Document Detail


Continuous ambulatory radionuclide monitoring of left ventricular function: effect of body position during ergometer exercise.
MedLine Citation:
PMID:  9374329     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We assessed the reliability of a continuous ambulatory radionuclide monitoring system (the VEST system, Capintec, Inc., Ramsey, NJ) for measurement of left ventricular performance during exercise in the upright and supine positions. METHODS: Sixteen healthy male volunteers (aged 32-46 yr; mean age 37 +/- 4 yr) were studied. All volunteers underwent ergometer exercise testing in both the upright and supine positions, and left ventricular performance was determined with the VEST system. RESULTS: The resting heart rate, systolic blood pressure, pressure rate product, relative end-diastolic volume, relative end-systolic volume and left ventricular ejection fraction (LVEF) all showed no differences between the upright and supine positions. At peak exercise, the heart rate, systolic blood pressure and pressure rate product showed no differences between the upright and supine positions. In the upright position at peak exercise the relative end-diastolic volume was increased (83% +/- 9% to 91% +/- 11%, p < 0.001); the relative end-systolic volume remained unchanged (34% +/- 3% to 33% +/- 15%), and LVEF was significantly increased from 58% +/- 6% to 66% +/- 11% (p < 0.01). In the supine position at peak exercise, the relative end-diastolic volume remained unchanged (85% +/- 5 to 83% +/- 7%), the relative end-systolic volume was increased (35% +/- 5% to 43% +/- 13%, p < 0.01), and LVEF was decreased from 58% +/- 5% to 48% +/- 17% (p < 0.01). These results indicated inferior data collection by the VEST system in the supine position. CONCLUSION: Since the detector of the VEST system may be too small, the data collection is impaired during exercise in the supine position by shifting the heart with deep respiration. The VEST system is very useful for determining left ventricular performance when applied in the sitting or upright position. However, in the supine position during exercise, the use of the VEST system should be avoided because it might indicate an artifactual deterioration of left ventricular performance.
Authors:
H Mizuno; A Yanagisawa; T Shigeyama; M Taya; A Sasaki; T Nishimura; K Shimoyama; Y Tahara; K Ishikawa
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of nuclear medicine : official publication, Society of Nuclear Medicine     Volume:  38     ISSN:  0161-5505     ISO Abbreviation:  J. Nucl. Med.     Publication Date:  1997 Nov 
Date Detail:
Created Date:  1997-12-11     Completed Date:  1997-12-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0217410     Medline TA:  J Nucl Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1669-72     Citation Subset:  IM    
Affiliation:
Second Department of Internal Medicine, Kyorin University School of Medicine, Mitaka-city, Tokyo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Exercise Test
Gated Blood-Pool Imaging
Heart / radionuclide imaging*
Humans
Male
Monitoring, Ambulatory / instrumentation*,  methods
Posture*
Radionuclide Ventriculography / instrumentation*
Radiopharmaceuticals / diagnostic use
Reproducibility of Results
Supine Position
Technetium Tc 99m Aggregated Albumin / diagnostic use
Ventricular Function, Left / physiology*
Chemical
Reg. No./Substance:
0/Radiopharmaceuticals; 0/Technetium Tc 99m Aggregated Albumin
Comments/Corrections
Comment In:
J Nucl Med. 1998 May;39(5):931-2   [PMID:  9591611 ]
J Nucl Med. 1997 Nov;38(11):1672-4   [PMID:  9374330 ]

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