Non-invasive Measurement of Cardiac Output and Ventricular Ejection Fractions in Chronic Cardiac Failure: Relationship to Impaired Exercise Tolerance

1997 ◽  
Vol 93 (3) ◽  
pp. 195-203 ◽  
Author(s):  
Ian C. Steele ◽  
ANN Moore ◽  
Anne-Marie Nugent ◽  
Marshall S. Riley ◽  
Norman P. S. Campbell ◽  
...  
Keyword(s):  
Cardiac Output ◽  
Oxygen Consumption ◽  
Oxygen Uptake ◽  
Cardiac Failure ◽  
Exercise Tolerance ◽  
Perceived Exertion ◽  
Lactate Concentration ◽  
Submaximal Exercise ◽  
Chronic Cardiac Failure ◽  
And Control

1. The role of cardiac output limitation in the pathophysiology of exercise in patients with chronic failure remains undefined. During steady-state submaximal exercise, oxygen uptake is similar in patients and control subjects, but it is not known if cardiac output is also similar. We wished to determine if the reduced exercise tolerance of patients with chronic cardiac failure during such exercise is related to reduced cardiac output, or to peripheral factors. 2. Ten male patients with stable chronic failure and ten age-matched male normal controls were studied at rest and during exercise. Each subject performed a familiarization exercise test, a symptom-limited maximal exercise test and two submaximal exercise tests. Cardiac output was measured by a carbon dioxide rebreathing method. We also measured oxygen consumption, ventilation, Borg score of perceived exertion and venous lactate concentration, and ejection fractions. 3. As expected, patients had lower peak oxygen consumption [median (range) 1.18 (0.98–1.76) versus 1.935 (1.53–2.31) 1/min; P < 0.001], lower peak venous lactate concentration but a similar overall level of perceived exertion. At the same submaximal workload, patients and control subjects had similar oxygen consumption [0.67 (0.59–0.80) versus 0.62 (0.52–0.82) 1/min] and cardiac output [6.92 (5.79–9.76) versus 7.3 (5.99–10.38) 1/min] but the patients had a greater perceived level of exertion [Borg score: 4 (1–6) versus 3 (1–5); P < 0.005], higher venous lactate concentration [1.6 (1–3.3) versus 1.14 (0.7–1.7) mmol/l; P < 0.05] and higher heart rate [106 (89–135) versus 87 (69–112) beats/min;P < 0.005]. 4. During submaximal exercise at a similar absolute workload, patients with cardiac failure have a similar oxygen uptake and cardiac output but greater anaerobiosis and increased fatigue when compared with normal subjects. These findings appear to relate predominantly to changes that occur in the periphery rather than abnormalities of central cardiac function.

scholarly journals Physiological responses and cycle characteristics during double-poling versus diagonal-stride roller-skiing in junior cross-country skiers

2021 ◽  
Author(s):  
Erik P. Andersson ◽  
Irina Hämberg ◽  
Paulo Cesar Do Nascimento Salvador ◽  
Kerry McGawley
Keyword(s):  
Oxygen Uptake ◽  
Perceived Exertion ◽  
Lactate Concentration ◽  
Blood Lactate Concentration ◽  
Peak Oxygen Uptake ◽  
Submaximal Exercise ◽  
Rating Of Perceived Exertion ◽  
Time To Exhaustion ◽  
Double Poling ◽  
Cross Country

Abstract Purpose This study aimed to compare physiological factors and cycle characteristics during cross-country (XC) roller-skiing at matched inclines and speeds using the double-poling (DP) and diagonal-stride (DS) sub-techniques in junior female and male XC skiers. Methods Twenty-three well-trained junior XC skiers (11 women, 12 men; age 18.2 ± 1.2 yr.) completed two treadmill roller-skiing tests in a randomized order using either DP or DS. The exercise protocols were identical and included a 5 min warm-up, 4 × 5 min submaximal stages, and an incremental test to exhaustion, all performed at a 5° incline. Results No significant three-way interactions were observed between sex, submaximal exercise intensity, and sub-technique. For the pooled sample, higher values were observed for DP versus DS during submaximal exercise for the mean oxygen uptake kinetics response time (33%), energy cost (18%), heart rate (HR) (9%), blood lactate concentration (5.1 versus 2.1 mmol·L−1), rating of perceived exertion (12%), and cycle rate (25%), while cycle length was lower (19%) (all P < 0.001). During the time-to-exhaustion (TTE) test, peak oxygen uptake ($$\dot{V}$$ V ˙ O2peak), peak HR, and peak oxygen pulse were 8%, 2%, and 6% lower, respectively, for DP than DS, with a 29% shorter TTE during DP (pooled data, all P < 0.001). Conclusion In well-trained junior XC skiers, DP was found to exert a greater physiological load than DS during uphill XC roller-skiing at submaximal intensities. During the TTE test, both female and male athletes were able to ski for longer and reached markedly higher $$\dot{V}$$ V ˙ O2peak values when using DS compared to DP.

scholarly journals Ventilation, Oxygen Uptake and Haemolymph Oxygen Transport, Following Enforced Exhausting Activity in the Dungeness Crab Cancer Magister

1979 ◽  
Vol 80 (1) ◽  
pp. 271-285 ◽  
Author(s):  
B. R. McMAHON ◽  
D. G. McDONALD ◽  
C. M. WOOD
Keyword(s):  
Cardiac Output ◽  
Oxygen Uptake ◽  
Oxygen Transport ◽  
Lactate Concentration ◽  
Fold Increase ◽  
Oxygen Extraction ◽  
Oxygen Release ◽  
Cancer Magister ◽  
Metabolic Scope ◽  
Dungeness Crabs

Scaphognathite and heart-pumping frequencies, ventilation volume, cardiac output, oxygen uptake and oxygen transport by haemolymph have been studied in unrestrained Dungeness crabs (Cancer magister) before, immediately after, and during recovery from 20 min of enforced exhausting activity. Exercise increased oxygen uptake 4-fold. This increase was achieved by more than 2-fold elevation of both ventilation volume and cardiac output and by greater participation of haemocyanin in oxygen delivery. The elevated ventilation volume resulted entirely from an increase in scaphognathite pumping frequency, while the rise in cardiac output resulted largely from increase in stroke volume. Prior to exercise haemocyanin accounts for less than 50% of the oxygen delivered to the tissues. Following exercise this increases to over 80%, the additional oxygen release being mediated by a depression of prebranchial oxygen tension and a substantial Bohr effect resulting from build up of lactate ion in the haemolymph and subsequent fall in pH. These changes allowed % oxygen extraction from branchial water to be maintained at 28% despite a 2-fold increase in ventilation volume, and allowed an increase in %. oxygen extraction by the tissues. Despite these changes oxygen supply fell below demand during exercise, and considerable anaerobic metabolism resulted, as evidenced by a 9-fold increase in haemolymph lactate concentration. The resulting oxygen debt required 8–24 h for repayment. Aerobic metabolic scope, and mechanisms of increasing oxygen uptake and transport in this crab are compared with those of a range of fish species.

Energetics and Mechanics of Steep Treadmill Versus Overground Pole Walking: A Pilot Study

2021 ◽  
pp. 1-4
Author(s):  
Nicola Giovanelli ◽  
Lara Mari ◽  
Asia Patini ◽  
Stefano Lazzer
Keyword(s):  
Heart Rate ◽  
Oxygen Uptake ◽  
Vertical Velocity ◽  
Perceived Exertion ◽  
Lactate Concentration ◽  
Blood Lactate Concentration ◽  
Average Intensity ◽  
Rate Of Perceived Exertion ◽  
Spatiotemporal Parameters ◽  
Pole Walking

Purpose: To compare energetics and spatiotemporal parameters of steep uphill pole walking on a treadmill and overground. Methods: First, the authors evaluated 6 male trail runners during an incremental graded test on a treadmill. Then, they performed a maximal overground test with poles and an overground test at 80% (OG80) of vertical velocity of maximal overground test with poles on an uphill mountain path (length = 1.3 km, elevation gain = 433 m). Finally, they covered the same elevation gain using poles on a customized treadmill at the average vertical velocity of the OG80. During all the tests, the authors measured oxygen uptake, carbon dioxide production, heart rate, blood lactate concentration, and rate of perceived exertion. Results: Treadmills required lower metabolic power (15.3 [1.9] vs 16.6 [2.0] W/kg, P = .002) and vertical cost of transport (49.6 [2.7] vs 53.7 [2.1] J/kg·m, P < .001) compared with OG80. Also, oxygen uptake was lower on a treadmill (41.7 [5.0] vs 46.2 [5.0] mL/kg·min, P = .001). Conversely, respiratory quotient was higher on TR80 compared with OG80 (0.98 [0.02] vs 0.89 [0.04], P = .032). In addition, rate of perceived exertion was higher on a treadmill and increased with elevation (P < .001). The authors did not detect any differences in other physiological measurements or in spatiotemporal parameters. Conclusions: Researchers, coaches, and athletes should be aware that steep treadmill pole walking requires lower energy consumption but same heart rate and rate of perceived exertion than overground pole walking at the same average intensity.

scholarly journals Cardiac Output Response to Exercise in Chronic Cardiac Failure Patients

2012 ◽  
Vol 53 (5) ◽  
pp. 293-298 ◽  
Author(s):  
Taira Fukuda ◽  
Akihiro Matsumoto ◽  
Miwa Kurano ◽  
Haruhito Takano ◽  
Haruko Iida ◽  
...  
Keyword(s):  
Cardiac Output ◽  
Cardiac Failure ◽  
Output Response ◽  
Chronic Cardiac Failure ◽  
Response To Exercise

Role of Bradycardia and Cold per se in Increasing Mechanical Efficiency of Hypothermic Heart

1958 ◽  
Vol 192 (2) ◽  
pp. 331-334 ◽  
Author(s):  
Henry Badeer ◽  
Avedis Khachadurian
Keyword(s):  
Cardiac Output ◽  
Oxygen Consumption ◽  
Oxygen Uptake ◽  
Arterial Pressure ◽  
Mechanical Efficiency ◽  
Metabolic Effect ◽  
Stroke Work ◽  
Per Se ◽  
Lung Preparation

The relative influence of bradycardia and of cold per se on the oxygen consumption and mechanical efficiency of the dog heart was investigated in the modified heart-lung preparation (11 experiments). Myocardial oxygen uptake was determined under constant arterial pressure and cardiac output in a) normothermia, b) normothermia with bradycardia induced by a cold thermode on the pacemaker, and c) hypothermia producing the same bradycardia as in ( b). At 36.8°C with a rate of 153 beats/min. the efficiency was 8.5% ± 0.3(S.E.), whereas with a rate of 110/min. efficiency was 9.1% ± 0.4(S.E.), a change that is statistically not significant. In hypothermia of 31.5°C with a rate of 110/min. the efficiency was 10.8% ± 0.3(S.E.), an increase that is statistically significant. Performing the same stroke work the hypothermic myocardium consumed less oxygen than the normothermic. It is concluded that the metabolic effect of cold per se is the chief factor responsible for increasing the mechanical efficiency of the hypothermic heart when pressure-volume work is kept constant.

scholarly journals Prolonged static stretching causes acute, nonmetabolic fatigue and impairs exercise tolerance during severe-intensity cycling

2020 ◽  
Vol 45 (8) ◽  
pp. 902-910
Author(s):  
Alessandro L. Colosio ◽  
Massimo Teso ◽  
Silvia Pogliaghi
Keyword(s):  
Oxygen Consumption ◽  
Exercise Tolerance ◽  
Muscle Activation ◽  
Metabolic Response ◽  
Lactate Concentration ◽  
Blood Lactate Concentration ◽  
Time To Exhaustion ◽  
Static Stretching ◽  
Perception Of Effort ◽  
Severe Intensity

We tested the hypothesis that static stretching, an acute, nonmetabolic fatiguing intervention, reduces exercise tolerance by increasing muscle activation and affecting muscle bioenergetics during cycling in the “severe” intensity domain. Ten active men (age, 24 ± 2 years; body mass, 74 ± 11 kg; height, 176 ± 8 cm) participated in identical constant-load cycling tests of equal intensity, of which 2 tests were carried out under control conditions and 2 were done after stretching. This resulted in a 5% reduction of maximal isokinetic sprinting power output. We measured (i) oxygen consumption, (ii) electromyography, (iii) deoxyhemoglobin, (iv) blood lactate concentration; (v) time to exhaustion, and (vi) perception of effort. Finally, oxygen consumption and deoxyhemoglobin kinetics were determined. Force reduction following stretching was accompanied by augmented muscle excitation at a given workload (p = 0.025) and a significant reduction in time to exhaustion (p = 0.002). The time to peak oxygen consumption was reduced by stretching (p = 0.034), suggesting an influence of the increased muscle excitation on the oxygen consumption kinetics. Moreover, stretching was associated with a mismatch between O2 delivery and utilization during the isokinetic exercise, increased perception of effort, and blood lactate concentration; these observations are all consistent with an increased contribution of the glycolytic energy system to sustain the same absolute intensity. These results suggest a link between exercise intolerance and the decreased ability to produce force. Novelty We provided the first characterization of the effects of prolonged stretching on the metabolic response during severe cycling. Stretching reduced maximal force and augmented muscle activation, which in turn increased the metabolic response to sustain exercise.

scholarly journals Optimizing Interval Training Through Power-Output Variation Within the Work Intervals

2020 ◽  
Vol 15 (7) ◽  
pp. 982-989
Author(s):  
Arthur H. Bossi ◽  
Cristian Mesquida ◽  
Louis Passfield ◽  
Bent R. Rønnestad ◽  
James G. Hopker
Keyword(s):  
Oxygen Uptake ◽  
Power Output ◽  
Perceived Exertion ◽  
Minute Ventilation ◽  
Lactate Concentration ◽  
Blood Lactate Concentration ◽  
Interval Training ◽  
Training Load ◽  
Constant Intensity ◽  
Varied Intensity

Purpose: Maximal oxygen uptake () is a key determinant of endurance performance. Therefore, devising high-intensity interval training (HIIT) that maximizes stress of the oxygen-transport and -utilization systems may be important to stimulate further adaptation in athletes. The authors compared physiological and perceptual responses elicited by work intervals matched for duration and mean power output but differing in power-output distribution. Methods: Fourteen cyclists ( 69.2 [6.6] mL·kg−1·min−1) completed 3 laboratory visits for a performance assessment and 2 HIIT sessions using either varied-intensity or constant-intensity work intervals. Results: Cyclists spent more time at during HIIT with varied-intensity work intervals (410 [207] vs 286 [162] s, P = .02), but there were no differences between sessions in heart-rate- or perceptual-based training-load metrics (all P ≥ .1). When considering individual work intervals, minute ventilation () was higher in the varied-intensity mode (F = 8.42, P = .01), but not respiratory frequency, tidal volume, blood lactate concentration [La], ratings of perceived exertion, or cadence (all F ≤ 3.50, ≥ .08). Absolute changes (Δ) between HIIT sessions were calculated per work interval, and Δ total oxygen uptake was moderately associated with (r = .36, P = .002). Conclusions: In comparison with an HIIT session with constant-intensity work intervals, well-trained cyclists sustain higher fractions of when work intervals involved power-output variations. This effect is partially mediated by an increased oxygen cost of hyperpnea and not associated with a higher [La], perceived exertion, or training-load metrics.

Age-Related Differences in Perceived Exertion While Walking and Running Near the Preferred Transition Speed

2020 ◽  
Vol 32 (4) ◽  
pp. 227-232
Author(s):  
Stacey M. Kung ◽  
Philip W. Fink ◽  
Stephen J. Legg ◽  
Ajmol Ali ◽  
Sarah P. Shultz
Keyword(s):  
Oxygen Consumption ◽  
Oxygen Uptake ◽  
Relative Intensity ◽  
Perceived Exertion ◽  
Age Groups ◽  
Peak Oxygen Uptake ◽  
Transition Speed ◽  
Age Related ◽  
All Speeds ◽  
Preferred Transition Speed

Purpose: To investigate whether youth and adults can perceive differences in exertion between walking and running at speeds near the preferred transition speed (PTS) and if there are age-related differences in these perceptions. Methods: A total of 49 youth (10–12 y, n = 21; 13–14 y, n = 10; 15–17 y, n = 18) and 13 adults (19–29 y) completed a walk-to-run transition protocol to determine PTS and peak oxygen uptake. The participants walked and ran on a treadmill at 5 speeds (PTS–0.28 m·s−1, PTS–0.14 m·s−1, PTS, PTS+0.14 m·s−1, PTS+0.28 m·s−1) and rated perceived exertion using the OMNI Perceived Exertion (OMNI-RPE) scale. Oxygen consumption was measured during the walk-to-run transition protocol to obtain the relative intensity (percentage of peak oxygen uptake) at PTS. OMNI-RPE scores at all speeds and percentage of peak oxygen uptake at PTS were compared between age groups. Results: The 10- to 12-year-olds transitioned at a higher percentage of peak oxygen uptake than adults (64.54 [10.18] vs 52.22 [11.40], respectively; P = .035). The 10- to 14-year-olds generally reported higher OMNI-RPE scores than the 15- to 17-year-olds and adults (P < .050). In addition, the 10- to 14-year-olds failed to distinguish differences in OMNI-RPE between walking and running at PTS and PTS+0.14 m·s−1. Conclusions: Children aged 10–14 years are less able to distinguish whether walking or running requires less effort at speeds near the PTS compared with adults. The inability to judge which gait mode is less demanding could hinder the ability to minimize locomotive demands.

Effects of extreme pH on the physiology of the Australian 'yabby' Cherax destructor: acute and chronic changes in haemolymph oxygen levels, oxygen consumption and metabolic levels

1995 ◽  
Vol 198 (2) ◽  
pp. 409-418 ◽  
Author(s):  
B Ellis ◽  
S Morris
Keyword(s):  
Oxygen Consumption ◽  
Oxygen Uptake ◽  
Oxygen Transport ◽  
Consumption Rate ◽  
Lactate Concentration ◽  
Acid Water ◽  
Freshwater Crayfish ◽  
Glucose Levels ◽  
Cherax Destructor ◽  
Growth And Reproduction

Respiration and metabolism of the freshwater crayfish Cherax destructor were investigated with respect to the acidification and alkalization of its environment. Crayfish were exposed for up to 504 h (21 days) to pH 4.5, pH 7.1 (control) or pH 8.0 water and oxygen consumption rate, haemolymph oxygen transport and haemolymph glucose and lactate concentrations were determined. The effect of reducing environmental [Ca2+] in acid water from 500 to 50 &micro;mol l-1 was also examined. In acid water (500 &micro;mol l-1 Ca2+), oxygen uptake by Cherax was reduced by 79 % after 504 h (21 days) compared with 'control' animals (pH 7.1, 500 &micro;mol l-1 Ca2+). Haemolymph lactate concentration (mean 0.6 mmol l-1) remained constant, indicating that anaerobiosis was not important, while glucose concentrations were regulated within the range of control values (0.32&plusmn;0.01 mmol l-1). The arterial-venous CO2 difference of Cherax haemolymph decreased after 288 h and PaO2 increased from 11.1&plusmn;0.5 mmHg to 42.4&plusmn;1.0 mmHg between 96 h and 288 h. Decreased oxygen uptake and delivery without compensatory increases in anaerobiosis or glucose levels describe a hypometabolic response to low pH. The hypometabolic response of Cherax was greater in alkaline water as shown by a 53 % reduction in O2 uptake rate compared with a 44 % reduction in acid-exposed (500 &micro;mol l-1 Ca2+) animals after 96 h. This decrease in M(dot)O2 of alkaline-exposed animals was correlated with decreased haemolymph glucose levels (from 0.32&plusmn;0.01 at 0 h to 0.06&plusmn;0.01 mmol l-1 at 96 h). Lowering the [Ca2+] of the water both increased the magnitude of the effects of acid exposure and elicited further changes in haemolymph oxygen transport. The maintenance of high haemolymph PO2 during pH stress appears to reduce the involvement of haemocyanin, since this promotes decreased a&shy;v CO2. Hypometabolism probably permits Cherax to conserve resources that might otherwise be used, however, for growth and reproduction. The implications for the fitness of the animal are discussed.

Sign in / Sign up

Export Citation Format

Share Document