Relationship between Exercise Capacity and Ventilatory Equivalent for Carbon Dioxide in Patients with Stable Old Myocardial Infarction
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概要
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The aim of the present study was to evaluate the relationship between exercise capacity and ventilatory response in patients with stable old myocardial infarction. We performed cardiopulmonary exercise test in 61 patients with stable old myocardial infarction and in 30 healthy men. Each subject exercised on a bicycle ergometer until exhaustion. Patients who had anginal pain or electrocardiographic ischemic changes during exercise were excluded. The patients were classified into three groups according to peakVO2 achieved during exercise, using Webers method: group A, peakVO2≥21 ml/min/kg (n=4); group B, 14≤peakVO2<21 ml/min/kg (n=45); and group C, peakVO2<14 ml/min/kg (n=12). With progressive increases in VCO2, VE increased linearly below the anaerobic threshold (AT) level. The slope of the linear regression line between VCO2 and VE (SLOPE) was calculated in each subject. The mean SLOPE of the healthy men (group N) and groups A, B and C were 25.8±0.5, 25.1±0.5, 28.9±0.8 and 37.1±1.7 (×10-3), respectively. Thus, the SLOPE was steeper in patients with lower peakVO2. It is difficult to perform a maximal exercise tolerance test on patients with chronic heart failure to evaluate their exercise capacity. We can assess exercise capacity by the slope of the linear regression line between VCO2 and VE (SLOPE) at the lower exercise level.
著者
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Tada Toshihiko
Saiseikai Yamaguchi General Hospital
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KIMURA MASAHIRO
Second Department of Surgery, Nagoya City University Medical School
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Matsuzaki Masunori
Second Department Of Internal Medicine Yamaguchi University School Of Medicine
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Harada Masahiko
Second Department Of Internal Medicine Yamaguchi University School Of Mediciney
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Matsuda Masako
School Of Allied Health Sciences Yamaguchi University
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ONO Kaoru
Second Department of Internal Medicine, Yamaguchi University School of Medicine, Ube, Japan
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HARAGUCHI Masahiko
Second Department of Internal Medicine, Yamaguchi University School of Medicine, Ube, Japan
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FUJII Kozo
Second Department of Internal Medicine, Yamaguchi University School of Medicine, Ube, Japan
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KUBO Makoto
Second Department of Internal Medicine, Yamaguchi University School of Medicine, Ube, Japan
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MATSUZAKI Masunori
Second Department of Internal Medicine, Yamaguchi University School of Medicine, Ube, Japan
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MATSUDA Masako
School of Allied Health Sciences, Yamaguchi University, Ube, Japan
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