Document Detail


Coronary blood flow and lactate metabolism during isometric handgrip exercise in heart disease.
MedLine Citation:
PMID:  1011367     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Twenty-one patients with various heart diseases undergoing the coronary sinus catheterization had myocardial blood flow studies before and during isometric handgrip exercise. At 30% of the maximal voluntary contraction (MVC), handgrip increased both coronary sinus blood flow by 19.8% and myocardial O2 consumption by 21.0% on the average as compared to those at rest. At 20% of MVC, the increase of the both was slight except for 1 case. The increase in coronary sinus blood flow significantly correlated to the increase of myocardial O2 consumption. Lactate extraction ratio decreased to less than 10% during handgrip in 4 of 19 cases studied despite of normal values at rest. Lactate extraction ratio had significantly positive correlations with coronary sinus blood flow and myocardial O2 consumption during handgrip, while there were not significant ones at rest. It is suggested that isometric handgrip exercise is useful as a stress test for detection of myocardial ischemia in the heart of coronary artery disease.
Authors:
R Katori; K Miyazawa; S Ikeda; K Shirato; I Muraguchi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Japanese heart journal     Volume:  17     ISSN:  0021-4868     ISO Abbreviation:  Jpn Heart J     Publication Date:  1976 Nov 
Date Detail:
Created Date:  1977-03-31     Completed Date:  1977-03-31     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0401175     Medline TA:  Jpn Heart J     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  742-52     Citation Subset:  IM; S    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Coronary Circulation*
Coronary Disease / metabolism*
Female
Hand / physiology
Humans
Lactates / metabolism*
Male
Middle Aged
Muscle Contraction
Myocardium / metabolism
Oxygen Consumption
Physical Exertion*
Chemical
Reg. No./Substance:
0/Lactates

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


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