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Netherlands Heart Journal
Gepubliceerd in:

01-03-2010 | Original article

Effects of altitude on exercise level and heart rate in patients with coronary artery disease and healthy controls

Auteurs: S. T. de Vries, G. C. van Enst, A. Breeman, A. W. J. van ’t Hof

Gepubliceerd in: Netherlands Heart Journal | Uitgave 3/2010

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Extract

Few studies exist on the effects of exposure to high altitudes in patients with a history of myocardial infarction, especially altitudes above 3500 m. Patients with stable ischaemic left ventricular dysfunction showed good tolerance while walking at an altitude of 2970 m.1-4 A group of low-risk patients were sent up the Jungfrau in Switzerland, six months after revascularisation for an acute coronary event. Submaximal exercise at an altitude of 3454 m turned out to be safe.5 However, in that study the patient group was not compared with a healthy control group. …
vorige artikel Evaluation of hypertrophic cardiomyopathy: new horizons for CMR?
volgende artikel Predictors of ventricular tachyarrhythmia in high-risk myocardial infarction patients treated with primary coronary intervention
Literatuur
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Erdman J, Sun KT, Masar P, Niederhauser H. Effects of exposure to altitude on men with coronary artery disease and impaired left ventricular function. Am J Cardiol. 1998;81:266-70.
Agostini P, Catadori G, Guazzi M, Busotti M, Conca C, Lomanto M, et al. Effects of simulated altitude-induced hypoxia on exercise capacity in patients with chronic heart failure. Am J Med. 2000;109:450-5.
Wyss CA, Koepfli P, Fretz G, Seebauer M, Schirlo C, Kaufmann PA. Influence of altitude exposure on coronary flow reserve. Circulation. 2003;108:1202-7.
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Wagner PD. Reduced maximal cardiac output at altitude-mechanisms and significance. Respir Physiol Neurobiol. 2000;120:1-11.
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De Luca G, Suryapranata H, van ’t Hof AWJ, de Boer MJ, Hoorntje JCA, Dambrink JHE, et al. Prognostic assessment of patients with acute myocardial infarction treated with primary angioplasty. Circulation. 2004; 109:2737-43.
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Hartley LH, Vogel JA, Cruz JC. Reduction of maximal exercise heart rate at altitude and its reversal with atropine. J Appl Physiol. 1974;36:362-5.
Bhaumik G, Dass D, Lame H, Chauchan SK. Maximum exercise responses of men and women mountaineering trainees on induction to high altitude (4350 m) by trekking. Wilderness Environ Med. 2008;19:151-6.
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Boushel R, Calbet JA, Radegran G, Sondergaard H, Wagner PD, Saltin B. Parasympathetic neural activity accounts for the lowering of exercise heart rate at high altitude. Circulation. 2001;104:1785-97.
Schoene RB. Limits of human lung function at high altitude. J Exp Biol. 2001;173:409-17.
Forte VA Jr, Leith DE, Muza SR, Fulco CS, Cymerman A. Ventilatory capacities at sea level and high altitude. Aviat Space Environ Med. 1997;68:488-93.
Calbet JA, Radegran G, Boushel R, Sondergaard H, Saltin B, Wagner PD. Effect of blood haemoglobin concentration on VO2 max and cardiovascular function in lowlanders acclimatised to 5260 m. J Physiol. 2002;545:715-28.
Lundby L, Araoz M, van Hall G. Peak heart rate decreases with increasing severity of acute hypoxia. High Alt Med Biol. 2001;2:369-76.
Metagegevens
Titel
Effects of altitude on exercise level and heart rate in patients with coronary artery disease and healthy controls
Auteurs
S. T. de Vries
G. C. van Enst
A. Breeman
A. W. J. van ’t Hof
Publicatiedatum
01-03-2010
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 3/2010
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/BF03091749

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