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Exercise tolerance in mitral stenosis and chronic obstructive pulmonary disease. Evaluation by anaerobic threshold and radionuclide ventriculography

Abstract

Serial radionuclide ventriculography was performed using a newly developed ''real-time'' system, and left ventricular ejection fraction (LVEF), right ventricular ejection fraction (RVEF), stroke volume (SV), and cardiac output (CO) were measured during graded supine exercise in five patients with mitral stenosis (MS), in five patients with chronic obstructive pulmonary disease (COPD) and in five healthy subjects. Simultaneous pulmonary gas exchange analysis permitted determining the anaerobic threshold, which is the point during incremental exercise when lactate begins to accumulate in the blood. LVEF at the anaerobic threshold was not significantly changed in any patient groups and in healthy subjects, but RVEF at the anaerobic threshold was lower in COPD and MS patients as compared with healthy subjects. In MS, SV during exercise was reduced at the anaerobic threshold, but not in COPD or in healthy subjects. In conclusion, reduced working capacity is related to decreased RVEF in both COPD and MS, but the inhibited increase in CO during exercise is also important for the working capacity in MS.
Publication Date:
Jun 01, 1986
Product Type:
Journal Article
Reference Number:
AIX-18-082647; EDB-87-150582
Resource Relation:
Journal Name: J. Cardiogr.; (Japan); Journal Volume: 16:2
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; HEART; RADIOCARDIOGRAPHY; TECHNETIUM 99; ANAEROBIC CONDITIONS; BIOLOGICAL FUNCTIONS; BLOOD CIRCULATION; BREATH; CARDIOVASCULAR DISEASES; EXERCISE; LACTATES; METABOLISM; PATIENTS; RESPIRATION; RESPIRATORY SYSTEM DISEASES; BETA DECAY RADIOISOTOPES; BETA-MINUS DECAY RADIOISOTOPES; BODY; CARBOXYLIC ACID SALTS; CARDIOGRAPHY; CARDIOVASCULAR SYSTEM; DIAGNOSTIC TECHNIQUES; DISEASES; FUNCTIONS; HOURS LIVING RADIOISOTOPES; INTERMEDIATE MASS NUCLEI; ISOMERIC TRANSITION ISOTOPES; ISOTOPES; NUCLEI; ODD-EVEN NUCLEI; ORGANS; RADIOISOTOPES; TECHNETIUM ISOTOPES; YEARS LIVING RADIOISOTOPES; 550601* - Medicine- Unsealed Radionuclides in Diagnostics
OSTI ID:
6214917
Research Organizations:
Tsu Seikyo Hospital, Mie, Japan
Country of Origin:
Japan
Language:
Japanese
Other Identifying Numbers:
Journal ID: CODEN: JOCAD
Submitting Site:
INIS
Size:
Pages: 301-308
Announcement Date:
Oct 01, 1987

Citation Formats

Uenami, Atsushi, Mizuno, Toshikazu, Chiba, Hiroshi, Ohno, Masanori, Wakino, Kouichi, Sawada, Yoshihiro, Ohno, Joichi, and Kume, Kiyoshi. Exercise tolerance in mitral stenosis and chronic obstructive pulmonary disease. Evaluation by anaerobic threshold and radionuclide ventriculography. Japan: N. p., 1986. Web.
Uenami, Atsushi, Mizuno, Toshikazu, Chiba, Hiroshi, Ohno, Masanori, Wakino, Kouichi, Sawada, Yoshihiro, Ohno, Joichi, & Kume, Kiyoshi. Exercise tolerance in mitral stenosis and chronic obstructive pulmonary disease. Evaluation by anaerobic threshold and radionuclide ventriculography. Japan.
Uenami, Atsushi, Mizuno, Toshikazu, Chiba, Hiroshi, Ohno, Masanori, Wakino, Kouichi, Sawada, Yoshihiro, Ohno, Joichi, and Kume, Kiyoshi. 1986. "Exercise tolerance in mitral stenosis and chronic obstructive pulmonary disease. Evaluation by anaerobic threshold and radionuclide ventriculography." Japan.
@misc{etde_6214917,
title = {Exercise tolerance in mitral stenosis and chronic obstructive pulmonary disease. Evaluation by anaerobic threshold and radionuclide ventriculography}
author = {Uenami, Atsushi, Mizuno, Toshikazu, Chiba, Hiroshi, Ohno, Masanori, Wakino, Kouichi, Sawada, Yoshihiro, Ohno, Joichi, and Kume, Kiyoshi}
abstractNote = {Serial radionuclide ventriculography was performed using a newly developed ''real-time'' system, and left ventricular ejection fraction (LVEF), right ventricular ejection fraction (RVEF), stroke volume (SV), and cardiac output (CO) were measured during graded supine exercise in five patients with mitral stenosis (MS), in five patients with chronic obstructive pulmonary disease (COPD) and in five healthy subjects. Simultaneous pulmonary gas exchange analysis permitted determining the anaerobic threshold, which is the point during incremental exercise when lactate begins to accumulate in the blood. LVEF at the anaerobic threshold was not significantly changed in any patient groups and in healthy subjects, but RVEF at the anaerobic threshold was lower in COPD and MS patients as compared with healthy subjects. In MS, SV during exercise was reduced at the anaerobic threshold, but not in COPD or in healthy subjects. In conclusion, reduced working capacity is related to decreased RVEF in both COPD and MS, but the inhibited increase in CO during exercise is also important for the working capacity in MS.}
journal = []
volume = {16:2}
journal type = {AC}
place = {Japan}
year = {1986}
month = {Jun}
}