scholarly journals 945-622 Impaired Heart Rate Response to Graded Exercise: Prognostic Implications of Chronotropic Incompetence

1995 ◽  
Vol 25 (2) ◽  
pp. 171A
Author(s):  
Michael S. Lauer ◽  
Peter M. Okin ◽  
Martin G. Larson ◽  
Jane C. Evans ◽  
Keaven M. Anderson ◽  
...  
2018 ◽  
Vol 62 (6) ◽  
pp. 591-596 ◽  
Author(s):  
Rafael Cavalcante Carvalho ◽  
Patrícia dos Santos Vigário ◽  
Dhiãnah Santini de Oliveira Chachamovitz ◽  
Diego Henrique da Silva Silvestre ◽  
Pablo Rodrigo de Oliveira Silva ◽  
...  

2019 ◽  
Vol 29 (5) ◽  
pp. 667-671 ◽  
Author(s):  
Nikki M. Singh ◽  
Rohit S. Loomba ◽  
Joshua R. Kovach ◽  
Steven J. Kindel

AbstractBackground:Cardiopulmonary exercise testing has been used to measure functional capacity in children who have undergone a heart transplant. Cardiopulmonary exercise testing results have not been compared between children transplanted for a primary diagnosis of CHD and those with a primary diagnosis of cardiomyopathy despite differences in outcomes. This study is aimed to compare cardiopulmonary exercise testing performance between these two groups.Methods:Patients who underwent heart transplant with subsequent cardiopulmonary exercise testing at least 6 months after transplant at our institution were identified. They were then divided into two groups based on primary cardiac diagnosis: CHD or cardiomyopathy. Patient characteristics, echocardiograms, cardiac catheterisations, outcomes, and cardiopulmonary exercise test results were compared between the two groups.Results:From the total of 35 patients, 15 (43%) had CHD and 20 (57%) had cardiomyopathy. Age at transplant, kidney disease, lung disease, previous rejection, coronary vasculopathy, catheterisation, and echocardiographic data were similar between the groups. Mean time from transplant to cardiopulmonary exercise testing, exercise duration, and maximum oxygen consumption were similar in both groups. There was a difference in heart rate response with CHD heart rate response of 63 beats per minute compared to cardiomyopathy group of 78 (p = 0.028). Patients with CHD had more chronotropic incompetence than those with cardiomyopathy (p = 0.036).Conclusion:Primary diagnosis of CHD is associated with abnormal heart rate response and more chronotropic incompetence compared to those transplanted for cardiomyopathy.


2014 ◽  
Vol 10 (4) ◽  
pp. 259-263 ◽  
Author(s):  
S.D. Verba ◽  
B.T. Jensen ◽  
J.S. Lynn

The purpose of the present study was to examine the heart rate response and force tension associated with deer hunting activities in men and women. Fifteen men and women (body mass index: 25.6±5.2 kg/m2; age: 27±9 years) participated in this study. Subjects performed a maximal graded exercise test (GXT) to determine maximal heart rate (HRmax). Subjects completed a 0.8 km hike over typical hunting terrain. Following a short rest, subjects completed a 0.4 km drag using a fake deer weighing 56 kg (123 pounds, the weight of the average field dressed deer in Pennsylvania, USA) over similar terrain. HR was measured during the activities using a Polar Heart Rate Monitor. Force tension (TNmean) while dragging the deer was measured using a cable tensiometer. Women on average completed the 0.4 km drag course in 13±3 min, where men on average only needed 6±2 min to complete the drag. Women spent significantly more time ≥85% HRmax (9±4 min), than men (2±3 min) during the drag (P<0.05). Women, on average, completed 71±22% of their drag ≥85% HRmax which was significantly greater than men (37±36%; P<0.05). Throughout the drag, men and women HRpeak corresponded to 90±6% and 99±7%, respectively, of their measured HRmax via GXT (P<0.05). No significant difference was observed in TNmean between men and women during the drag tests. The results from this study indicate that hunting includes high-intensity exercise, with a greater relative stress placed on women. Deer hunters should exercise caution and adequately prepare for the potential demands of this activity.


Circulation ◽  
1996 ◽  
Vol 93 (8) ◽  
pp. 1520-1526 ◽  
Author(s):  
Michael S. Lauer ◽  
Peter M. Okin ◽  
Martin G. Larson ◽  
Jane C. Evans ◽  
Daniel Levy

1957 ◽  
Author(s):  
Philip J. Bersh ◽  
Joseph M. Notterman ◽  
William N. Schoenfeld

1995 ◽  
Vol 133 (6) ◽  
pp. 723-728 ◽  
Author(s):  
Ettore C degli Uberti ◽  
Maria R Ambrosio ◽  
Marta Bondanelli ◽  
Giorgio Transforini ◽  
Alberto Valentini ◽  
...  

degli Uberti EC, Ambrosio MR, Bondanelli M, Trasforini G, Valentini A, Rossi R, Margutti A, Campo M. Effect of human galanin on the response of circulating catecholamines to hypoglycemia in man. Eur J Endocrinol 1995;133:723–8. ISSN 0804–4643 Human galanin (hGAL) is a neuropeptide with 30 amino acid residues that has been found in the peripheral and central nervous system, where it often co-exists with catecholamines. In order to clarify the possible role of hGAL in the regulation of sympathoadrenomedullary function, the effect of a 60 min infusion of hGAL (80 pmol·kg−1 · min−1) on plasma epinephrine and norepinephrine responses to insulin-induced hypoglycemia in nine healthy subjects was investigated. Human GAL administration significantly reduced both the release of basal norepinephrine and the response to insulin-induced hypoglycemia, whereas it attenuated the epinephrine response by 26%, with the hGAL-induced decrease in epinephrine release failing to achieve statistical significance. Human GAL significantly increased the heart rate in resting conditions and clearly exaggerated the heart rate response to insulin-induced hypoglycemia, whereas it had no effect on the blood pressure. We conclude that GAL receptor stimulation exerts an inhibitory effect on basal and insulin-induced hypoglycemia-stimulated release of norepinephrine. These findings provide further evidence that GAL may modulate sympathetic nerve activity in man but that it does not play an important role in the regulation of adrenal medullary function. Ettore C degli Uberti, Chair of Endocrinology, University of Ferrara, Via Savonarola 9, I-44100 Ferrara, Italy


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