Studies of factors limiting maximal aerobic work capacity in patients on chronic hemodialysis

スポンサーリンク

概要

• 論文の詳細を見る

• The purpose of the present study was to investigate the limiting factors of maximal aerobic work capacity in patients on chronic hemodialysis. Thirty-five stable chronic hemodialysis patients (HD patients) and fifty-two normal controls were used as subjects. HD patients were not complicated by valvular heart disease or coronary heart disease, and none had been given digitalis or β-blocker agents. Abnormal electrocardiograph results and blood pressure responses were excluded because of exercise stress in HD patients. In all subjects, functional aerobic impairment (FAI), left ventricular impairment (LVI) and peripheral circulatory impairment (PCI) were calculated using Bruce's formula. Hemoglobin concentration was determined before exercise stress test in HD patients. The results obtained were as follows.FAI, LVI and PCI in HD patients were significantly higher than those of normal control subjects. PCI was higher than LVI in HD patients. FAI was significantly correlated with both LVI and PCI in normal control subjects, whereas FAI was significantly correlated with only PCI in HD patients. Additionally, FAI was not significantly correlated with hemoglobin concentration in HD patients.In conclusion, the present observations suggest that the limit of maximal aerobic work capacity depends upon peripheral circulatory impairment with the exception of lower hemoglobin concentration level in chronic stable hemodialysis patients.

• 社団法人 日本透析医学会の論文

社団法人 日本透析医学会 | 論文

• 4．血液浄化療法の生体適合性と腎性貧血
• PD-HD併用療法においての腎機能保護の可能性 : 第51回日本透析医学会ワークショップより
• 腹部大動脈人工血管の仮性動脈瘤破裂，および右大腿回旋動脈の仮性動脈瘤破裂をきたした血液透析患者の1例
• 5．透析患者のインスリン抵抗性と腎性貧血
• 摘出腫瘤の病理組織標本所見より頸椎腫瘍状石灰沈着症 (cervical tumoral calcinosis) と診断し得た維持透析患者の1例

もっと見る

スポンサーリンク