Exercise testing in the evaluation of the patient with chronic cardiac failure.

A single progressive upright treadmill or upright bicycle exercise test may be used to safely evaluate the functional aerobic capacity of patients with chronic cardiac failure of varying severity and origin. The non-invasive monitoring or respiratory gas exchange and the determination of VO2 max and the anaerobic threshold may be used to objectively grade the severity of chronic cardiac failure and the heart's pumping reserve. The serial monitoring of these indices of exercise performance should prove useful in following the natural history of cardiac disease and in assessing the response to various therapeutic interventions.

[1]  J. Wilson,et al.  Circulatory improvement after hydralazine or isosorbide dinitrate administration in patients with heart failure. Effect on metabolic responses to submaximal exercise. , 1981, The American journal of medicine.

[2]  A. Fishman,et al.  Amrinone and exercise performance in patients with chronic heart failure. , 1981, The American journal of cardiology.

[3]  N. Reichek,et al.  Long-term vasodilator therapy with trimazosin in chronic cardiac failure. , 1980, The New England journal of medicine.

[4]  A. Fishman,et al.  Oxygen Utilization and Ventilation During Exercise in Patients with Chronic Cardiac Failure , 1982, Circulation.

[5]  W L Beaver,et al.  Anaerobic threshold and respiratory gas exchange during exercise. , 1973, Journal of applied physiology.

[6]  J. Ross,et al.  Left Ventricular Performance During Muscular Exercise in Patients with and without Cardiac Dysfunction , 1966, Circulation.

[7]  P. Åstrand Quantification of exercise capability and evaluation of physical capacity in man. , 1976, Progress in cardiovascular diseases.

[8]  L. Rowell,et al.  Hepatic clearance of indocyanine green in man under thermal and exercise stresses. , 1965, Journal of applied physiology.

[9]  N. Jones Clinical Exercise Testing , 1982 .

[10]  R. Zelis,et al.  Alterations in vasomotor tone in congestive heart failure. , 1982, Progress in cardiovascular diseases.

[11]  E. Braunwald,et al.  Characterization of the Circulatory Response to Maximal Upright Exercise in Normal Subjects and Patients with Heart Disease , 1967, Circulation.

[12]  J. Mitchell,et al.  Maximal oxygen uptake. , 1971, The New England journal of medicine.

[13]  K. Donald,et al.  A study of minute to minute changes of arterio-venous oxygen content difference, oxygen uptake and cardiac output and rate of achievement of a steady state during exercise in rheumatic heart disease. , 1954, The Journal of clinical investigation.