ΉίΗ₯Ηό½Δ : Ζχ½ΊΕΝ
|
Α’ΌφΉψΘ£ - 470232 63 |
Clinical characteristics of different peripheral arterial responses during Treadmill exercise test |
Cardiovacular Medicine, Keimyung University College of Medicine, Daegu, Korea |
Yun-Kyeong Jo, Kee-Sik Kim, Hyoung-Seob Park, Hyuck-Jun Yoon, Young-Soo Lee, Dae-Woo Hyun, Seong-Wook Han, Seung-Ho Hur, Yoon-Nyun Kim, Kwon-Bae Kim |
Background: There are some study the usefulness of peripheral artery tonometry during exercise test. Nevertheless, for a variety of technical reasons, finger blood flow responses to exercise have not been well studied. The aim of this study was to know clinical characteristics of different responses during Treadmill exercise test. Method: This is prospective study a total of 176 patients(male 93(52.8%), mean age 55.2Β±10.2,) who were referred for diagnostic Treadmill exercise test. We divided two groups by amplitude ratio during exercise to baseline. The one is vasoconstrictors(ratio less than 1), the another is vasodilators(ratio more than 1) Result: See table. Conclusion: Peripheral artery tonometry during exercise may be useful for detection of peripheral endothelial dysfunction but there was no correlation between exercise induced myocardial ischemia.
|
|
Vasoconstrictos(n=83) |
Vasodilators(n=93) |
P
value |
Clinical
data
Age(year)
Men
Abginal chest
pain
Hypertension
Diabetes
Hypercholesteroleima
Smoking
Total
cholesterol(mg/dL)
LVEF(%)
BMI |
56.7Β±9.7
44(53.0%)
66(79.5%)
30(36.1%)
13(15.7%)
21(25.3%)
27(32.5%)
190.9Β±43.1
65.8Β±11.4
24.0Β±2.6 |
53.8Β±10.5
49(52.7%)
78(83.9%)
19(20.4%)
3(3.2%)
17(18.3%)
31(33.3%)
183.2Β±33.0
65.1Β±11.4
23.9Β±3.0 |
0.063
NS
NS
0.020
0.004
NS
NS
NS
NS
NS |
Medication
Statins
ACE
inhibitors
Beta
blocker
Calciun
blocker |
16(19.3%)
9(10.8%)
30(36.1%)
17(20.5%) |
6(6.5%)
8(8.6%)
28(30.1%)
17(18.3%) |
0.01
NS
NS
NS |
Resting
HR(beat/min)
SBP(mmHg)
DBP(mmHg) |
66.4Β±11.5
119.5Β±16.5
75.3Β±10.9 |
67.2Β±11.7
118.4Β±13.3
75.1Β±8.6 |
NS
NS
NS |
Exercise
HR(beat/min)
SBP(mmHg)
DBP(mmHg)
Peak
METs
Ischemic
ECG
Chest
pain |
146.6Β±23.7
174.7Β±28.5
88.7Β±18.4
7.5Β±2.1
21(25.3%)
16(19.3%) |
148.7Β±22.0
178.4Β±32.3
90.8Β±15.7
7.6Β±2.3
18(19.4%)
15(16.1%) |
NS
NS
NS
NS
NS
NS |
NS: non specific, BMI: body mass
index
|
|
|