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https://www.readbyqxmd.com/read/28246499/energy-systems-efficiency-influences-the-results-of-2-000-m-race-simulation-among-elite-rowers
#1
Stefan Adrian Martin, Valeriu Tomescu
HYPOTHESIS: Energy efficiency within an elite group of athletes will ensure metabolic adaptation during training. OBJECTIVES: To identify energy system efficiency and contribution according to exercise intensity, and performance obtained during a 2,000 m race simulation in an elite group of rowers. METHOD: An observational cross-sectional study was conducted in February 2016 in Bucharest, Romania, on a group of 16 elite rowers. Measurements were performed through Cosmed Quark CPET equipment, and Concept 2 ergometer, by conducting a VO2max test over a standard rowing distance of 2,000 m...
2017: Clujul Medical (1957)
https://www.readbyqxmd.com/read/28244596/cardiopulmonary-exercise-testing-improves-diagnostic-specificity-in-patients-with-echocardiography-suspected-pulmonary-hypertension
#2
Qin-Hua Zhao, Lan Wang, Bigyan Pudasaini, Rong Jiang, Ping Yuan, Su-Gang Gong, Jian Guo, Qiang Xiao, Hui Liu, Cheng Wu, Zhi-Cheng Jing, Jin-Ming Liu
BACKGROUND: Doppler echocardiography is usually the first diagnostic investigation for patients suspected with pulmonary hypertension (PH), but it is often inaccurate when used alone, especially in mild PH. HYPOTHESIS: Cardiopulmonary exercise testing (CPET) may serve as a complementary tool to improve diagnostic accuracy in echocardiography-suspected "PH possible" patients. METHODS: Eighty-eight consecutive patients with suspected PH (referred to as "PH possible" hereafter) based on echocardiography were included in the study...
February 2017: Clinical Cardiology
https://www.readbyqxmd.com/read/28238477/cardiac-rehabilitation-after-acute-coronary-syndrome-do-all-patients-derive-the-same-benefit
#3
Sílvia Aguiar Rosa, Ana Abreu, Rui Marques Soares, Pedro Rio, Custódia Filipe, Inês Rodrigues, André Monteiro, Cristina Soares, Vítor Ferreira, Sofia Silva, Sandra Alves, Rui Cruz Ferreira
INTRODUCTION: Cardiac rehabilitation (CR) has been demonstrated to improve exercise capacity in acute coronary syndrome (ACS), but not all patients derive the same benefit. Careful patient selection is crucial to maximize resources. OBJECTIVE: To identify in a heterogeneous ACS population which patients would benefit the most with CR, in terms of functional capacity (FC), by using cardiopulmonary exercise testing (CPET). METHODS: A retrospective analysis of consecutive ACS patients who underwent CR and CPET was undertaken...
March 2017: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://www.readbyqxmd.com/read/28237273/sex-differences-in-leptin-modulate-ventilation-in-heart-failure
#4
Ivan Cundrle, Virend K Somers, Prachi Singh, Bruce D Johnson, Christopher G Scott, Lyle J Olson
BACKGROUND: Leptin modulates ventilation and circulating levels are higher in normal women than men. OBJECTIVES: The aim of this study was to compare exercise ventilation and gas exchange in men and women with heart failure (HF) and their relation to circulating leptin concentration. METHODS: Consecutive HF patients were studied by cardiopulmonary exercise testing and assay of circulating leptin concentration. RESULTS: Fifty-seven men and 20 women were similar with respect to age, BMI, NYHA class, left ventricular ejection fraction, and peak oxygen consumption (all p > 0...
February 23, 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/28225292/-the-importance-of-evaluating-the-effectiveness-of-the-ventilation-ve-vco2-slope-in-patients-with-heart-failure
#5
Filip Dosbaba, Petra Žurková, Ladislav Baťalík, Hana Dosbaba, Marián Felšőci, Robert Vysoký, Jindřich Špinar, Ondřej Ludka
Chronic Heart Failure (CHF) is accompanied by a whole range of symptoms, which significantly decrease the quality of life; these typically concern dyspnoea, fatigue and exercise intolerance. The objectification of the patients condition but must have an effective means of evaluation. One such resource is cardiopolmonary exercise (CPX) testing with it is functional parameters. CPX test with its functional parameters is one of such means. VO2peak is undoubtebly the parameter, which was used the most often in the past 25 years, however, it has many limitations...
2017: Vnitr̆ní Lékar̆ství
https://www.readbyqxmd.com/read/28222575/the-effect-of-pacing-strategy-on-physiological-kinetic-and-performance-variables-during-simulated-rowing-ergometer
#6
Eleni Dimakopoulou, Elias Zacharogiannis, Chrysoula Chairopoulou, Socratis Kaloupsis, Theodoros Platanou
BACKGROUND: This study compared the effects of self selected (SSP), negative (NPS) and even (EPS) pacing strategy on performance time, kinetic and physiological variables in overall 2km rowing and in first and second 1km. METHODS: Fifteen male rowers (15.37 ± 1.34 yrs) realized four tests: an incremental test on a rowing ergometer to determine their VO2peak and three experimental 2 km rowing race, where first 1km was manipulated. From SSP a negative pacing strategy, 4% slower than the mean velocity of SSP, and an even pacing strategy (EPS) with mean velocity of SSP, were developed...
February 21, 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/28187374/the-strengths-and-weaknesses-of-non-invasive-parameters-obtained-by-echocardiography-and-cardiopulmonary-exercise-testing-in-comparison-with-the-hemodynamic-assessment-by-the-right-heart-catheterization-in-patients-with-pulmonary-hypertension
#7
Katarzyna Ptaszyńska-Kopczyńska, Anna Krentowska, Emilia Sawicka, Anna Skoneczny, Małgorzata Jasiewicz, Małgorzata Knapp, Włodzimierz J Musiał, Bożena Sobkowicz, Karol A Kamiński
PURPOSE: Pulmonary hypertension (PH) diagnosis requires invasive assessment by right heart catheterization (RHC), but screening and monitoring are performed using non-invasive methods: echocardiography and cardiopulmonary exercise testing (CPET). The aim of the study was to assess correlations between the parameters obtained in non-invasive testing and RHC in patients with PH of different etiologies. MATERIAL/METHODS: The study included 53 medical records of PH patients (32 women) aged 29-81 years...
June 14, 2016: Advances in Medical Sciences
https://www.readbyqxmd.com/read/28169958/cardiorespiratory-function-does-not-improve-two-years-after-posterior-surgical-correction-of-adolescent-idiopathic-scoliosis
#8
Alejandro Lorente, Carlos Barrios, Jesús Burgos, Eduardo Hevia, Luis Fernández-Pineda, Rafael Lorente, Bárbara Rosa, Cristina Pérez-Encinas
STUDY DESIGN: A prospective evaluation of cardiorespiratory function following spinal fusion in adolescent idiopathic scoliosis (AIS). OBJECTIVES: To evaluate the cardiopulmonary function during exercise in patients with severe AIS, before and two years after undergoing a posterior spinal fusion. SUMMARY OF BACKGROUND DATA: After surgical correction of scoliosis, a greater cardiorespiratory adaptation to exercise would be expected from correction of the rib cage associated with the spine deformity...
February 6, 2017: Spine
https://www.readbyqxmd.com/read/28149422/comparison-of-oxygen-uptake-during-and-after-the-execution-of-resistance-exercises-and-exercises-performed-on-ergometers-matched-for-intensity
#9
José Vilaça-Alves, Nuno Miguel Freitas, Francisco José Saavedra, Christopher B Scott, Victor Machado Dos Reis, Roberto Simão, Nuno Garrido
The aim of this study was to compare the values of oxygen uptake (VO2) during and after strength training exercises (STe) and ergometer exercises (Ee), matched for intensity and exercise time. Eight men (24 ± 2.33 years) performed upper and lower body cycling Ee at the individual's ventilatory threshold (VE/VCO2). The STe session included half squats and the bench press which were performed with a load at the individual blood lactate concentration of 4 mmol/l. Both sessions lasted 30 minutes, alternating 50 seconds of effort with a 10 second transition time between upper and lower body work...
December 1, 2016: Journal of Human Kinetics
https://www.readbyqxmd.com/read/28095492/growth-hormone-deficiency-is-associated-with-worse-cardiac-function-physical-performance-and-outcome-in-chronic-heart-failure-insights-from-the-t-o-s-ca-ghd-study
#10
Michele Arcopinto, Andrea Salzano, Francesco Giallauria, Eduardo Bossone, Jörgen Isgaard, Alberto M Marra, Emanuele Bobbio, Olga Vriz, David N Åberg, Daniele Masarone, Amato De Paulis, Lavinia Saldamarco, Carlo Vigorito, Pietro Formisano, Massimo Niola, Francesco Perticone, Domenico Bonaduce, Luigi Saccà, Annamaria Colao, Antonio Cittadini
BACKGROUND: Although mounting evidence supports the concept that growth hormone (GH) deficiency (GHD) affects cardiovascular function, no study has systematically investigated its prevalence and role in a large cohort of chronic heart failure (CHF) patients. Aim of this study is to assess the prevalence of GHD in mild-to-moderate CHF and to explore clinical and functional correlates of GHD. METHODS: One-hundred thirty CHF patients underwent GH provocative test with GHRH+arginine and accordingly categorized into GH-deficiency (GHD, n = 88, age = 61...
2017: PloS One
https://www.readbyqxmd.com/read/28062514/cardiopulmonary-exercise-testing-for-detecting-pulmonary-arterial-hypertension-in-systemic-sclerosis
#11
Daniel Dumitrescu, Christian Nagel, Gabor Kovacs, Tom Bollmann, Michael Halank, Jörg Winkler, Martin Hellmich, Ekkehard Grünig, Horst Olschewski, Ralf Ewert, Stephan Rosenkranz
OBJECTIVES: Pulmonary arterial hypertension (PAH) is a devastating disease with limited survival and occurs as a frequent complication in patients with systemic sclerosis (SSc). A definite diagnosis of PAH is obtained by right heart catheterisation (RHC); however, the initial suspicion is raised by non-invasive methods. We assessed the diagnostic accuracy of key parameters derived from cardiopulmonary exercise testing (CPET) for detecting and ruling out SSc-associated PAH. METHODS: In a multicentre setting, we prospectively evaluated 173 consecutive patients with SSc without known PAH, but with clinical suspicion of PAH...
January 6, 2017: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/28038810/lvad-pump-speed-increase-is-associated-with-increased-peak-exercise-cardiac-output-and-vo2-postponed-anaerobic-threshold-and-improved-ventilatory-efficiency
#12
Carlo Vignati, Anna Apostolo, Gaia Cattadori, Stefania Farina, Alberico Del Torto, Silvia Scuri, Gino Gerosa, Tomaso Bottio, Vincenzo Tarzia, Jonida Bejko, Erminio Sisillo, Flavia Nicoli, Susanna Sciomer, Francesco Alamanni, Stefania Paolillo, Piergiuseppe Agostoni
BACKGROUNDS: Peak exercise cardiac output (CO) increase is associated with an increase of peak oxygen uptake (VO2), provided that arteriovenous O2 difference [Δ(Ca-Cv)O2] does not decrease. At anaerobic threshold, VO2, is related to CO. We tested the hypothesis that, in heart failure (HF) patients with left ventricular assistance device (LVAD), an acute increase of CO obtained through changes in LVAD pump speed is associated with peak exercise and anaerobic threshold VO2 increase. METHODS: Fifteen of 20 patients bearing LVAD (Jarvik 2000) enrolled in the study successfully performed peak exercise evaluation...
March 1, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/28033197/impact-of-panic-attacks-on-bronchoconstriction-and-subjective-distress-in-asthma-patients-with-and-without-panic-disorder
#13
Maxine Boudreau, Simon L Bacon, Nicola J Paine, André Cartier, Barbara Trutschnigg, Alexandre Morizio, Kim L Lavoie
OBJECTIVES: Panic disorder (PD) is common among asthmatics and is associated with worse asthma outcomes. This may occur due to psychophysiological factors or to cognitive/affective factors. This study evaluated the impact of panic attacks (PAs) on bronchoconstriction and subjective distress in asthmatics with and without PD. METHODS: A total of 25 asthmatics (15 with PD who had a PA [PD/PA], 10 without PD who didn't have a PA [noPD/noPA]) were recruited from an outpatient clinic...
December 28, 2016: Psychosomatic Medicine
https://www.readbyqxmd.com/read/28013417/left-atrial-mechanics-strongly-predict-functional-capacity-assessed-by-cardiopulmonary-exercise-testing-in-subjects-without-structural-heart-disease
#14
Luís Leite, Sofia Lázaro Mendes, Rui Baptista, Rogério Teixeira, Manuel Oliveira-Santos, Nelson Ribeiro, Rosa Coutinho, Victor Monteiro, Rui Martins, Graça Castro, Maria João Ferreira, Mariano Pego
Left atrium function is essential for cardiovascular performance and is evaluable by two-dimensional speckle-tracking echocardiography (2D-STE). Our aim was to determine how echocardiographic parameters interrelate with exercise capacity and ventilatory efficiency in subjects with no structural heart disease. Asymptomatic volunteers, in sinus rhythm and with normal biventricular size and function, were recruited from a community-based population. Individuals with moderate-to-severe valvular disease, pulmonary hypertension, and history of cardiac disease were excluded...
December 24, 2016: International Journal of Cardiovascular Imaging
https://www.readbyqxmd.com/read/28009787/prevalence-of-exercise-induced-arterial-hypoxemia-in-distance-runners-at-sea-level
#15
Keren Constantini, David A Tanner, Timothy P Gavin, Craig A Harms, Joel M Stager, Robert F Chapman
PURPOSE: It has been reported that ~50% of endurance-trained men demonstrate exercise induced arterial oxyhemoglobin hypoxemia (EIAH) during heavy exercise. However, this often-cited prevalence rate comes from a single study using a cohort of 25 highly trained men who completed maximal cycle ergometry. As arterial oxyhemoglobin saturation (SpO2) during maximal exercise is reported to be significantly lower during treadmill vs. cycle ergometry in the same subjects, we hypothesized that the prevalence of EIAH would be greater than previously reported (and commonly referenced) in a larger cohort of highly endurance-trained men during maximal treadmill running...
December 22, 2016: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/27982272/cardiopulmonary-exercise-test-background-applicability-and-interpretation
#16
Artur Haddad Herdy, Luiz Eduardo Fonteles Ritt, Ricardo Stein, Claudio Gil Soares de Araújo, Mauricio Milani, Romeu Sérgio Meneghelo, Almir Sérgio Ferraz, Carlos Hossri, Antonio Eduardo Monteiro de Almeida, Miguel Morita Fernandes-Silva, Salvador Manoel Serra
Cardiopulmonary exercise test (CPET) has been gaining importance as a method of functional assessment in Brazil and worldwide. In its most frequent applications, CPET consists in applying a gradually increasing intensity exercise until exhaustion or until the appearance of limiting symptoms and/or signs. The following parameters are measured: ventilation; oxygen consumption (VO2); carbon dioxide production (VCO2); and the other variables of conventional exercise testing. In addition, in specific situations, pulse oximetry and flow-volume loops during and after exertion are measured...
November 2016: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/27873388/effects-of-sildenafil-on-cardiac-structure-and-function-cardiopulmonary-exercise-testing-and-health-related-quality-of-life-measures-in-heart-failure-patients-with-preserved-ejection-fraction-and-pulmonary-hypertension
#17
Licette C Y Liu, Yoran M Hummel, Peter van der Meer, Rolf M F Berger, Kevin Damman, Dirk J van Veldhuisen, Adriaan A Voors, Elke S Hoendermis
AIMS: We recently showed that sildenafil did not improve pulmonary pressures and exercise capacity in a cohort of patients with heart failure and preserved ejection fraction (HFpEF) and predominantly postcapillary pulmonary hypertension. Here, we present the effects of sildenafil on cardiac structure and function, cardiopulmonary exercise testing, laboratory parameters and health-related quality of life measures. METHODS AND RESULTS: Fifty-two HFpEF patients with pulmonary hypertension (mean pulmonary artery pressure >25 mmHg; pulmonary artery wedge pressure >15 mmHg) were randomized to sildenafil 60 mg three times a day or placebo and treated for 12 weeks...
January 2017: European Journal of Heart Failure
https://www.readbyqxmd.com/read/27861471/-comparison-of-peak-oxygen-uptake-and-ve-vco2-slope-between-children-with-and-without-heart-failure
#18
Hermes Ilarraza-Lomelí, Irma Miranda Chávez, Javier Castañeda-López, Rafael Chávez-Domínguez, Carlos Felipe Barrera-Ramírez, Marianna García-Saldivia, María Dolores Rius-Suárez, Alfonso Buendía-Hernández
Heart failure is a health problem associated with disability and mortality. Physicians may stratify the risk of adult patients with heart failure using a cardiopulmonary exercise testing. Until now, in childhood this evaluation has been poorly used. The purpose of this study is to compare the peak oxygen uptake and minute ventilation/carbon dioxide production slope among children with heart failure versus children without heart disease (control). METHODS: Thirty-eight children with heart failure were compared with 194 children without heart disease...
November 2016: Gaceta Médica de México
https://www.readbyqxmd.com/read/27812147/left-atrial-structure-and-function-in-heart-failure-with-preserved-ejection-fraction-a-relax-substudy
#19
Siddique A Abbasi, Ravi V Shah, Steven E McNulty, Adrian F Hernandez, Marc J Semigran, Gregory D Lewis, Michael Jerosch-Herold, Raymond J Kim, Margaret M Redfield, Raymond Y Kwong
Given the emerging recognition of left atrial structure and function as an important marker of disease in heart failure with preserved ejection fraction (HF-pEF), we investigated the association between left atrial volume and function with markers of disease severity and cardiac structure in HF-pEF. We studied 100 patients enrolled in the PhosphdiesteRasE-5 Inhibition to Improve CLinical Status and EXercise Capacity in Diastolic Heart Failure (RELAX) trial who underwent cardiac magnetic resonance (CMR), cardiopulmonary exercise testing, and blood collection before randomization...
2016: PloS One
https://www.readbyqxmd.com/read/27781371/acute-cardiorespiratory-responses-in-participants-with-heart-disease-during-cycling-at-different-immersion-levels
#20
Andrée Dionne, Louis Pérusse, Alain-Steve Comtois, Mario Leone
Physical activity is often avoided or practised at a low-intensity level because of the limited ability of patients with heart disease (HD) to provide sustained effort. Immersible training has been suggested as a possible alternative as hydrostatic pressure can modify some hemodynamic parameters in healthy patients and potentially increase the exercise capacity in patients with HD. The purpose of this study was to examine the acute cardiorespiratory adaptations at different levels of immersion using an immersible ergometer (IE) in patients with HD...
October 26, 2016: Clinical Physiology and Functional Imaging
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