Document Detail


Improved exercise tolerance following enhanced external counterpulsation: cardiac or peripheral effect?
MedLine Citation:
PMID:  8793157     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The effect of treatment with enhanced external counterpulsation (EECP) on exercise hemodynamics and myocardial stress perfusion in 27 patients with chronic stable angina was studied. A majority (22/27 or 81%) of patients improved their exercise tolerance after EECP treatment, and a similar percentage (21/27 or 78%) of patients improved their radionuclide stress perfusion images. Post-EECP maximal exercise heart rate and blood pressure, while demonstrating a linear relation with exercise duration, did not increase significantly despite the increased exercise duration. This suggests that the increase in exercise duration after treatment with EECP is due to both improved myocardial perfusion and altered exercise hemodynamics. EECP therapy thus appears to exert a "training' effect, decreasing peripheral vascular resistance and the heart rate response to exercise. Coronary disease patients may improve their exercise tolerance after EECP because of both improved myocardial perfusion and a decrease in cardiac work load.
Authors:
W E Lawson; J C Hui; Z S Zheng; L Burgen; L Jiang; O Lillis; Z Oster; H Soroff; P Cohn
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Cardiology     Volume:  87     ISSN:  0008-6312     ISO Abbreviation:  Cardiology     Publication Date:    1996 Jul-Aug
Date Detail:
Created Date:  1996-11-13     Completed Date:  1996-11-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  1266406     Medline TA:  Cardiology     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  271-5     Citation Subset:  IM    
Affiliation:
Department of Medicine, SUNY Health Sciences Center, Stony Brook 11794-8171, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Angina Pectoris / physiopathology,  radionuclide imaging,  therapy*
Blood Pressure / physiology
Chronic Disease
Counterpulsation / methods*
Exercise Tolerance*
Female
Heart / physiopathology
Heart Rate / physiology
Humans
Male
Middle Aged

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


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