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慢性心力衰竭患者的心肺运动试验:与正常受试者的比较及测量的可重复性

[Cardiopulmonary exercise test in patients with chronic cardiac failure: comparison with normal subjects and reproducibility of measurements].

作者信息

Bugueño C, Jalil J, Godoy I, Martínez A, Chamorro G, Corbalán R, Rodríguez J A, Casanegra P, Valenzuela C, Almendarez C

机构信息

Pontificia Universidad Católica de Chile, Departamento de Enfermedades Cardiovasculares, Santiago de Chile.

出版信息

Rev Med Chil. 1995 May;123(5):571-9.

PMID:8525203
Abstract

The aim of this work was to measure oxygen consumption and carbon dioxide production during exercise in 21 subjects with cardiac failure and 13 normal subjects. During the resting period, subjects with cardiac failure had higher ventilatory frequency and respiratory quotient than normals. During maximal exercise, the former achieved higher ventilatory frequency and oxygen ventilatory equivalent than normals. In subjects with cardiac failure and normals, anaerobic thresholds were 14.4 +/- 0.9 and 28.8 +/- 2.2 ml/kg/min respectively and peak oxygen consumptions 17.1 +/- 1 and 34.4 +/- 1.7 ml/kg/min respectively. There were less than 10% differences in parameters when tests were repeated in 10 subjects with cardiac failure. It is concluded that gas exchange testing may be a reliable and objective assessment method in patients with cardiac failure.

摘要

这项研究的目的是测量21名心力衰竭患者和13名正常受试者运动期间的耗氧量和二氧化碳生成量。在静息期,心力衰竭患者的通气频率和呼吸商高于正常人。在最大运动时,前者的通气频率和氧通气当量高于正常人。心力衰竭患者和正常人的无氧阈值分别为14.4±0.9和28.8±2.2 ml/kg/min,峰值耗氧量分别为17.1±1和34.4±1.7 ml/kg/min。对10名心力衰竭患者重复进行测试时,各项参数的差异小于10%。得出的结论是,气体交换测试可能是心力衰竭患者一种可靠且客观的评估方法。

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