Haemodynamic reaction to exercise and increased afterload in the detection of right heart failure in pulmonary diseases
Language English Country Czech Republic Media print
Document type Journal Article
PubMed
7449397
Knihovny.cz E-resources
- MeSH
- Angiotensin II MeSH
- Vascular Resistance MeSH
- Adult MeSH
- Hemodynamics * MeSH
- Blood Pressure MeSH
- Middle Aged MeSH
- Humans MeSH
- Cardiac Output MeSH
- Lung Diseases, Obstructive complications MeSH
- Heart Rate MeSH
- Heart Failure diagnosis etiology MeSH
- Physical Exertion * MeSH
- Stroke Volume MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Publication type
- Journal Article MeSH
- Names of Substances
- Angiotensin II MeSH
The effect of steady-state exercise and of increased afterload by angiotensin infusion on the right ventricular function was examined in 21 patients with chronic obstructive lung disease (COLD). 15 of them were always free from cardiac failure and 6 of them have had clinical signs of failure at the time of examination. Despite significant differences in various parameters between compensated (C) and decompensated (D) subjects, only the right ventricular filling pressure during both experimental procedures was able to differentiate the majority of individual C and D patients. The authors discuss the mechanisms of haemodynamic response to both stress tests and their significance for clinical evaluation of patients with COLD and for research into right ventricular contractility.