O_2 Extraction During Exercise Determines Training Effect After Cardiac Rehabilitation in Myocardial Infarction

スポンサーリンク

概要

• 論文の詳細を見る

• Correlations between baseline hemodynamic and oximetric variables during an invasive exercise test and an improvement in peak oxygen uptake (peak V_<O2>) after exercise training (ET) were examined in 20 patients who participated in a cardiac rehabilitation program after acute myocardial infarction (AMI). Peak V_<O2> significantly increased by 23±21% (p<0.01) after ET and the improvement best correlated with the change in O_2 extraction fraction ([arterial O_2 content-venous O_2 content]/arterial O_2 content) during an exercise test before ET (r=-0.61, p<0.01). Exercise capacity was improved to a greater extent by ET in patients with a smaller increase in O_2 extraction fraction during an exercise test before ET. Thus, O_2 extraction fraction during an exercise test before ET may be a useful predictor of the improvement in exercise capacity after ET in post-AMI patients. (Circ J 2002; 66: 891-896)

• 社団法人日本循環器学会の論文
• 2002-09-20

著者

• GOTO Yoichi

  Division of Cardiology, National Cardiovascular Center

• Takaki Hiroshi

  Department of Cardiovascular Dynamics, National Cardiovascular Center Research Institute

• Matsubara Tatsuaki

  Department of Internal Medicine, School of Dentistry, Aichi-Gakuin University

• Satoh Toru

  Division of Cardiology Department of Medicine, Keio University School of Medicine

• Kobayashi Yoshio

  Division of Cardiology, Department of Medicine, National Cardiovascular Center

• OKANO Yoshiaki

  Division of Cardiology and Pulmonary Vascular Medicine, Department of Internal Medicine, National Ca

• Okano Yoshiaki

  Division Of Cardiology Department Of Medicine National Cardiovascular Center

• Takaki Hiroshi

  National Cardiovasucular Center

• Satoh Toru

  Division Of Cardiology Department Of Medicine National Cardiovascular Center

• Uchida Issei

  Division of Cardiology, Department of Medicine, National Cardiovascular Center

• Uchida Issei

  Division Of Cardiology Department Of Medicine National Cardiovascular Center

• Goto Yoichi

  Division Of Cardiology Department Of Medicine National Cardiovascular Center

• Tsutsui Hiroshi

  Division Of Cardiology Department Of Medicine National Cardiovascular Center

• Takaki Hiroshi

  Department Of Cardiovascular Dynamics National Cardiovascular Center Research Institute

• Matsubara Tatsuaki

  Department Of Cardiology Nagoya University Graduate School Of Medicine

• Tsutsui Hiroshi

  Division Of Cardiovascular Medicine National Cardio Vascular Center

• Kobayashi Yoshio

  Division Of Cardiology Department Of Medicine National Cardiovascular Center

• Satoh Toru

  Division Of Cardiology Department Of Medicine Kyorin University School Of Medicine

• Okano Yoshiaki

  Division of Cardiology, Department of Medicine, National Cardiovascular Center

• Takaki Hiroshi

  Department of Agriculture and Forest Science, Faculty of Agriculture, Miyazaki University

• Matsubara Tatsuaki

  Department of Internal Medicine, Nagoya University School of Medicine

関連論文

• Association of the Functional Variant in the 3-Hydroxy-3-Methylglutaryl-Coenzyme A Reductase Gene With Low-Density Lipoprotein-Cholesterol in Japanese
• Diagnostic Value of the Recovery Time-Course of ST Slope on Exercise ECG in Discriminating False-From True-Positive ST-Segment Depressions
• Identification of Genetic Markers Associated With High-Density Lipoprotein-Cholesterol by Genome-Wide Screening in a Japanese Population : The Suita Study
• Influence of Calcium Antagonists on Long-term Survival of Patients Treated with Coronary Angioplasty
• PJ-111 Central Chemoreflex Hypersensitivity in Rats with Chronic Heart Failure Contributes to Hyperpnea Little at Rest but More during Exercise(Exercise test/Cardiac rehabilitation-5, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
• PJ-491 Incidence of Symptomatic Hypotension after Strenuous Exercise Is Reduced after Exercise Training in Patients with Acute Myocardial Infarction.(Exercise Test/Cardiac Rehabilitation 6 (IHD) : PJ82)(Poster Session (Japanese))
• -0489-THE DIAGNOSTIC USEFULNESS OF BODY SURFACE MAPPING FOR DETECTING SMALL VENTRICULAR NECROSIS CAUSED BY CATHETER ABLATION
• THE SYMPTOMATOLOGY OF VASOSPASTIC ANGINA : Ichemic Heart Disease (II) : 46th Annual Scientific Meeting, Japanese Circulation Society
• PJ-761 Safety of Exercise Cardiac Rehabilitation and Exercise Stress Testing in Patients with Coronary Artery Disease Undergoing Drug-eluting Stent Implantation(Exercise test/Cardiac rehabilitation-6 (IHD) PJ131,Poster Session (Japanese),The 70th Annivers
• PJ-184 Effects of Cardiac Rehabilitation in Patients with Non-Diabetic, Glucose Intorelance and Diabetic and after Acute Myocardial Infarction(Exercise test/Cardiac rehabilitation-4 (IHD) PJ31,Poster Session (Japanese),The 70th Anniversary Annual Scientif
• PJ-182 Beta-blocking Agents Therapy does not Hinder the Beneficial Effects of Cardiac Rehabilitation in Patients with Acute Myocardial Infarction(Exercise test/Cardiac rehabilitation-4 (IHD) PJ31,Poster Session (Japanese),The 70th Anniversary Annual Scien
• OJ-150 Mechanisms of Reduced Exercise Capacity in Diabetic Patients with Acute Myocardial Infarction : Chronotoropic Incompetence and Glycemic Dysregulation(Exercise test/Cardiac rehabilitation-1 (IHD) OJ25,Oral Presentation (Japanese),The 70th Anniversar
• OJ-148 Exercise Cardiac Rehabilitation Improves Exercise Tolerance, Ventilatory Efficiency, and Neurohumoral Factor in Patients with Left Ventricular dysfunction(Exercise test/Cardiac rehabilitation-1 (IHD) OJ25,Oral Presentation (Japanese),The 70th Anniv
• Are Cardiac Events During Exercise Therapy for Heart Failure Predictable? A Multivariate Analysis (Exercise Test/Cardiac Rehabilitation 4 (IHD), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
• Determinants of Sustained Elevation of Plasma BNP Levels in Patients Participating in Cardiac Rehabilitation after Acute Myocardial Infarction(Exercise Test/Cardiac Rehabilitation 3 (IHD), The 69th Annual Scientific Meeting of the Japanese Circulation Soc
• Cardioprotective Effect of Intravenous Nicorandil in Patients With Successful Reperfusion for Acute Myocardial Infarction
• Left Ventricular Diastolic Function Improves After Cardiac Rehabilitation Associated with Improvement in Exercise Capacity in Patients After Acute Myocardial Infarction
• Effects of the Y Chromosome on Cardiovascular Risk Factors in Japanese Men
• Validation of the Association of Genetic Variants on Chromosome 9p21 and 1q41 With Myocardial Infarction in a Japanese Population
• An association analysis between ApoA1 polymorphisms and the high-density lipoprotein (HDL) cholesterol level and myocardial infarction (MI) in Japanese
• A promoter variant of the ATP-binding cassette transporter A1 gene alters the HDL cholesterol level in the general Japanese population
• Genetic variants in PCSK9 affect the cholesterol level in Japanese
• PJ-452 The Presence of Previous Cerebral Infarction in Vertebrobasilar System may Exacerbate Ventilatory Oscillations during Exercise in Patients with Heart Failure(PJ076,Exercise Test/Cardiac Rehabilitation 1 (H),Poster Session (Japanese),The 73rd Annual
• PE-507 Slower Periodic VO_2 Oscillations during Exercise Indicate Poorer Prognosis of Patients with Heart Failure(PE085,Exercise Test/Cardiac Rehabilitation (H),Poster Session (English),The 73rd Annual Scientific Meeting of the Japanese Circulation Societ
• OJ-189 More Pronounced Exercise VO2 Oscillations are Associated with Poorer Prognosis(OJ32,Exercise Test/Cardiac Rehabilitation (H),Oral Presentation (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
• OE-261 Abnormal Ventilatory and Oxygen Kinetics to Exercise in Patients with Arteriosclerosis Obliterans (ASO)(OE44,Exercise Test/Cardiac Rehabilitation (H),Oral Presentation (English),The 73rd Annual Scientific Meeting of The Japanese Circulation Society
• PJ-869 Is the Extent of Exercise VO2 Oscillations Related to the Severity of Heart Failure?(Exercise test / Cardiac rehabilitation(08)(H),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
• PJ-868 Exercise May Exert as a Trigger to Magnify the Preexisting Oscillation at Rest(Exercise test / Cardiac rehabilitation(08)(H),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
• PJ-101 Incidence and Clinical Characteristics of Exercise VO2 Oscillations: A Single-Center Experience from 4792 Consecutive Exercise Tests(Exercise test/Cardiac rehabilitation(05)(H),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japa
• PJ-100 Exercise Ventilatory Oscillations Disappear during Intense Exercise, Which is Temporally Coincident with the Disappearance of Lag-Time between VE and ETCO2(Exercise test/Cardiac rehabilitation(05)(H),Poster Session(Japanese),The 72nd Annual Scienti
• OE-178 Slower Periodic VO2 Oscillations during Exercise Indicate Worse Clinical Status of Patients with Heart Failure(Exercise test/Cardiac rehabilitation(01)(H),Oral Presentation(English),The 72nd Annual Scientific Meeting of the Japanese Circulation Soc
• PJ-338 Blood Pressure Response to Exercise Predicts Improvements in Left Ventricular Function and Survival after Beta-blocker Therapy in Dilated Cardiomyopathy(Cardiomyopathy, basic/clinical-5 (M) PJ57,Poster Session (Japanese),The 70th Anniversary Annual
• PJ-056 Does Nitrates Adversely Affect the Prognosis in Japanese Patients with Heart Failure?(Heart failure, clinical-18 (M) PJ10,Poster Session (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
• PJ-196 Clinical Features of Post-Myocardial Infarction Patients with Elevated B-Type Natriuretic Peptide Level Despite Preserved Ejection Fraction(Acute myocardial infarction, clinical (diagnosis/treatment)(09)(IHD),Poster Session(Japanese),The 72nd Annua
• PJ-120 Differing Mechanisms of Improvement in Plasma BNP between Patients with Systolic versus Diastolic Dysfunction after Acute Myocardial Infarction(Heart failure, clinical(13)(M),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japane
• OJ-203 Muscle Mechanoreflex Induces the Pressor Response by Resetting the Arterial Baroreflex Neural Arc(Autonomic Nervous System 2 (H) : OJ23)(Oral Presentation (Japanese))
• OJ-202 Muscle Mechanoreflex Induces a Parallel Upward-Shift of the Arterial Pressure-Sympathetic Nerve Activity (SNA) Relation(Autonomic Nervous System 2 (H) : OJ23)(Oral Presentation (Japanese))
• Appropriate Indications for the Use of a Percutaneous Cardiopulmonary Support System in Cases With Cardiogenic Shock Complicating Acute Myocardial Infarction
• Diversity of Indigenous Bradyrhizobium Strains Isolated from Three Different Rj-Soybean Cultivars in Terms of Randomly Amplified Polymorphic DNA and Intrinsic Antibiotic Resistance
• Assessment of Quality of Life With 5 Different Scales in Patients Participating in Comprehensive Cardiac Rehabilitation After Acute Myocardial Infarction
• Comparison of High-Intensity with Moderate and Low-Intensity Exercise Training for Patients after Acute Myocardial Infarction : A Prospective Randomized Study
• Predictors of Left Ventricular Remodeling in Patients With Acute Myocardial Infarction Participating in Cardiac Rehabilitation : Brain Natriuretic Peptide and Anterior Infarction
• Is Inflammation Related to the Clinical Severity of Unstable Angina?
• Late Reperfusion (6-24 Hours After Onset) Improves Left Ventricular Function in Patients With Acute Myocardial Infarction
• Are Cardiac Events During Exercise Therapy for Heart Failure Predictable From the Baseline Variables?
• Differing Predictors of Repeated Heart Failure Hospitalization between Younger and Older Patients with Congestive Heart Failure (Heart Failure, Clinical 12 (M), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
• Impact of Age on Prognostic Predictors in Heart Failure with Preserved Systolic Function in Comparison with Systolic Heart Failure (Heart Failure, Clinical 12 (M), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
• Clinical Features and Prognosis of Heart Failure with Preserved Systolic Function in Japan : Comparisons with Systolic Heart Failure(Clinical Aspects of Diastolic Failure, The 69th Annual Scientific Meeting of the Japanese Circulation Society)
• PJ-488 Can We Predict the Beneficial Effect of Exercise Training from Baseline Clinical Data in Patients with Heart Failure?(Exercise Test/Cardiac Rehabilitation 6 (IHD) : PJ82)(Poster Session (Japanese))
• PJ-312 Predictors of Future Major Adverse Cardiac Events in Patients with Severe Ischemic Cardiomyopathy with Left Ventricular Ejection Fraction < 20%.(Heart Failure, Clinical 6 (M) : PJ52)(Poster Session (Japanese))
• OJ-489 Spontaneous breath-by-breath variations (fast but random) in exercise VO2 are reduced in patients with chronic heart failure(Exercise Test/Cardiac Rehabilitation 8 (IHD) : OJ60)(Oral Presentation (Japanese))
• CLINICAL USEFULNESS OF THE MEASUREMENT OF CPK RELEASING TIME FOR ASSESSMENT OF VASODILATOR THERAPY IN ACUTE MYOCARDIAL INFARCTION : Ischemic heart disease : FREE COMMUNICATIONS (Abstract) : 45 Annual Scientific Meeting, Japanese Circulation Society
• A METHOD BASED ON SERIAL CPK TECHNIQUE FOR ASSESSMENT OF REDUCTION OR EXTENSION OF MYOCARDIAL INFARCTION SIZE : Myocardial Infarction : PROCEEDINGS OF THE 44th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
• Distinctive Expression of a Zinc-Binding Protein in Rice Callus Grown in Medium with High Zinc Concentration
• OE-375 The Usefulness of Magnetocardiography (MCG) for Evaluating Hypertensive Pulmonary Vascular Disease(OE63,ECG/Body Surface Potential Mapping/Holter 1 (A),Oral Presentation (English),The 73rd Annual Scientific Meeting of The Japanese Circulation Socie
• OJ-018 How Cardiac Rehabilitation after Acute Myocardial Infarction Influences on Autonomic Nervous Systems? : Comparison between Patients iwth and without Metabolic Syndrome(Autonomic nervous system(02)(H),Oral Presentation(Japanese),The 72nd Annual Scie
• PJ-117 Is There Any Difference in the Effects of Cardiac Rehabilitation between Post-Myocardial Infarction Patients with and without Metabolic Syndrome?(Exercise test/Cardiac rehabilitation-6, The 71st Annual Scientific Meeting of the Japanese Circulation
• Exercise-Induced Hepatocyte Growth Factor Production in Patients After Acute Myocardial Infarction : Its Relationship to Exercise Capacity and Brain Natriuretic Peptide Levels
• OJ-067 A Promoter Variant of the ATP-Binding Cassette Transporter A1 Gene Affects on the HDL Cholesterol Level(Lipid Disorders 1 (H) : OJ8)(Oral Presentation (Japanese))
• PJ-187 High-resolution analysis for exercise-induced negative U-wave is highly sensitive for localization of LAD ischemia especially in patients with single-vessel disease.(Exercise Test/Cardiac Rehabilitation 2 (IHD) : PJ32)(Poster Session (Japanese))
• Local Delivery of Argatroban for the Prevention of Restenosis After Coronary Balloon Angioplasty : A Prospective Randomized Pilot Study
• Refractory Coronary Spasm Relieved by Intracoronary Administration of Nicorandil
• Does Coronary Artery Morphology Predict Favorable Results of Intracoronary Thrombolysis in Patients With Unstable Angina Pectoris?
• O_2 Extraction During Exercise Determines Training Effect After Cardiac Rehabilitation in Myocardial Infarction
• Excessive Ventilation After Acute Myocardial Infarction and Its Improvement in 4 Months
• Exercise Therapy for Heart Diseases
• Exercise Training for Heart Failure
• 7 Cardiac Rehabilitation in Elderly Patients : Emerging Importance and Present Status(Plenary Session 9 (PL9) (H) : Cardiovascular Treatment in the Elderly : In Whom? How Aggressive?)(Special Program)
• Aldehyde Dehydrogenase 2 Gene Is a Risk Factor for Myocardial Infarction in Japanese Men
• Use of Exercise Cardiac Rehabilitation After Acute Myocardial Infarction : Comparison Between Health Insurance-Approved and Non-Approved Hospitals in Japan
• OJ-308 Comparison of Prognosis of Diastolic Heart Failure versus Systolic Heart Failure in Japan(Heart Failure, Clinical 9 (M) : OJ37)(Oral Presentation (Japanese))
• OE-185 Impact of Sex on Prognosis of Diastolic Heart Failure in Comparison with Systolic Heart Failure(Heart Failure, Clinical 2 (M) : OE23)(Oral Presentation (English))
• FRS-189 Analysis of Clinical Features Which Discriminate Diastolic Heart Failure from Systolic Heart Failure by Logistic Regression Analysis(Heart Failure : Basic and Clinical Viewpoint (M) : FRS22)(Featured Research Session (English))
• Higher Prevalence of Diastolic Heart Failure in Female Than Male Patients with Acute Heart Failure despite Similar BNP Levels
• Markedly High Prevalence of Diastolic Heart Failure in Very Elderly Patients with Acute Heart Failure
• Diastolic Heart Failure : Prevalence and Clinical Characteristics in Japanese Patients
• Diabetes Mellitus Attenuates the Improvement in Baroreflex Sensitivity in Patients after Acute Myocardial Infarction Participating in Exercise Cardiac Rehabilitation
• Dexamethasone-Induced Cardiogenic Shock Rescued by Percutaneous Cardiopulmonary Support (PCPS) in a Patient With Pheochromocytoma
• OJ-141 B-type Natriuretic Peptide and Renal Insufficiency Independently Predict the Long-Term Prognosis in Patients with Acute Decompensated Heart Failure(Heart failure, clinical(05)(M),Oral Presentation (Japanese),The 72nd Annual Scientific Meeting of th
• PE-340 International Comparison of Clinical Use of Inotrope and Vasodilator Therapy for Acute Decompensated Heart Failure(Heart failure, clinical(10)(M),Poster Session(English),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
• OJ-299 Presynaptic α2-adrenergic Negative Feedback Shortens the Time Constant of Sympathetic Heart Rate Response(Cardiac function, basic/clinical-2 (M) OJ50,Oral Presentation (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese Circul
• PJ-408 Sympatho-Vagal Interaction via the α-Adrenergic Mechanism Is Negligible in Dynamic Vagal Control of Heart Rate in Vivo(Cardiac Function, Basic/Clinical 2 (M) : PJ68)(Poster Session (Japanese))
• PE-193 The Effect of Noninvasive Positive Pressure Ventilation on Treatment of Patients with Flash Pulmonary Edema Admitted to the Emergency Department(Heart failure, clinical(08)(M),Poster Session(English),The 72nd Annual Scientific Meeting of the Japane
• Biphasic Response of Action Potential Duration to Sudden Sympathetic Stimulation in Anesthetized Cats
• Bionic Baroreflex System with Epidural Spinal Cord Stimulation Prevents Orthostatic Hypotension
• Safety and Implementation of Exercise Testing and Training After Coronary Stenting in Patients With Acute Myocardial Infarction
• Effects of Repetitive Brief Ischemia on Contractile Efficiency and Oxygen Cost of Contractility in Dog Heart
• Lesion Severity and Hypercholesterolemia Determine Long-Term Prognosis of Vasospastic Angina Treated With Calcium Channel Antagonists
• OE-158 Enhanced Cardiac Production of Matrix Metalloproteinases-2 and-9 in Patients with Acute Myocardial Infarction : Its Attenuation by Statins(Acute Myocardial Infarction, Clinical (Diagnosis/Treatment) 6 (IHD) : OE19)(Oral Presentation (English))
• Development of a Servo-Controller of Heart Rate Using a Treadmill
• PJ-410 Glomerular Filtration Rate (GFR) Contributes to Plasma BNP Level in Heart Failure Patients Even with Preserved Renal Function(Heart failure, clinical-12 (M) PJ69,Poster Session (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japane
• Corticosteroids and the Treatment of Refractory Vasospastic Angina : Insight Into the Pathogenesis(Author's Reply)
• OJ-147 Early Improvement in Abnormal Breathing Patterns (Reduced Variations) during Exercise after Heart Transplantation(Exercise test/Cardiac rehabilitation-1 (IHD) OJ25,Oral Presentation (Japanese),The 70th Anniversary Annual Scientific Meeting of the J
• OJ-105 Exercise Blood Pressure and Left Ventricular Dimension Predict Survival More Accurately than Ejection Fraction and Peak VO2 in Dilated Cardiomyopathy(Heart failure, clinical-4 (M) OJ18,Oral Presentation (Japanese),The 70th Anniversary Annual Scient
• Determinants of Cardiac Output Increase Response to Exercise in Patients after Acute Myocardial Infarction : An Invasive Hemodynamic Analysis
• Left Ventricular Diastolic Dysfunction Unmasked by Exercise in Patients with Diabetes Mellitus after Acute Myocardial Infarction
• Exercise Therapy for Chronic Heart Failure : A Multicenter Retrospective Survey in Japan
• PJ-185 High-resolution Measurements of Exercise-induced U-wave Amplitude Changes can Accurately Localize Myocardial Ischemia(Exercise test/Cardiac rehabilitation-4 (IHD) PJ31,Poster Session (Japanese),The 70th Anniversary Annual Scientific Meeting of the
• Combined Analysis of VE/VCO2 Slope and Slow Periodic VO2 Oscillations Accurately Predicts Future Cardiac Events in Dilated Cardiomyopathy
• Successful Treatment of Refractory Vasospastic Angina With Corticosteroids : Coronary Arterial Hyperreactivity Caused by Local Inflammation?

もっと見る 閉じる

スポンサーリンク