood Pressure / physiology
Exercise Test / instrumentation,  methods*
Leg / physiology*
Middle Aged
Myocardium / metabolism
Oxygen Consumption / physiology

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