Assuntos
Teste de Esforço , Adolescente , Criança , Humanos , Brasil , Teste de Esforço/normas , Teste de Esforço/métodosAssuntos
Fumantes , Fumar , Sistema Nervoso Autônomo , Exercício Físico , Humanos , Sono , Fumar/efeitos adversosRESUMO
OBJECTIVE: To assess the influence of skeletal muscle mass on ventilatory and hemodynamic variables during exercise in patients with chronic heart failure (CHF). METHODS: Twenty-five male patients underwent maximum cardiopulmonary exercise testing on a treadmill with a ramp protocol and measurement of the skeletal muscle mass of their thighs by using magnetic resonance imaging. The clinically stable, noncachectic patients were assessed and compared with 14 healthy individuals (S) paired by age and body mass index, who underwent the same examinations. RESULTS: Similar values of skeletal muscle mass were found in both groups (CHF group: 3863 874 g; S group: 3743 540 g; p = 0.32). Significant correlations of oxygen consumption in the anaerobic threshold (CHF: r = 0.39; P= 0.02 and S: r = 0.14; P = 0.31) and of oxygen pulse also in the anaerobic threshold (CHF: r = 0.49; P = 0.01 and S: r =0.12; P = 0.36) were found only in the group of patients with chronic heart failure. CONCLUSION: The results obtained indicate that skeletal muscle mass may influence the capacity of patients with CHF to withstand submaximal effort, due to limitations in their physical condition, even maintaining a value similar to that of healthy individuals. This suggests qualitative changes in the musculature.
Assuntos
Baixo Débito Cardíaco/fisiopatologia , Exercício Físico/fisiologia , Músculo Esquelético/fisiologia , Ventilação Pulmonar/fisiologia , Limiar Anaeróbio/fisiologia , Índice de Massa Corporal , Hemodinâmica , Humanos , Modelos Lineares , Espectroscopia de Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Músculo Esquelético/fisiopatologiaAssuntos
Humanos , Fumar/efeitos adversos , Fumantes , Sono , Sistema Nervoso Autônomo , Exercício FísicoAssuntos
Serviços Médicos de Emergência/métodos , Infarto do Miocárdio/terapia , Biomarcadores/sangue , Brasil , Cardiologia , Eletrocardiografia , Humanos , Infarto do Miocárdio/sangue , Infarto do Miocárdio/diagnóstico , Infarto do Miocárdio/prevenção & controle , Medição de Risco , Fatores de Risco , Prevenção Secundária , Sociedades Médicas , Terapia Trombolítica/métodosAssuntos
Doenças Cardiovasculares/prevenção & controle , Morte Súbita , Exercício Físico/fisiologia , Esportes/fisiologia , Adolescente , Adulto , Atletas , Brasil , Cardiologia/normas , Criança , Morte Súbita/etiologia , Morte Súbita/prevenção & controle , Pessoas com Deficiência , Medicina Baseada em Evidências , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Sociedades Médicas , Medicina Esportiva/normas , Adulto JovemRESUMO
Dados clínicos: criança de 12 anos, sexo feminino, peso de 40Kg, altura de 150cm, assintomática, foi encaminhada ao Serviço de Ergometria para a realização de teste ergometrico, objetivando acompanhamento clínico. Eletrocardiograma: O traçado eletrocardiográfico em repouso, com a...
Assuntos
Humanos , Feminino , Criança , Teste de Esforço/métodos , EletrocardiografiaRESUMO
OBJECTIVE: To assess the influence of skeletal muscle mass on ventilatory and hemodynamic variables during exercise in patients with chronic heart failure (CHF). METHODS: Twenty-five male patients underwent maximum cardiopulmonary exercise testing on a treadmill with a ramp protocol and measurement of the skeletal muscle mass of their thighs by using magnetic resonance imaging. The clinically stable, noncachectic patients were assessed and compared with 14 healthy individuals (S) paired by age and body mass index, who underwent the same examinations. RESULTS: Similar values of skeletal muscle mass were found in both groups (CHF group: 3863 ± 874 g; S group: 3743 ± 540 g; p = 0.32). Significant correlations of oxygen consumption in the anaerobic threshold (CHF: r = 0.39; P= 0.02 and S: r = 0.14; P = 0.31) and of oxygen pulse also in the anaerobic threshold (CHF: r = 0.49; P = 0.01 and S: r =0.12; P = 0.36) were found only in the group of patients with chronic heart failure. CONCLUSION: The results obtained indicate that skeletal muscle mass may influence the capacity of patients with CHF to withstand submaximal effort, due to limitations in their physical condition, even maintaining a value similar to that of healthy individuals. This suggests qualitative changes in the musculature