Impaired systemic oxygen extraction in treated exercise pulmonary hypertension: a new engine in an old car?

被引:6
作者
Faria-Urbina, Mariana [1 ,2 ,3 ]
Oliveira, Rudolf K. F. [1 ,2 ,3 ,4 ]
Segrera, Sergio A. [1 ,2 ,3 ]
Lawler, Laurie [1 ,2 ,3 ]
Waxman, Aaron B. [1 ,2 ,3 ]
Systrom, David M. [1 ,2 ,3 ]
机构
[1] Brigham & Womens Hosp, Dept Med, Div Pulm & Crit Care Med, 75 Francis St, Boston, MA 02115 USA
[2] Harvard Med Sch, Boston, MA USA
[3] Brigham & Womens Hosp, Heart & Vasc Ctr, 75 Francis St, Boston, MA 02115 USA
[4] Fed Univ Sao Paulo UNIFESP, Dept Med, Div Resp Dis, Sao Paulo, SP, Brazil
基金
巴西圣保罗研究基金会;
关键词
systemic oxygen extraction; pulmonary hypertension; ambrisentan; exercise; ENDOTHELIAL DYSFUNCTION; DIAGNOSIS; TOLERANCE;
D O I
10.1177/2045893218755325
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Ambrisentan in 22 patients with pulmonary hypertension diagnosed during exercise (ePH) improved pulmonary hemodynamics; however, there was only a trend toward increased maximum oxygen uptake (VO(2)max) secondary to decreased maximum exercise systemic oxygen extraction (Ca-vO(2)). We speculate that improved pulmonary hemodynamics at maximum exercise "unmasked" a pre-existing skeletal muscle abnormality.
引用
收藏
页数:4
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