Exercise performance after pediatric heart transplantation.

Abstract:

BACKGROUND:Children awaiting heart transplantation have severe limitations in their ability to exercise. The purpose of this study was to assess exercise capacity after pediatric heart transplantation and to identify factors influencing exercise performance. METHODS AND RESULTS:Progressive cycle ergometry testing was performed in 31 patients at 1.3 +/- 0.8 years after transplantation, and in 16 patients, follow-up studies were performed at 3.3 +/- 1.3 years after transplantation. Maximum work load (Wmax), peak oxygen consumption (VO2), and maximum heart rate (HRmax) were measured. Exercise capacity was defined as normal if Wmax was > or = 75% of predicted values and decreased if Wmax was < 75% of predicted values. Differences in age at transplantation, sex, diagnosis, duration of heart failure, New York Heart Association class before transplantation, resting cardiac index, body mass index, and rejections per patient month were compared between patients with normal and decreased exercise capacity. At initial study, Wmax was 62 +/- 38 W or 61% of that predicted, peak VO2 was 20 +/- 6 mL.kg-1 x min-1 (63% of that predicted), and HRmax was 136 +/- 22 beats per minute (66% of that predicted) for all 31 patients. Six patients had normal exercise capacity, and 25 patients had decreased exercise capacity. Peak VO2 was significantly higher in the normal versus the decreased exercise capacity patients (26 +/- 5 vs 19 +/- 5 mg.kg-1 x min-1). The mean age at transplantation was significantly less in patients with normal exercise capacity: 8.2 +/- 4.6 versus 12.5 +/- 3.6 years for patients with decreased capacity. On follow-up study, no significant differences in Wmax, peak VO2, or HRmax were found from the initial test. CONCLUSIONS:Similar to results obtained in adult patients, exercise capacity was decreased but stable in pediatric patients after heart transplantation.

journal_name

Circulation

journal_title

Circulation

authors

Hsu DT,Garofano RP,Douglas JM,Michler RE,Quaegebeur JM,Gersony WM,Addonizio LJ

subject

Has Abstract

pub_date

1993-11-01 00:00:00

pages

II238-42

issue

5 Pt 2

eissn

0009-7322

issn

1524-4539

journal_volume

88

pub_type

杂志文章
  • Effects of verapamil on ischemia-induced changes in extracellular K+, pH, and local activation in the pig.

    abstract::In experimental animals, the calcium channel-blocking agents lessen the arrhythmogenic, ionic, metabolic, and electrical changes that occur during acute myocardial ischemia. To date, these effects have been studied separately, and the effects of these agents on local activation have not been correlated with ionic or m...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.73.4.837

    authors: Fleet WF,Johnson TA,Graebner CA,Engle CL,Gettes LS

    更新日期:1986-04-01 00:00:00

  • Low-density lipoprotein postsecretory modification, monocyte function, and circulating adhesion molecules in type 2 diabetic patients with and without macrovascular complications: the effect of alpha-tocopherol supplementation.

    abstract:BACKGROUND:Although diabetes confers an increased propensity toward accelerated atherogenesis, data are lacking on monocyte activity in type 2 diabetic patients with (DM2-MV) and without (DM2) macrovascular disease compared with control subjects. Thus, we tested whether (1) postsecretory modifications of LDL (glycation...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.2.191

    authors: Devaraj S,Jialal I

    更新日期:2000-07-11 00:00:00

  • Trapidil in preventing restenosis after balloon angioplasty in the atherosclerotic rabbit.

    abstract::Trapidil (triazolopyrimidine) possesses activity against platelet-derived growth factor-induced cellular proliferation in vitro and intimal proliferation in vivo. The objective of this study was to determine if trapidil could prevent restenosis in experimentally induced atherosclerotic rabbits. New Zealand White rabbi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.81.3.1089

    authors: Liu MW,Roubin GS,Robinson KA,Black AJ,Hearn JA,Siegel RJ,King SB 3rd

    更新日期:1990-03-01 00:00:00

  • Anticardiolipin antibodies and recurrent coronary events: a prospective study of 1150 patients. Thrombogenic Factors, and Recurrent Coronary Events Investigators.

    abstract:BACKGROUND:The association of anticardiolipin (aCL) antibodies with coronary artery disease has been shown in several studies but remains controversial. We evaluated the association of aCL and anti-beta(2)-glycoprotein I (abeta(2)GPI) antibodies with the risk of recurrent cardiac events in postinfarction patients. MET...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/01.cir.102.11.1258

    authors: Bili A,Moss AJ,Francis CW,Zareba W,Watelet LF,Sanz I

    更新日期:2000-09-12 00:00:00

  • Results and follow-up after percutaneous pulsed laser-assisted balloon angioplasty guided by spectroscopy.

    abstract:BACKGROUND:Few data are available on the long-term outcome of patients who undergo laser-assisted balloon angioplasty for recanalization of occluded peripheral arteries. Because the cost of laser angioplasty is high, the value of the method should be carefully analyzed before it can be considered a routine method for r...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.83.3.787

    authors: Geschwind HJ,Aptecar E,Boussignac G,Dubois-Randé JL,Zelinsky R,Poirot G,Tomaru T

    更新日期:1991-03-01 00:00:00

  • Transendocardial, autologous bone marrow cell transplantation for severe, chronic ischemic heart failure.

    abstract:BACKGROUND:This study evaluated the hypothesis that transendocardial injections of autologous mononuclear bone marrow cells in patients with end-stage ischemic heart disease could safely promote neovascularization and improve perfusion and myocardial contractility. METHODS AND RESULTS:Twenty-one patients were enrolled...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.CIR.0000070596.30552.8B

    authors: Perin EC,Dohmann HF,Borojevic R,Silva SA,Sousa AL,Mesquita CT,Rossi MI,Carvalho AC,Dutra HS,Dohmann HJ,Silva GV,Belém L,Vivacqua R,Rangel FO,Esporcatte R,Geng YJ,Vaughn WK,Assad JA,Mesquita ET,Willerson JT

    更新日期:2003-05-13 00:00:00

  • Neutral endopeptidase is activated in cardiomyocytes in human aortic valve stenosis and heart failure.

    abstract:BACKGROUND:The regulation of the cardiac neutral endopeptidase (EC 24.10, NEP) that degrades bradykinin and natriuretic peptides has been investigated in human cardiac hypertrophy and heart failure. Methods and Results- NEP mRNA was quantitated by real-time polymerase chain reaction (PCR) in left ventricular biopsies f...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc0302.103593

    authors: Fielitz J,Dendorfer A,Pregla R,Ehler E,Zurbrügg HR,Bartunek J,Hetzer R,Regitz-Zagrosek V

    更新日期:2002-01-22 00:00:00

  • Sudden death recorded during Holter monitoring.

    abstract::Six instances of sudden death were recorded by Holter monitoring, which showed ventricular fibrillation in five and a bradyarrhythmia in one. Complex ventricular ectopic activity preceded cardiac arrest in five patients, including the one with the bradyarrhythmic arrest. Two patients with chronic bifascicular block ar...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.66.1.218

    authors: Nikolic G,Bishop RL,Singh JB

    更新日期:1982-07-01 00:00:00

  • Endothelin 1 type a receptor antagonism prevents vascular dysfunction and hypertension induced by 11beta-hydroxysteroid dehydrogenase inhibition: role of nitric oxide.

    abstract:BACKGROUND:The enzyme 11beta-hydroxysteroid dehydrogenase (11beta-HSD) prevents inappropriate activation of the nonselective mineralocorticoid receptors by glucocorticoids. Renal activity of 11beta-HSD is decreased in patients with apparent mineralocorticoid excess (SAME), licorice-induced hypertension, and essential h...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.103.25.3129

    authors: Ruschitzka F,Quaschning T,Noll G,deGottardi A,Rossier MF,Enseleit F,Hürlimann D,Lüscher TF,Shaw SG

    更新日期:2001-06-26 00:00:00

  • Radiofrequency catheter ablation of common atrial flutter: significance of palpitations and quality-of-life evaluation in patients with proven isthmus block.

    abstract:BACKGROUND:Creation of a complete bidirectional inferior vena cava-tricuspid annulus isthmus block (CBIB) by radiofrequency catheter ablation is now a well-accepted criterion for prevention of common atrial flutter (AFl) recurrences. However, some patients still complain of palpitations after ablation, and it is not kn...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.99.4.534

    authors: Anselme F,Saoudi N,Poty H,Douillet R,Cribier A

    更新日期:1999-02-02 00:00:00

  • Overexpression of eotaxin and the CCR3 receptor in human atherosclerosis: using genomic technology to identify a potential novel pathway of vascular inflammation.

    abstract:BACKGROUND:Unstable atherosclerotic lesions typically have an abundant inflammatory cell infiltrate, including activated T cells, macrophages, and mast cells, which may decrease plaque stability. The pathophysiology of inflammatory cell recruitment and activation in the human atheroma is incompletely described. METHOD...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.18.2185

    authors: Haley KJ,Lilly CM,Yang JH,Feng Y,Kennedy SP,Turi TG,Thompson JF,Sukhova GH,Libby P,Lee RT

    更新日期:2000-10-31 00:00:00

  • Newer principles of patient profiling for antihypertensive therapy.

    abstract::The mosaic of essential hypertension seems to be gaining new tiles at an accelerating rate. Of the many pathophysiological factors and markers for the factors that can be considered as possible elements of a profiling algorithm, there are relatively few with solid data to support their use. Use of plasma renin activit...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:

    authors: Materson BJ,Preston RA

    更新日期:1989-12-01 00:00:00

  • Myocardial thallium-201 kinetics in normal and ischemic myocardium.

    abstract::The initial myocardial uptake of thallium-201 depends on myocardial blood flow distribution. The phenomenon of delayed thallium redistribution after transiently or chronically altered myocardial perfusion has been described. The net myocardial accumulation of thallium-201 after injection depends upon the net balance b...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.64.3.610

    authors: Grunwald AM,Watson DD,Holzgrefe HH Jr,Irving JF,Beller GA

    更新日期:1981-09-01 00:00:00

  • Coronary cyclic flow variations "precondition" ischemic myocardium.

    abstract:BACKGROUND:Repeated brief episodes of myocardial ischemia performed by mechanical clamping of a coronary artery "precondition" the heart and reduce infarct size after a subsequent sustained ischemia. It is not known, however, whether spontaneous episodes of transient ischemia caused by formation of platelet thrombi, wh...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.85.2.779

    authors: Ovize M,Kloner RA,Hale SL,Przyklenk K

    更新日期:1992-02-01 00:00:00

  • Multislice MRI in assessment of myocardial perfusion in patients with single-vessel proximal left anterior descending coronary artery disease before and after revascularization.

    abstract:BACKGROUND:Our purpose was to use multislice MRI for detection of reversible myocardial ischemia and assessment of the effect of revascularization on tissue perfusion in patients with coronary artery disease. METHODS AND RESULTS:Eleven patients with single-vessel proximal left anterior descending coronary artery disea...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.9.2859

    authors: Lauerma K,Virtanen KS,Sipilä LM,Hekali P,Aronen HJ

    更新日期:1997-11-04 00:00:00

  • Magnetic resonance--guided coronary artery stent placement in a swine model.

    abstract:BACKGROUND:Magnetic resonance (MR)--guided coronary artery stent placement is a challenging vascular intervention because of the small size of the coronary arteries combined with incessant motion during the respiratory and cardiac cycles. These obstacles necessitate higher temporal and higher spatial resolution real-ti...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc0702.104165

    authors: Spuentrup E,Ruebben A,Schaeffter T,Manning WJ,Günther RW,Buecker A

    更新日期:2002-02-19 00:00:00

  • Expression of the chemokine receptor CXCR3 and its ligand IP-10 during human cardiac allograft rejection.

    abstract:BACKGROUND:Chemokines play an essential role in regulating the infiltration of leukocytes into allografts in experimental models. Little is known of their expression or function after human cardiac transplantation. METHODS AND RESULTS:We analyzed 169 sequential human endomyocardial biopsies by immunocytochemistry for ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc4601.098010

    authors: Melter M,Exeni A,Reinders ME,Fang JC,McMahon G,Ganz P,Hancock WW,Briscoe DM

    更新日期:2001-11-20 00:00:00

  • Role of functional block extension in lesion-related atrial flutter.

    abstract:BACKGROUND:A line of block in the right atrium (RA) between the venae cavae is necessary to obtain classic atrial flutter (AFL). We tested the hypothesis that the location of that line of block would determine whether the AFL reentrant circuit would be due to single-loop reentry or figure-of-8 reentry. METHODS AND RES...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.103.7.1025

    authors: Tomita Y,Matsuo K,Sahadevan J,Khrestian CM,Waldo AL

    更新日期:2001-02-20 00:00:00

  • Genetic variation in lectin-like oxidized low-density lipoprotein receptor 1 (LOX1) gene and the risk of coronary artery disease.

    abstract:BACKGROUND:We examined the association of 3 polymorphisms in the lectin-like oxidized LDL receptor-1 (LOX1 or OLR1) gene with coronary artery disease in the Women's Ischemia Syndrome Evaluation (WISE) study population. METHODS AND RESULTS:The WISE sample comprised 589 white and 122 black women who underwent angiograph...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/01.CIR.0000074207.85796.36

    authors: Chen Q,Reis SE,Kammerer C,Craig WY,LaPierre SE,Zimmer EL,McNamara DM,Pauly DF,Sharaf B,Holubkov R,Bairey Merz CN,Sopko G,Bontempo F,Kamboh MI

    更新日期:2003-07-01 00:00:00

  • Changes in intracardiac blood flow velocities and right and left ventricular stroke volumes with gestational age in the normal human fetus: a prospective Doppler echocardiographic study.

    abstract::We used Doppler echocardiography to quantitate the changes in intracardiac blood flow velocities and right and left ventricular stroke volumes in 80 normal human fetuses from 19 to 40 weeks gestation. Blood flow velocity spectra across the aortic, pulmonary, tricuspid, and mitral valves were digitized to obtain peak v...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.74.6.1208

    authors: Kenny JF,Plappert T,Doubilet P,Saltzman DH,Cartier M,Zollars L,Leatherman GF,St John Sutton MG

    更新日期:1986-12-01 00:00:00

  • Immunomodulating therapy with intravenous immunoglobulin in patients with chronic heart failure.

    abstract:BACKGROUND:Congestive heart failure (CHF) is characterized by enhanced immune activation, and immune-mediated mechanisms may play a pathogenic role in this disorder. Based on the immunomodulatory effects of intravenous immunoglobulin (IVIG), we hypothesized that IVIG could downregulate inflammatory responses in CHF pat...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.103.2.220

    authors: Gullestad L,Aass H,Fjeld JG,Wikeby L,Andreassen AK,Ihlen H,Simonsen S,Kjekshus J,Nitter-Hauge S,Ueland T,Lien E,Frøland SS,Aukrust P

    更新日期:2001-01-16 00:00:00

  • Limitation of myocardial reperfusion injury by intravenous perfluorochemicals. Role of neutrophil activation.

    abstract::Neutrophil activation and infiltration into the ischemic myocardium after reperfusion may limit the amount of salvageable myocardium (reperfusion injury). The effects of intravenous perfluorochemicals (Fluosol-DA) on infarct size, ventricular contractility, and neutrophil function were assessed in an occlusion-reperfu...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.79.3.645

    authors: Bajaj AK,Cobb MA,Virmani R,Gay JC,Light RT,Forman MB

    更新日期:1989-03-01 00:00:00

  • Effect of functional health-related quality of life on long-term survival after cardiac surgery.

    abstract:BACKGROUND:Health-related quality-of-life instruments have become important measures of early health outcomes after cardiac surgery. The relationship between quality of life after recovery from surgery and subsequent long-term survival has not previously been explored. Our objective was to determine whether the Duke Ac...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.106.640573

    authors: Koch CG,Li L,Lauer M,Sabik J,Starr NJ,Blackstone EH

    更新日期:2007-02-13 00:00:00

  • Renal function as a predictor of outcome in a broad spectrum of patients with heart failure.

    abstract:BACKGROUND:Decreased renal function has been found to be an independent risk factor for cardiovascular outcomes in patients with chronic heart failure (CHF) with markedly reduced left ventricular ejection fraction (LVEF). The aim of this analysis was to evaluate the prognostic importance of renal function in a broader ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.580506

    authors: Hillege HL,Nitsch D,Pfeffer MA,Swedberg K,McMurray JJ,Yusuf S,Granger CB,Michelson EL,Ostergren J,Cornel JH,de Zeeuw D,Pocock S,van Veldhuisen DJ,Candesartan in Heart Failure: Assessment of Reduction in Mortality and Morbidity

    更新日期:2006-02-07 00:00:00

  • Transcription Factor RUNX1 Regulates Platelet PCTP (Phosphatidylcholine Transfer Protein): Implications for Cardiovascular Events: Differential Effects of RUNX1 Variants.

    abstract:BACKGROUND:PCTP (phosphatidylcholine transfer protein) regulates the intermembrane transfer of phosphatidylcholine. Higher platelet PCTP expression is associated with increased platelet responses on activation of protease-activated receptor 4 thrombin receptors noted in black subjects compared with white subjects. Litt...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.116.023711

    authors: Mao G,Songdej N,Voora D,Goldfinger LE,Del Carpio-Cano FE,Myers RA,Rao AK

    更新日期:2017-09-05 00:00:00

  • Circulating adhesion molecules in humans: role of hyperglycemia and hyperinsulinemia.

    abstract:BACKGROUND:We assessed the role of glucose and insulin in the regulation of circulating levels of soluble intercellular adhesion molecule-1 (sICAM-1) and vascular adhesion molecule-1 (sVCAM-1) in normal subjects and in patients with type 2 diabetes. METHODS AND RESULTS:Plasma glucose concentrations were acutely raised...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.101.19.2247

    authors: Marfella R,Esposito K,Giunta R,Coppola G,De Angelis L,Farzati B,Paolisso G,Giugliano D

    更新日期:2000-05-16 00:00:00

  • Hypercontractile cardiac states simulating hypertrophic cardiomyopathy.

    abstract::Hypertrophic cardiomyopathy (HCM) or idiopathic hypertrophic subaortic stenosis (IHSS) has been defined as an autosomal dominant myocardial disease characterized by specific physical findings, echocardiographic features, asymmetric septal hypertrophy and disordered myocardial architecture. Echocardiographic and scinti...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.55.6.901

    authors: Come PC,Bulkley BH,Goodman ZD,Hutchins GM,Pitt B,Fortuin NJ

    更新日期:1977-06-01 00:00:00

  • Optimal resources for ultrasonic examination of the heart. Echocardiography study group.

    abstract::This paper provides guidelines for the optimal, rather than minimal, performance of ultrasonic examination of the heart for current clinical applications using conventional echocardiographic equipment. Since the original report of this Inter-Society Commission on Heart Disease Resources Committee in 1975, M-mode echoc...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:

    authors: Popp RL,Fortuin NJ,Johnson ML,Kisslo JA Jr

    更新日期:1982-02-01 00:00:00

  • Use of Administrative Claims to Assess Outcomes and Treatment Effect in Randomized Clinical Trials for Transcatheter Aortic Valve Replacement: Findings From the EXTEND Study.

    abstract:BACKGROUND:Whether passively collected data can substitute for adjudicated outcomes to reproduce the magnitude and direction of treatment effect observed in cardiovascular clinical trials is not well known. METHODS:We linked adults ≥65 years of age in the HiR (US CoreValve Pivotal High Risk) and SURTAVI trials (Surgic...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.120.046159

    authors: Strom JB,Faridi KF,Butala NM,Zhao Y,Tamez H,Valsdottir LR,Brennan JM,Shen C,Popma JJ,Kazi DS,Yeh RW

    更新日期:2020-07-21 00:00:00

  • Effects of stress and beta-blockade on platelet function.

    abstract::Platelet function can be assessed by various techniques in vitro or in vivo, but methodological problems in the field are considerable. By use of the conventional in vitro technique (Born aggregometry), it has been shown that sympathoadrenal activation in vivo (e.g., mental stress, epinephrine infusions, exercise, and...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:

    authors: Hjemdahl P,Larsson PT,Wallén NH

    更新日期:1991-12-01 00:00:00