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冠状动脉疾病中的1分钟和3分钟运动反应

One- and three-minute exercise response in coronary artery disease.

作者信息

Auchincloss J H, Gilbert R, Kuppinger M, Peppi D, Teperow-Putter K

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1979 Jun;46(6):1132-7. doi: 10.1152/jappl.1979.46.6.1132.

DOI:10.1152/jappl.1979.46.6.1132
PMID:468637
Abstract

Treadmill exercise responses of oxygen uptake (VO2), CO2 production (VCO2), and venoarterial CO2 difference (Cv-Ca), measured by CO2 rebreathing (Defares technique) at 1 and 3 min of exercise, were studied in two separate series of control (apparently healthy) and coronary artery disease (CAD) subjects. In the 1-min series there were 21 controls and 15 CAD subjects. In the 3-min series there were 21 controls and 18 CAD subjects. All were males, ages 30--60 yr, and the CAD subjects had histories of myocardial infarction. In both series VO2 at 1 min and power requirement (P ) = 1,000 (VO2-1-1,000) was estimated where P =weight (kg) X grade (fractional) X walking speed (m/min). In the 1-min series (P = 1,000) all measurements were made at 45--60 s in separate test runs. In the 3-min series P was 750 kg.m/min, VCO2 and VO2 were measured at 2.5--3 min exercise, and Cv-Ca was measured at 3--3.25 min in the same test run. Data indicate that the average cardiac output (Q) for control subjects was 15 l/min in both series with lower values for CAD subjects. At 1 min reduced Q was accompanied by reduced VO2 or VCO2 and increased Cv-Ca, whereas at 3 min reduced Q was accompanied by increased Cv-Ca.

摘要

在两个独立的对照组(貌似健康者)和冠状动脉疾病(CAD)受试者系列中,研究了通过二氧化碳再呼吸法(德法雷斯技术)在运动1分钟和3分钟时测量的跑步机运动时的摄氧量(VO2)、二氧化碳产生量(VCO2)和静脉动脉二氧化碳分压差(Cv-Ca)。在1分钟系列中有21名对照组受试者和15名CAD受试者。在3分钟系列中有21名对照组受试者和18名CAD受试者。所有受试者均为男性,年龄在30至60岁之间,CAD受试者有心肌梗死病史。在两个系列中,均根据公式P =体重(kg)×坡度(分数)×步行速度(m/min)估算1分钟时的VO2和功率需求(P)= 1,000(VO2 - 1 - 1,000)。在1分钟系列中(P = 1,000),所有测量均在单独的测试运行中于45至60秒时进行。在3分钟系列中,P为750 kg·m/min,在运动2.5至3分钟时测量VCO2和VO2,并在同一次测试运行中的3至3.25分钟时测量Cv-Ca。数据表明,在两个系列中,对照组受试者的平均心输出量(Q)均为15 l/min,CAD受试者的值较低。在1分钟时,Q降低伴随着VO2或VCO2降低以及Cv-Ca升高,而在3分钟时,Q降低伴随着Cv-Ca升高。

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引用本文的文献

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Reproducibility of the exponential rise technique of CO(2) rebreathing for measuring P(v)CO(2) and C(v)CO(2 )to non-invasively estimate cardiac output during incremental, maximal treadmill exercise.在递增式最大跑步机运动期间,用于测量混合静脉血二氧化碳分压(P(v)CO(2))和混合静脉血二氧化碳含量(C(v)CO(2))以无创估计心输出量的二氧化碳重呼吸指数上升技术的可重复性。
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