Resting muscle sympathetic nerve activity, cardiac metaiodobenzylguanidine uptake, and exercise tolerance in patients with left ventricular dysfunction View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2009-01-22

AUTHORS

Masue Yoh, Fumio Yuasa, Jun Mimura, Hiroshi Yokoe, Akihiro Kawamura, Tetsuro Sugiura, Toshiji Iwasaka

ABSTRACT

BackgroundSympathetic nerve overactivity and reduced exercise tolerance are characteristic features of patients with heart failure. However, to what extent sympathetic nerve overactivity contributes to limiting exercise tolerance has not been clearly defined.MethodsMyocardial iodine 123-metaiodobenzylguanidine (MIBG) scintigraphy, muscle sympathetic nerve activity (MSNA), and cardiopulmonary exercise testing were performed within 3 days in 30 patients with left ventricular dysfunction (LVD). Cardiac sympathetic nerve activity was estimated using H/M ratio and washout rate (WR) of 123I-MIBG imaging. MSNA was recorded by microneurography.ResultsThe patients with peak VO2 < 20 mL/minute/kg (group II, n = 15) had significantly higher MSNA and WR, and lower H/M ratio than those with peak VO2 ≧ 20 mL/minute/kg (group I, n = 15) (P < .05). Peak VO2 had negative correlations with MSNA and WR (r = 0.58, 0.56), and positive correlations with early H/M ratio and delayed H/M ratio (r = 0.71, 0.75) in group II. Moreover, MSNA had negative correlations with early H/M ratio and delayed H/M ratio (r = 0.78, 0.66), and a positive correlation with WR (r = 0.79) in group II. However, similar relations were not found in group I.ConclusionsA link between cardiac and peripheral sympathetic nerve activities contributed to limiting exercise tolerance in patients with LVD patients and reduced exercise tolerance. More... »

PAGES

244-250

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URI

http://scigraph.springernature.com/pub.10.1007/s12350-008-9039-8

DOI

http://dx.doi.org/10.1007/s12350-008-9039-8

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https://app.dimensions.ai/details/publication/pub.1019309214

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19159993


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