Oxygen Uptake Efficiency Slope Predicts Adverse Outcome Following Atrial Switch Procedure

Author(s):  
Kelly J. Aarsvold ◽  
David A. Danford ◽  
Anji T. Yetman
2012 ◽  
Vol 24 (3) ◽  
pp. 347-356 ◽  
Author(s):  
Michael P. Rogowski ◽  
Justin P. Guilkey ◽  
Brooke R. Stephens ◽  
Andrew S. Cole ◽  
Anthony D. Mahon

This study examined the influence of maturation on the oxygen uptake efficiency slope (OUES) in healthy male subjects. Seventy-six healthy male subjects (8–27 yr) were divided into groups based on maturation status: prepubertal (PP), midpubertal (MP), late-pubertal (LP), and young-adult (YA) males. Puberty status was determined by physical examination. Subjects performed a graded exercise test on a cycle ergometer to determine OUES. Group differences were assessed using a one-way ANOVA. OUES values (VO2L·min1/log10VEL·min−1) were lower in PP and MP compared with LP and YA (p < .05). When OUES was expressed relative to body mass (VO2mL·kg−1·min−1/log10VEmL·kg−1·min−1) differences between groups reversed whereby PP and MP had higher mass relative OUES values compared with LP and YA (p < .05). Adjusting OUES by measures of body mass failed to eliminate differences across maturational groups. This suggests that qualitative factors, perhaps related to oxidative metabolism, account for the responses observed in this study.


2012 ◽  
Vol 21 (3) ◽  
pp. 347-353 ◽  
Author(s):  
Victor M Niemeijer ◽  
Marcel van ‘t Veer ◽  
Goof Schep ◽  
Ruud F Spee ◽  
Adwin Hoogeveen ◽  
...  

2009 ◽  
Vol 133 (1) ◽  
pp. 74-79 ◽  
Author(s):  
Alessandro Giardini ◽  
Salvatore Specchia ◽  
Gaetano Gargiulo ◽  
Diego Sangiorgi ◽  
Fernando M. Picchio

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Wilby Williamson ◽  
Jonathan Fuld ◽  
Kate Westgate ◽  
Karl Sylvester ◽  
Ulf Ekelund ◽  
...  

Background. Oxygen uptake efficiency slope (OUES) is a reproducible, objective marker of cardiopulmonary function. OUES is reported as being relatively independent of exercise intensity. Practical guidance and criteria for reporting OUES from submaximal tests has not been established.Objective. Evaluate the use of respiratory exchange ratio (RER) as a secondary criterion for reporting OUES.Design. 100 healthy volunteers (53 women) completed a ramped treadmill protocol to exhaustive exercise. OUES was calculated from data truncated to RER levels from 0.85 to 1.2 and compared to values generated from full test data. Results. Mean (sd) OUES from full test data and data truncated to RER 1.0 and RER 0.9 was 2814 (718), 2895 (730), and 2810 (789) mL/min per 10-fold increase in VE, respectively. Full test OUES was highly correlated with OUES from RER 1.0 (r=0.9) and moderately correlated with OUES from RER 0.9 (r=0.79).Conclusion. OUES values peaked in association with an RER level of 1.0. Sub-maximal OUES values are not independent of exercise intensity. There is a significant increase in OUES value as exercise moves from low to moderate intensity. RER can be used as a secondary criterion to define this transition.


2012 ◽  
Vol 38 (5) ◽  
pp. 541-549 ◽  
Author(s):  
Paulo de Tarso Guerrero Müller ◽  
Carlos Alberto de Assis Viegas ◽  
Luiz Armando Pereira Patusco

OBJETIVO: Comparar o comportamento de oxygen uptake efficiency slope (OUES, inclinação da eficiência do consumo de oxigênio) com o do consumo de oxigênio no pico do exercício (VO2pico). MÉTODOS: Estudo prospectivo transversal envolvendo 21 pacientes (15 homens) com DPOC leve/moderada que foram submetidos a espirometria, dinamometria de preensão palmar (DIN), teste cardiopulmonar de exercício e medida de lactato no pico do exercício (LACpico). RESULTADOS: A média de peso foi 66,7 ± 13,6 kg, e a de idade foi 60,7 ± 7,8 anos. Com exceção de VEF1 e relação VEF1/CVF (75,8 ± 18,6 do previsto e 56,6 ± 8,8, respectivamente), as demais variáveis espirométricas foram normais, assim como DIN. As médias, em % do previsto, para VO2pico (93,1 ± 15,4), FC máxima (92,5 ± 10,4) e OUES (99,4 ± 24,4), assim como a da taxa de troca respiratória (1,2 ± 0,1), indicaram estresse metabólico e hemodinâmico importante. A correlação entre o VO2pico e a OUES foi elevada (r = 0,747; p < 0,0001). A correlação entre DIN e VO2pico (r = 0,734; p < 0,0001) foi mais expressiva do que com aquela entre DIN e OUES (r = 0,453; p < 0,05). Resultados semelhantes ocorreram em relação às correlações de VO2pico e OUES com PImáx. Houve correlação significativa entre VO2pico e LACpico (r = -0,731; p < 0,0001), mas essa só ocorreu entre OUES e LACpico/potência máxima (r = -0,605; p = 0,004). CONCLUSÕES: Nossos resultados sugerem que, na DPOC leve/moderada, determinantes do VO2, além da força muscular global, têm um maior impacto na OUES do que no VO2pico.


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