Exercise-induced hemoconcentration in heart failure due to dilated cardiomyopathy

被引:20
作者
Agostoni, P
Wasserman, K
Guazzi, M
Cattadori, G
Palermo, P
Marenzi, G
Guazzi, MD
机构
[1] Univ Milan, Ist Cardiol, I-20138 Milan, Italy
[2] Univ Calif Los Angeles, Sch Med, Los Angeles Cty Harbor Med Ctr, Dept Med,Div Resp & Crit Care Med, Torrance, CA 90509 USA
[3] IRCCS, Ctr Cardiol, Ffn Manzino, Milan, Italy
[4] CNR, Ctr Studio Ric Cardiovasc, I-20133 Milan, Italy
关键词
D O I
10.1016/S0002-9149(98)00839-X
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Exercise-induced hemoconcetration is a useful mechanism, particularly in heart failure, because it increases oxygen content of blood, perfusing the working muscles; in 50 normal subjects and 50 patients with congestive heart failure, hemoglobin at peak exercise increased by 7 +/- 3% and 5 +/- 3%, respectively. Hemoconcentration was due to fluid flux out of the vascular bed, likely through oncotic forces related to intracellular lactate accumulation and not to red blood cell recruitment from other organs (spleen), because hemoglobin increase, as a percentage, was similar to plasma protein increase.
引用
收藏
页码:278 / +
页数:4
相关论文
共 11 条
[1]   Oxygen transport to muscle during exercise in chronic congestive heart failure secondary to idiopathic dilated cardiomyopathy [J].
Agostoni, PG ;
Wasserman, K ;
Perego, GB ;
Marenzi, GC ;
Guazzi, M ;
Assanelli, E ;
Lauri, G ;
Guazzi, MD .
AMERICAN JOURNAL OF CARDIOLOGY, 1997, 79 (08) :1120-&
[2]   OPTIMIZING THE EXERCISE PROTOCOL FOR CARDIOPULMONARY ASSESSMENT [J].
BUCHFUHRER, MJ ;
HANSEN, JE ;
ROBINSON, TE ;
SUE, DY ;
WASSERMAN, K ;
WHIPP, BJ .
JOURNAL OF APPLIED PHYSIOLOGY, 1983, 55 (05) :1558-1564
[3]   PLASMA-VOLUME, OSMOLALITY, VASOPRESSIN, AND RENIN-ACTIVITY DURING GRADED-EXERCISE IN MAN [J].
CONVERTINO, VA ;
KEIL, LC ;
BERNAUER, EM ;
GREENLEAF, JE .
JOURNAL OF APPLIED PHYSIOLOGY, 1981, 50 (01) :123-128
[4]   EFFECTS OF THERMAL-STRESS AND EXERCISE ON BLOOD-VOLUME IN HUMANS [J].
HARRISON, MH .
PHYSIOLOGICAL REVIEWS, 1985, 65 (01) :149-209
[5]   ROLE OF DECREASED PLASMA-VOLUME IN HEMATOCRIT ALTERATIONS DURING INCREMENTAL TREADMILL EXERCISE IN HORSES [J].
MCKEEVER, KH ;
HINCHCLIFF, KW ;
REED, SM ;
ROBERTSON, JT .
AMERICAN JOURNAL OF PHYSIOLOGY, 1993, 265 (02) :R404-R408
[6]   OPTIMIZING THE EXERCISE TEST FOR PHARMACOLOGICAL INVESTIGATIONS [J].
MYERS, J ;
FROELICHER, VF .
CIRCULATION, 1990, 82 (05) :1839-1846
[7]   THE EFFECT OF EXERCISE ON NORMAL SPLENIC VOLUME MEASURED WITH SPECT [J].
OTTO, AC ;
DUTOIT, DJR ;
PRETORIUS, PH ;
LOTTER, MG ;
VANASWEGEN, A .
CLINICAL NUCLEAR MEDICINE, 1995, 20 (10) :884-887
[8]   Contribution of PO2, P-50, and Hb to changes in arteriovenous O-2 content during exercise in heart failure [J].
Perego, GB ;
Marenzi, GC ;
Guazzi, M ;
Sganzerla, P ;
Assanelli, E ;
Palermo, P ;
Conconi, B ;
Lauri, G ;
Agostoni, PG .
JOURNAL OF APPLIED PHYSIOLOGY, 1996, 80 (02) :623-631
[9]   CHANGES IN BLOOD-PLASMA DURING PROGRESSIVE TREADMILL AND CYCLE EXERCISE [J].
SENAY, LC ;
ROGERS, G ;
JOOSTE, P .
JOURNAL OF APPLIED PHYSIOLOGY, 1980, 49 (01) :59-65
[10]   RED-CELL VOLUME WITH CHANGES IN PLASMA OSMOLARITY DURING MAXIMAL EXERCISE [J].
VANBEAUM.W .
JOURNAL OF APPLIED PHYSIOLOGY, 1973, 35 (01) :47-50