Decreased Exercise Tolerance in Stage B Heart Failure

Blood flow redistribution during exercise contributes to exercise tolerance in patients with chronic heart failure.

BACKGROUND It is widely known that blood flow redistribution is impaired in patients with chronic heart failure (CHF). However, the relationship between exercise tolerance and the degree of blood flow redistribution is not fully understood. Whole-body thallium-201 chloride ((201)Tl) scintigraphy can estimate blood flow distribution. This study will evaluate the relationship between exercise tol...

Oxygen deficit during exercise testing in heart failure. Relation to submaximal exercise tolerance.

Measurements of oxygen deficit during submaximal exercise were correlated with the anaerobic threshold (as measured by gas exchange analysis), peak work rate on a ramp protocol, and the ability to perform constant work rate exercise in 10 male patients with New York Heart Association class 2 congestive heart failure and 12 age- and gender-matched normal controls. All subjects performed a maxima...

Stage B, a pre-cursor of heart failure.

Frontiers in congestive heart failure: improvement in exercise tolerance and symptoms of congestive heart failure during treatment with candesartan cilexetil.

Background—The renin-angiotensin system plays an important part in the pathogenesis of congestive heart failure (CHF). This study evaluated the effect of an angiotensin II type 1 receptor antagonist on exercise tolerance and symptoms of CHF. Methods and Results—In this multicenter, double-blind, parallel-group study, 844 patients with CHF were randomized to 12 weeks’ treatment with placebo (n52...

Exercise in Chronic Heart Failure

Background. Exertional fatigue, which frequently limits exercise in patients with chronic heart failure, is associated with early anaerobic metabolism in skeletal muscle. The present study was designed to examine the skeletal muscle metabolic response to exercise in this disorder and determine the relation of reduced muscle blood flow and skeletal muscle biochemistry and histology to the early ...