Abstract:
:To investigate the influence of intrinsic limb vasodilator capacity on exercise performance, limb reactive hyperemic flows and their relations to exercise capacity during upright bicycle exercise were examined in 52 patients with recent myocardial infarction. Reactive hyperemic flow was measured in the forearm and the calf by venous occlusive plethysmography after 5 min of arterial occlusion. Calf reactive hyperemic flow correlated significantly with cardiac output, systemic vascular resistance, and oxygen consumption at peak exercise, whereas flow in the forearm did not. In patients with preserved exercise capacity (group 1, n = 20) compared with those with exercise impairment (group 2, n = 32), calf reactive hyperemic flow was significantly augmented, but forearm flow was similar in the two groups. There were no significant differences in hemodynamic parameters at rest between the two groups. At peak exercise, however, cardiac output was lower and systemic vascular resistance was higher in group 2 than in group 1, whereas arterial blood pressure was maintained identically in the two groups. Thus, intrinsic calf but not forearm vasodilator capacity was linked to exercise hemodynamic responses and exercise capacity in patients with recent myocardial infarction. In addition, reduced calf vasodilation and concomitant enhanced vascular tone seemed to be useful for preserving arterial blood pressure in the setting of decreased cardiac output response to exercise in patients with exercise impairment.
journal_name
Am Heart Jjournal_title
American heart journalauthors
Hattori T,Sumimoto T,Yuasa F,Kaida M,Jikuhara T,Hikosaka M,Sugiura T,Iwasaka Tdoi
10.1016/s0002-8703(96)90243-4subject
Has Abstractpub_date
1996-09-01 00:00:00pages
593-8issue
3eissn
0002-8703issn
1097-6744pii
S0002-8703(96)90243-4journal_volume
132pub_type
杂志文章abstract:BACKGROUND:Older adults presenting with acute myocardial infarction (MI) often have multivessel coronary artery disease amenable to percutaneous coronary intervention (PCI), yet the risks of multivessel intervention may outweigh potential benefits in these patients. We sought to determine if nonculprit intervention dur...
journal_title:American heart journal
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.ahj.2015.10.017
更新日期:2016-02-01 00:00:00
abstract::To elucidate the long-term outcome and frequency of complications after heart transplantation for peripartum cardiomyopathy (PPCM), we compared the courses of eight consecutive patients undergoing transplantation for PPCM with those of nine female age-matched control subjects undergoing transplantation for idiopathic ...
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2000-01-01 00:00:00
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更新日期:2003-08-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2005-08-01 00:00:00
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更新日期:1982-01-01 00:00:00
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更新日期:2005-04-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.ahj.2008.11.009
更新日期:2009-03-01 00:00:00
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pub_type: 杂志文章,多中心研究
doi:10.1016/j.ahj.2011.05.016
更新日期:2011-08-01 00:00:00
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pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2009-12-01 00:00:00
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pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.ahj.2011.12.005
更新日期:2012-03-01 00:00:00
abstract::Heart failure is associated with a hypercoagulable state. A single-center, randomized, double-blind, placebo-controlled trial was performed to test the hypothesis that warfarin will modify a hypercoagulable state in heart failure. This study included 76 patients with heart failure. At baseline, patients had evidence f...
journal_title:American heart journal
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1997-07-01 00:00:00
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pub_type: 杂志文章,meta分析
doi:10.1016/j.ahj.2006.11.020
更新日期:2007-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:1991-06-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:1991-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:1976-12-01 00:00:00
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pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2014-12-01 00:00:00
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journal_title:American heart journal
pub_type: 杂志文章
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更新日期:2016-08-01 00:00:00