Document Detail


Effect of heart failure and physical training on the acute ventilatory response to hypoxia at rest and during exercise.
MedLine Citation:
PMID:  9097348     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We studied the acute ventilatory response to hypoxia (AHVR) in 10 patients with chronic heart failure (CHF) and in 10 subjects with normal left ventricular function (NLVF) before and after 8 weeks of home-based physical training. Subjects were studied at rest and during constant cycle exercise at a work rate equivalent to 40% of their maximum oxygen consumption. The AHVR was not significantly different between the patients with CHF and those with NLVF either at rest (1.32 +/- 0.19 vs. 1.63 +/- 0.20 litres/min/% arterial desaturation; mean +/- SE) or during constant light exercise (2.37 +/- 0.48 vs. 2.86 +/- 0.55 litres/min/% arterial desaturation). Both groups showed evidence of improved physical fitness after training with increases in maximum oxygen consumption of 11 +/- 2.7% (p < 0.01) for the group with NLVF and of 8 +/- 3.2% (p < 0.05) for the group with CHF. Values for the AHVR in the trained state were not significantly different between the patients with CHF and those with NLVF either at rest (1.23 +/- 0.24 vs. 1.63 +/- 0.22 litres/min/% arterial desaturation) or during constant light exercise (2.52 +/- 0.69 vs. 2.24 +/- 0.37 litres/min/% arterial desaturation). Moreover, these responses did not differ from those in the untrained state (see above). The AHVR increased during exercise compared with rest in both groups (p < 0.05). The AHVR is not substantially altered in patients with CHF compared to subjects with NLVF. Physical training may reduce ventilation during exercise, but it has relatively little or no effect on the AHVR. However, exercise increases the AHVR in patients with CHF, as it does in normals.
Authors:
C W Barlow; M S Qayyum; P P Davey; D F Paterson; P A Robbins
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Respiration; international review of thoracic diseases     Volume:  64     ISSN:  0025-7931     ISO Abbreviation:  Respiration     Publication Date:  1997  
Date Detail:
Created Date:  1997-06-11     Completed Date:  1997-06-11     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0137356     Medline TA:  Respiration     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  131-7     Citation Subset:  IM; S    
Affiliation:
University Laboratory of Physiology, University of Oxford, UK.
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MeSH Terms
Descriptor/Qualifier:
Anoxia / complications,  physiopathology*
Carbon Dioxide / blood
Exercise Test*
Exercise Therapy*
Heart Failure / blood,  complications,  physiopathology*
Humans
Male
Middle Aged
Oxygen / blood
Oxygen Consumption
Physical Fitness
Respiration*
Ventricular Function, Left
Chemical
Reg. No./Substance:
124-38-9/Carbon Dioxide; 7782-44-7/Oxygen

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


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