Using the oxygen-cost diagram in ramp-slope selection for dyspneic patients.
نویسندگان
چکیده
BACKGROUND Maximal incremental exercise testing should be completed within 8-12 minutes. The ramp-slope influences the exercise duration. Oxygen-cost diagram (OCD) is a scoring scale for the capability of daily activity performed and therefore can be used to estimate the ramp-slope. METHODS The OCD-algorithm and the reported-algorithm were used prospectively in random order for selecting optimal ramp-slope: Ramp-slope(OCD)=Score(OCD)xweight in kg/40 for men and weight/50 for women and Ramp-slope(reported)=(Predicted V(O2peak)-V(O2unloaded))/100. Fifty-three dyspneic patients and 16 normal controls were enrolled to perform a ramp-pattern exercise. Fourteen patients not reaching maximum exercise levels were excluded. The exercise capacity, exercise time, and success rate of loaded exercise between 8 and 12 minutes were measured. RESULTS Comparing the reported-algorithm to the OCD-algorithm in normal controls, the only difference was that the ramp-slope was higher in males; in patients, the ramp-slope was higher in males, the exercise time shorter and the success rate lower (8.6+/-3.3 vs. 9.4+/-2.1 min, 61.5% vs. 84.6%, both p<0.05); in obese patients, the ramp-slope was lower and the exercise time longer. CONCLUSION OCD score can predict the ramp-slope selection for exercise testing in normal controls and dyspneic patients. This may be affected by gender and body weight when using the reported-algorithm for dyspneic patients.
منابع مشابه
Back analysis of inter-ramp slope failure in Teghout copper mine
Slope stability is one of the most important issues in open pit mining design. The main purpose of any open pit mine design is to propose an optimal excavation configuration, considering safety, ore recovery and financial return. An accurate pit slope design which accounts for the mine geology, structural geology, rock mass properties, and hydrogeology models of the mine area, drastically enhan...
متن کاملComparison of the ramp versus standard exercise protocols.
To compare the hemodynamic and gas exchange responses of ramp treadmill and cycle ergometer tests with standard exercise protocols used clinically, 10 patients with chronic heart failure, 10 with coronary artery disease who were asymptomatic during exercise, 11 with coronary artery disease who were limited by angina during exercise and 10 age-matched normal subjects performed maximal exercise u...
متن کاملOxygen uptake kinetics during incremental- and decremental-ramp cycle ergometry.
The pulmonary oxygen uptake (VO2) response to incremental-ramp cycle ergometry typically demonstrates lagged-linear first-order kinetics with a slope of ~10-11 ml·min(-1)·W(-1), both above and below the lactate threshold (θL), i.e. there is no discernible VO2 slow component (or "excess" VO2) above θL. We were interested in determining whether a reverse ramp profile would yield the same response...
متن کاملVery Early Lactate Threshold in Healthy Young Men as Related to Oxygen Uptake Kinetics
We assessed the correspondence between the V-slope ventilatory threshold (VT) and the lactate threshold (LT) by using a distinctive slow submaximal ramp protocol to ensure that sufficient data points exist around the threshold. Twenty healthy young men participated. A submaximal test based on a prior maximal test (25 watt/min, medium ramp) was performed with an individual slow-ramp protocol (6-...
متن کاملIncreasing the accuracy of the classification of diabetic patients in terms of functional limitation using linear and nonlinear combinations of biomarkers: Ramp AUC method
The Area under the ROC Curve (AUC) is a common index for evaluating the ability of the biomarkers for classification. In practice, a single biomarker has limited classification ability, so to improve the classification performance, we are interested in combining biomarkers linearly and nonlinearly. In this study, while introducing various types of loss functions, the Ramp AUC method and some of...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Internal medicine
دوره 49 14 شماره
صفحات -
تاریخ انتشار 2010