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題名 | Cardiorespiratory Response of Heart Transplantation Recipients to Exercise in the Early Postoperative Period=心臟移植手術後病人初期之運動心肺功能反應 |
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作者 | 陳思遠; 藍青; 柯文哲; 周迺寬; 許榮彬; 陳益祥; 朱樹勳; 賴金鑫; | 書刊名 | 臺灣醫學會雜誌 |
卷期 | 98:3 1999.03[民88.03] |
頁次 | 頁165-170 |
分類號 | 416.262 |
關鍵詞 | 心臟移植手術; 運動; 心肺功能; Heart transplantation; Exercise testing; Oxygen uptake; Ventilatory threshold; Taiwan; Chinese; |
語文 | 英文(English) |
英文摘要 | In this study, we evaluated the cardiorespiratory function of orthotopic heart transplantation (OHT) recipients during exercise, Seventeen male OHT recipients, ranging in age from 22 to 60 years, participated in this study 47±21days after surgery. The control group consisted of 17 sedentary healthy men. Breath-by-breath measurement of cardiorespiratory function was obtained during the incremental exercise of leg cycling. At peak exercise, the oxygen (O ) uptake (16.5 ± 3.3 vs 33.9 ± 8.2 mL.Kg .min ), work rate (82 ± 19 vs 169 ± 42 watts), heart rate (HR), O pulse, and blood lactate level of the OHT recipients were significantly lower than the respective values of the control group. At the ventilatory threshold, the OHT group also showed a significantly lower O uptake (10.7±1.6 vs 18.3±5.1 mL·kg ·min ), work rate (39±12 vs 89±33 watts), HR, O pulse, ventilatory equivalent for O , and ventilatory equivalent for carbon dioxide. The OHT recipients showed a high resting HR (97 ± 7 beats/min) and a low peak HR (123 ± 14 beats/min) during exercise, and their HR continued to increase for 1 to 3 minutes after cessation of exercise. Our data revealed a low level of cardiorespiratory endurance in OHT recipients during the early postoperative stage. A multidisciplinary cardiac rehabilitation program should be considered to enhance physical functional capacity and quality of life, and promote return to work. |
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