Document Detail


Normalization of hematocrit with recombinant human erythropoietin in chronic hemodialysis patients does not fully improve their exercise tolerance abilities.
MedLine Citation:
PMID:  8967885     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In the recombinant human erythropoietin (rHuEPO) treatment of renal anemia, the target level has widely been accepted as approximately 30% of hematocrit (Hct) which means only partial improvement of the anemia. We tried to maintain 1 female and 9 male patients within a normal Hct and to estimate their exercise tolerance abilities. During the study, no serious complications were experienced. Their maximal oxygen uptake (VO2max), evaluated for 1-6 months after reaching the desired Hct of 35-40% with rHuEPO, was 30.7 +/- 2.4 ml of O2/kg/min. These results were significantly higher than those of the control groups whose Hct levels were maintained at around 30%. Although 1 female and 2 male patients were considered to be within the normal exercise tolerance abilities, the others showed lower values in comparison with the Japanese age- and sex-matched values. Thus, it is not always possible to regain full exercise tolerance abilities even after restoring a normal Hct. Unknown factors besides anemia impairing their exercise tolerance abilities might exist in chronic dialysis patients.
Authors:
M Suzuki; M Tsutsui; A Yokoyama; Y Hirasawa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Artificial organs     Volume:  19     ISSN:  0160-564X     ISO Abbreviation:  Artif Organs     Publication Date:  1995 Dec 
Date Detail:
Created Date:  1996-12-03     Completed Date:  1996-12-03     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  7802778     Medline TA:  Artif Organs     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1258-61     Citation Subset:  IM    
Affiliation:
Kidney Center and Cardiology Section, Shinraku-En Hospital, Niigata, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anemia / drug therapy*
Animals
Combined Modality Therapy
Cricetinae
Erythropoietin / administration & dosage,  pharmacology,  therapeutic use*
Exercise Test
Female
Guinea Pigs
Hematocrit*
Humans
Male
Middle Aged
Oxygen Consumption / drug effects
Recombinant Proteins / administration & dosage,  pharmacology,  therapeutic use*
Renal Dialysis / standards*
Risk Factors
Chemical
Reg. No./Substance:
0/Recombinant Proteins; 11096-26-7/Erythropoietin

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


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