Metabolic cost of unloading pedalling in different groups of patients with pulmonary hypertension and volunteers
Autor: | Till Ittermann, Sabine Kaczmarek, Anne Obst, Raik Könemann, Martin Bahls, Marcus Dörr, Beate Stubbe, Alexander Heine, Dirk Habedank, Ralf Ewert |
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Jazyk: | angličtina |
Rok vydání: | 2024 |
Předmět: | |
Zdroj: | Scientific Reports, Vol 14, Iss 1, Pp 1-9 (2024) |
Druh dokumentu: | article |
ISSN: | 2045-2322 42329744 |
DOI: | 10.1038/s41598-024-55980-z |
Popis: | Abstract Recently, the parameter internal work (IW) has been introduced as change in oxygen uptake (VO2) between resting and unloading workload in cardiopulmonary exercise testing (CPET). The proportional IW (PIW) was defined as IW divided by VO2 at peak exercise. A second option is to calculate the PIW based on the workload [PIW (Watt)] by considering the aerobic efficiency. The aim of our study was to investigate whether IW and PIW differ between patients with and without pulmonary hypertension and healthy controls. Our study population consisted of 580 patients and 354 healthy controls derived from the Study of Health in Pomerania. The PIW was slightly lower in patients (14.2%) than in healthy controls (14.9%; p = 0.030), but the PIW (Watt) was higher in patients (18.0%) than in the healthy controls (15.9%; p = 0.001). Such a difference was also observed, when considering only the submaximal workload up to the VAT (19.8% in patients and 15.1% in healthy controls; p |
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