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May 1, 2001Coronary Artery Disease

Relation between exercise capacity and left ventricular systolic versus diastolic function during exercise in patients after myocardial infarction

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Why the study?

Does left ventricular diastolic function during exercise correlate with exercise capacity in men after myocardial infarction?

Population

26 men who had previously suffered myocardial infarction, divided into two groups according to peak Vo2

Comparison

Symptom-limited exercise test with measurements… vs Patients with peak Vo2 < 16 ml/kg/min compared…

Design

Cross-sectional

Key result

Peak Vo2 was significantly correlated with left ventricular diastolic function parameters (tau, minimal LVP, minimal dP/dt, EDP) during peak exercise in 26 men with previous myocardial infarction.

Authors

TMToyohisa MiyashitaYOYoshiaki OkanoHTHiroshi Takaki

Discussion

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Member takes

Overview

Diastolic reserve may limit exercise capacity post-MI; hypothesis-generating for targeted interventions.

Study Design

Type

Observational (n=26)

Structured PICO

Does left ventricular diastolic function during exercise correlate with exercise capacity in men after myocardial infarction?

P
Population
26 men who had previously suffered myocardial infarction, divided into two groups according to peak Vo2 (>= 16 ml/kg/min, n=13; < 16 ml/kg/min, n=13)
I
Intervention
Symptom-limited exercise test with measurements for hemodynamics and oxygen uptake (Vo2)
C
Comparator
Patients with peak Vo2 < 16 ml/kg/min compared to those with peak Vo2 >= 16 ml/kg/min
O
Outcome
Hemodynamic parameters (pulmonary arterial pressure, left ventricular and systemic arterial pressure, cardiac output, dP/dt, tau) at rest and during exercise, and their correlation with peak Vo2surrogate

Left ventricular diastolic reserve during exercise is an important determinant of exercise capacity in patients with left ventricular dysfunction after myocardial infarction.

Cite This Study

Miyashita et al. (2001) conducted an observational in Left ventricular dysfunction after myocardial infarction (n=26). Peak Vo2 ≥ 16 ml/kg per min vs. Peak Vo2 < 16 ml/kg per min was evaluated on Hemodynamic parameters and oxygen uptake (Vo2) during peak exercise. Peak Vo2 was significantly correlated with left ventricular diastolic function parameters (tau, minimal LVP, minimal dP/dt, EDP) during peak exercise in 26 men with previous myocardial infarction.

synapsesocial.com/papers/6a12e2e15bb7edc7189e6c67https://doi.org/10.1097/00019501-200105000-00008
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Relationship Between Doppler-Derived Left Ventricular Diastolic Function and Exercise Capacity in Patients With Myocardial Infarction2001 · 17 citations
  2. 2Diastolic and Systolic Function as Predictors of Exercise Capacity after Myocardial Infarction in Young Men1998 · 7 citations
  3. 3The Influence of Diastolic and Systolic Function on Exercise Performance in Heart Failure due to Dilated Cardiomyopathy or Ischemic Heart Disease1999 · 23 citations
  4. 4Determinants of exercise capacity in patients with coronary artery disease and mild to moderate systolic dysfunction: Role of heart rate and diastolic filling abnormalities1996 · 34 citations
  5. 5Cardiac function and maximal exercise capacity early after acute myocardial infarction1991 · 9 citations