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  • 1965-1969  (2)
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  • 1965-1969  (2)
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  • 1
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 1967
    In:  Circulation Vol. 35, No. 6 ( 1967-06), p. 1049-1062
    In: Circulation, Ovid Technologies (Wolters Kluwer Health), Vol. 35, No. 6 ( 1967-06), p. 1049-1062
    Abstract: The circulatory responses to mild and maximal upright exercise were studied in six normal subjects and 21 patients with various types of cardiac disease. It was found that the usual hemodynamic indices employed to evaluate cardiac performance during exertion were unreliable in separating patients from normal persons. In contrast, the cardiac index achieved at a pulmonary arterial (PA) O 2 saturation of 30% was found to be highly reliable and sensitive for distinguishing the normal from the abnormal response to exercise. At a level of exercise that lowers PA O 2 saturation to 30%, all normal subjects achieved a cardiac index greater than 7.0 L/minm 2 while no patient exceeded 4.8 L/min/m. 2 In addition, the maximal capacity to extract O 2 was greater in patients than in normal subjects; thus, during maximal exercise it was not unusual for patients to achieve PA O 2 saturations of 15% or less, while the lowest value achieved in normal subjects was 23%.
    Type of Medium: Online Resource
    ISSN: 0009-7322 , 1524-4539
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 1967
    detail.hit.zdb_id: 1466401-X
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  • 2
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 1966
    In:  Circulation Research Vol. 19, No. 2 ( 1966-08), p. 400-411
    In: Circulation Research, Ovid Technologies (Wolters Kluwer Health), Vol. 19, No. 2 ( 1966-08), p. 400-411
    Abstract: The control of heart rate by the autonomic nervous system was investigated in conscious human subjects by observing the effects of β-adrenergic blockade with propranolol, of parasympathetic blockade with atropine, and of combined sympathetic and parasympathetic blockade. The increase in heart rate with mild exercise in supine men was mediated predominantly by a decrease in parasympathetic activity; at higher levels of work, however, sympathetic stimulation also contributed to cardiac acceleration. When the response to 80° head-up tilt was compared with the response to exercise in the same subject supine, it appeared that the attainment of an equivalent heart rate was associated with a significantly greater degree of sympathetic activity during tilting than during exercise. Although heart rate was always higher at any given pressure during exercise than it had been at rest, the changes in heart rate that followed alterations in arterial pressure were found to be of similar magnitudes at rest and during exercise; it was therefore concluded that the sensitivity of the baroreceptor system was not altered during exercise. Investigation of the efferent pathways concerned in mediating the baroreceptor-induced changes in heart rate suggested that the relative roles of the sympathetic and parasympathetic systems were nearly equal in the resting state. During exercise, on the other hand, changes in sympathetic activity appeared to be the predominant mechanism by which speeding and slowing of the heart was achieved. It thus appears that baroreceptor-induced alterations in heart rate may be mediated by increased or decreased activity of either efferent system; the ultimate balance, however, is critically dependent on the preexisting level of background autonomic activity.
    Type of Medium: Online Resource
    ISSN: 0009-7330 , 1524-4571
    RVK:
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 1966
    detail.hit.zdb_id: 1467838-X
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