Non-invasively measured central and peripheral factors of oxygen uptake differ between patients with chronic heart failure and healthy controls.


Journal

BMC cardiovascular disorders
ISSN: 1471-2261
Titre abrégé: BMC Cardiovasc Disord
Pays: England
ID NLM: 100968539

Informations de publication

Date de publication:
18 08 2020
Historique:
received: 06 05 2020
accepted: 09 08 2020
entrez: 20 8 2020
pubmed: 20 8 2020
medline: 12 1 2021
Statut: epublish

Résumé

Maximum oxygen uptake is an established measurement of diagnosing chronic heart failure and underlies various central and peripheral factors. However, central and peripheral factors are little investigated, because they are usually measured invasively. The aim of this study was to compare non-invasively measured central and peripheral factors of oxygen uptake between patients with chronic heart failure and healthy controls. Ten male patients with heart failure with reduced ejection fraction (62 ± 4 years; body mass index: 27.7 ± 1.8 kg/m Patients had a likely to most likely lower oxygen uptake, mean arterial pressure, and heart rate at maximum load as well as very likely lower isometric peak torque. Contrary, patients had a possibly to likely higher stroke volume and muscle oxygen saturation of the vastus lateralis muscle at maximum load. Differences in cardiac output, cardiac power output, and muscle oxygen saturation of the biceps brachii muscle at maximum load were unclear. Non-invasively measured central and peripheral factors of oxygen uptake differ between patients with chronic heart failure and healthy controls. Therefore, it is promising to measure both types of factors in patients with chronic heart failure to optimize the diagnosis and therapy.

Sections du résumé

BACKGROUND
Maximum oxygen uptake is an established measurement of diagnosing chronic heart failure and underlies various central and peripheral factors. However, central and peripheral factors are little investigated, because they are usually measured invasively. The aim of this study was to compare non-invasively measured central and peripheral factors of oxygen uptake between patients with chronic heart failure and healthy controls.
METHODS
Ten male patients with heart failure with reduced ejection fraction (62 ± 4 years; body mass index: 27.7 ± 1.8 kg/m
RESULTS
Patients had a likely to most likely lower oxygen uptake, mean arterial pressure, and heart rate at maximum load as well as very likely lower isometric peak torque. Contrary, patients had a possibly to likely higher stroke volume and muscle oxygen saturation of the vastus lateralis muscle at maximum load. Differences in cardiac output, cardiac power output, and muscle oxygen saturation of the biceps brachii muscle at maximum load were unclear.
CONCLUSIONS
Non-invasively measured central and peripheral factors of oxygen uptake differ between patients with chronic heart failure and healthy controls. Therefore, it is promising to measure both types of factors in patients with chronic heart failure to optimize the diagnosis and therapy.

Identifiants

pubmed: 32811426
doi: 10.1186/s12872-020-01661-4
pii: 10.1186/s12872-020-01661-4
pmc: PMC7437074
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

378

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Auteurs

Joana Brochhagen (J)

Institute of Movement and Training Science I, University of Leipzig, Jahnallee 59, 04109, Leipzig, Germany. joana.brochhagen@uni-leipzig.de.
Department of Movement and Training Science, University of Wuppertal, Fuhlrottstraße 10, 42119, Wuppertal, Germany. joana.brochhagen@uni-leipzig.de.

Michael Thomas Coll Barroso (MT)

HELIOS Klinikum Wuppertal, University of Witten/Herdecke, Heusnerstraße 40, 42283, Wuppertal, Germany.

Christian Baumgart (C)

Department of Movement and Training Science, University of Wuppertal, Fuhlrottstraße 10, 42119, Wuppertal, Germany.

Jürgen Freiwald (J)

Department of Movement and Training Science, University of Wuppertal, Fuhlrottstraße 10, 42119, Wuppertal, Germany.

Matthias Wilhelm Hoppe (MW)

Institute of Movement and Training Science I, University of Leipzig, Jahnallee 59, 04109, Leipzig, Germany.

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