Kalp yetmezliği olan hastaların kol ve koşubandı egzersiz testi yanıtları

Amaç: Kalp yetmezliği olan hastalarda üst ekstremitelerin fonksiyonu ve egzersiz toleransı arasındaki ilişkiye yönelik araştırmalar kısıtlıdır. Bu çalışma kalp yetmezliği olan hastalarda kol ve koşubandı egzersiz testlerini uygulamayı ve bu testlere cevapları karşılaştırmayı amaçladı. Gereç ve yöntem: Kalp yetmezliği olan 25 hasta çalışmaya katıldı. Tüm hastalar koşubandı ve kol ergometresinde gaz değişim analizleri ile birlikte maksimal semptomla limitli iki egzersiz testine girdi. Sonuçlar: Koşubandı egzersiz testindeki zirve egzersiz düzeyinde kalp hızı, sistolik ve diastolik kan basınçları, hız-basınç çarpımı (double product), zirve oksijen tüketimi, ve zirve egzersizin süresi kol ergometresi egzersiz testinden anlamlı düzeyde daha yüksekti (p

Responses to arm and treadmill exercise testing in patients with heart failure

Keywords:

-,

___

  • Vinet A, Le Gallais D, Bernard PL, et al. Aerobic metabolism and cardioventilatory responses in paraplegic athletes during an incremental wheelchair exercise. Eur J Appl Physiol. 1997;76:455-461.
  • Lainchbury JG, Richards AM. Exercise testing in the assessment of chronic congestive heart failure. Heart. 2002;88:538-543.
  • Kao W, Jessup M Exercise testing and exercise training in patients with congestive heart failure. J Heart Lung Transplant. 1994;13:117-121.
  • Oka RK, Stotts NA, Dae MW, et al. Daily physical activity levels in congestive heart failure. Am J Cardiol. 1993;71:921-25.
  • Sunnerhagen KS, Cider A, Schaufelberger M, et al. Muscular performance in heart failure. J Card Fail. 1998;4:97-104.
  • Myers J. Applications of cardiopulmonary exercise testing in the management of cardiovascular and pulmonary disease. Int J Sports Med. 2005;26:49-55.
  • McInnis KJ, Balady GJ. Comparison of submaximal exercise responses using the Bruce vs. modified Bruce protocols. Med Sci Sport Exerc. 1994;26:103-107.
  • Borg G. Psychophysical basis of perceived exertion. Med Sci Sport Exerc. 1982;5:90-93.
  • Pina IL, Balady GJ, Hanson P, et al. Guidelines for clinical exercise testing laboratories. Circulation. 1995;91:912-921.
  • Keteyian SJ, Marks CRC, Brawner CA, et al. Responses to arm exercise in patients with compensated heart failure. J Cardiopulm Rehabil. 1996;16:366-371.
  • Lee NE, Loy SF, Vincent WJ, et al. The hemodynamic effects of arm and leg exercise on patients with varying degrees of left ventricular function. J Cardiopulm Rehabil. 1993;13:104-109.
  • Corra U, Mezzani A, Bosimini E, et al. Cardiopulmonary exercise testing and prognosis in chronic heart failure. A prognosticating algorithm for the individual patient. Chest. 2004;126:942-950.
  • Arena R, Myers J, Aslam SS, et al. Impact of time past exercise testing on prognostic variables in heart failure. Int J Cardiol. 2006;106:88-94.
  • Asley EA, Myers J, Froelicher V. Exercise testing in clinical medicine. Lancet. 2000;356:1592-1597.
  • Myers J, Gullestad L, Vagelos R, et al. Cardiopulmonary exercise testing and prognosis in severe heart failure: 14 ml/kg/min revisited. Am Heart J. 2000;139:78-84.
  • Stamford BA. Validity and reliability of subjective ratings of perceived exertion during work. Ergonomics. 1976;19:53-60.
  • Borg G. Physical performance and perceived exertion. Lund, Sweden: Gleerup; 1962.
  • Brubaker PH, Rejeski JW, Law HC, et al. Cardiac patients’ perception of work intensity during graded exercise testing: Do they generalize to field settings. J Cardiopulm Rehabil. 1994;14:127-133.
  • Whaley MH, Brubaker PH, Kaminsky LA, et al. Validity of rating of perceived exertion during graded exercise testing in apparently healthy adults and cardiac patients. J Cardiopulm Rehabil. 1997;17:261-267.