P391 Changes in QRS duration during exercise are associated with maximal exercise capacity and peak oxygen consumption in adults with repaired tetralogy of Fallot

2003 ◽  
Vol 24 (5) ◽  
pp. 49
Author(s):  
W BUDTS
1990 ◽  
Vol 69 (4) ◽  
pp. 1479-1485 ◽  
Author(s):  
J. W. Gratama ◽  
J. J. Meuzelaar ◽  
M. Dalinghaus ◽  
J. H. Koers ◽  
A. J. Werre ◽  
...  

We determined maximal exercise capacity and measured hemodynamics in 10 6-wk-old lambs with an aortopulmonary left-to-right shunt [S, 57 +/- 11%, (SD)] and in 9 control lambs (C) during a graded treadmill test 8 days after surgery. Maximal exercise capacity (3.7 +/- 0.2 km/h and 10 +/- 5% inclination vs. 4.0 +/- 0.9 km/h and 15 +/- 0% inclination, P less than 0.02) and peak oxygen consumption (25 +/- 7 vs. 34 +/- 8 ml O2.min-1.kg-1, P less than 0.02) were both lower in the shunt than in the control lambs. This was due to a lower maximal systemic blood flow in the shunt lambs (271 +/- 38 vs. 359 +/- 71 ml.min-1.kg-1, P less than 0.01). Despite their high maximal left ventricular output, which was higher than in the control lambs (448 +/- 87 vs. 359 +/- 71 ml.min-1.kg-1, P less than 0.05), the left-to-right shunt could not be compensated for during maximal exercise because of a decreased reserve in heart rate (S: 183 +/- 22 to 277 +/- 38 beats/min; C: 136 +/- 25 to 287 +/- 29 beats/min) and in left ventricular stroke volume (S: 1.8 +/- 0.3 to 1.6 +/- 0.4 ml/kg; C: 1.0 +/- 0.3 to 1.3 +/- 0.2 ml/kg). We conclude that exercise capacity of shunt lambs is lower than that of control lambs, despite a good left ventricular performance, because a part of the reserves for increasing the left ventricular output is already utilized at rest.


2013 ◽  
Vol 59 (1) ◽  
pp. 90-96 ◽  
Author(s):  
D. A. Kaminsky ◽  
A. Knyazhitskiy ◽  
A. Sadeghi ◽  
C. G. Irvin

2020 ◽  
Vol 128 (6) ◽  
pp. 1677-1683
Author(s):  
Wei Hui ◽  
Cameron Slorach ◽  
Susan Iori ◽  
Andreea Dragulescu ◽  
Luc Mertens ◽  
...  

This is the first study to assess right ventricular myocardial performance using the systolic-to-diastolic duration ratio derived from 2D strain. Seventy-six children with repaired Tetralogy of Fallot were evaluated. Echocardiographic data were correlated with cardiac magnetic resonance and peak oxygen consumption during exercise. The results show the right ventricular myocardial systolic-to-diastolic duration ratio incorporates systolic and diastolic performance, electromechanical dyssynchrony, and postsystolic shortening and is associated with exercise capacity in repaired Tetralogy of Fallot.


2001 ◽  
Vol 90 (5) ◽  
pp. 1707-1713 ◽  
Author(s):  
Shin-Da Lee ◽  
Hitoshi Nakano ◽  
Gaspar A. Farkas

Obesity is often associated with a reduced ventilatory response and a decreased maximal exercise capacity. GABA is a major inhibitory neurotransmitter in the mammalian central nervous system. Altered GABAergic mechanisms have been detected in obese Zucker rats and implicated in their hyperphagic response. Whether altered GABAergic mechanisms also contribute to regulate ventilation and influence exercise capacity in obese Zucker rats is unknown and formed the basis of the present study. Eight lean [317 ± 18 (SD) g] and eight obese (450 ± 27 g) Zucker rats were studied at 12 wk of age. Ventilation at rest and ventilation during hypoxic (10% O2) and hypercapnic (4% CO2) challenges were measured by the barometric method. Peak O2 consumption (V˙o 2 peak) in response to a progressive treadmill test to exhaustion was measured in a metabolic treadmill. Ventilation and V˙o 2 peak were assessed after administration of equal volumes of DMSO (vehicle) and the GABAA receptor antagonist bicuculline (1 mg/kg). In lean animals, bicuculline administration had no effect on ventilation andV˙o 2 peak. In obese rats, bicuculline administration significantly ( P < 0.05) increased resting ventilation (465 ± 53 and 542 ± 72 ml · kg−1 · min−1 for control and bicuculline, respectively), ventilation during exposure to hypoxia (899 ± 148 and 1,038 ± 83 ml · kg−1 · min−1 for control and bicuculline, respectively), andV˙o 2 peak (62 ± 3.7 and 67 ± 3.5 ml · kg−0.75 · min−1 for control and bicuculline, respectively). However, in obese Zucker rats, ventilation in response to hypercapnia did not change after bicuculline administration (608 ± 96 vs. 580 ± 69 ml · kg−1 · min−1). Our findings indicate that endogenous GABA depresses ventilation and limits exercise performance in obese Zucker rats.


Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 611
Author(s):  
Sihui Ma ◽  
Jiao Yang ◽  
Takaki Tominaga ◽  
Chunhong Liu ◽  
Katsuhiko Suzuki

The low-carbohydrate ketogenic diet (LCKD) is a dietary approach characterized by the intake of high amounts of fat, a balanced amount of protein, and low carbohydrates, which is insufficient for metabolic demands. Previous studies have shown that an LCKD alone may contribute to fatty acid oxidation capacity, along with endurance. In the present study, we combined a 10-week LCKD with an 8-week forced treadmill running program to determine whether training in conjunction with LCKD enhanced fatty acid oxidation capacity, as well as whether the maximal exercise capacity would be affected by an LCKD or training in a mice model. We found that the lipid pool and fatty acid oxidation capacity were both enhanced following the 10-week LCKD. Further, key fatty acid oxidation related genes were upregulated. In contrast, the 8-week training regimen had no effect on fatty acid and ketone body oxidation. Key genes involved in carbohydrate utilization were downregulated in the LCKD groups. However, the improved fatty acid oxidation capacity did not translate into an enhanced maximal exercise capacity. In summary, while favoring the fatty acid oxidation system, an LCKD, alone or combined with training, had no beneficial effects in our intensive exercise-evaluation model. Therefore, an LCKD may be promising to improve endurance in low- to moderate-intensity exercise, and may not be an optimal choice for those partaking in high-intensity exercise.


2021 ◽  
Author(s):  
Lisa M. Wilson ◽  
Matthew J. Ellis ◽  
Rebecca L. Lane ◽  
John W. Wilson ◽  
Dominic T. Keating ◽  
...  

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