The effect of hypoxia on exercise tolerance in individuals after acute coronary syndrome treated with angioplasty combined with coronary stent implantation – pilot studies
Journal Title: Family Medicine & Primary Care Review - Year 2019, Vol 21, Issue 2
Abstract
Background. Currently, there is little documented research evaluating the effect of a high-mountain environment on patients with ischemic heart disease. Objectives. The main aim of the study was to assess the effect of normobaric hypoxia on exercise tolerance in patients diagnosed with stable coronary disease. Material and methods. 22 men aged 37 to 72 (55.68 ± 9.86 years of age) with coronary disease were qualified. In the pre-study, in a normobaric normoxia environment, each patient underwent: resting ECG, spiroergometric test using a treadmill, laboratory tests (gasometry, lactic acid concentration). The patients stayed in the cabinet for 3 hours at the: 1) normoxia, 2) hypoxia (2000 m a.s.l), 3) hypoxia (3000 m a.s.l.) levels. After the 3-hour period, patients underwent a spiroergometric exercise tolerance test combined with a blood lactic acid concentration test. Venous blood and capillary blood were drawn for gasometry testing purposes. Results. Under 2000 and 3000 m hypoxia noted a significantly shorter duration of the exercise test, distance travelled and MET values. An increase in resting blood pH and a decrease of resting and peak pCO2 and pO2 were observed. Conclusions. As a result of a 3-hour exposure to normobaric hypoxia, the exercise tolerance of patients after acute coronary syndrome treated with angioplasty combined with coronary stent implantation decreases. There is no clear information for patients as to whether high mountain conditions are safe for them. The presented research was a form of introduction to wider and more thorough experiments that can result in practical information for patients.
Authors and Affiliations
Agata Nowak, Cezary Kucio, Zbigniew Nowak, Thomas Küpper
Keywords
Related Articles
- EP ID EP592269
- DOI -
- Views 67
- Downloads 0
High prevalence of vitamin D deficiency and its association with metabolic disorders in elderly patients
Background. Vitamin D is considered to be an important co-factor of metabolic processes. However, the available data is ambiguous. Some data indicates an important role of vitamin D in adipocyte metabolism, and hence als...
Metylofenidat (Medikinet) w leczeniu zespołu ADHD – opinie lekarzy na podstawie badania metodą delficką
Wstęp. Wśród lekarzy POZ istnieje ograniczona wiedza na temat leczenia farmakologicznego zespołu AD HD, chociaż często w ich gabinecie odbywa się wstępna diagnostyka i poradnictwo w zakresie leczenia. Medikinet (metylofe...
Zakażenia dróg oddechowych w praktyce lekarza rodzinnego – zgłaszane objawy, stosowane leczenie – obserwacja dwuletnia
Wstęp. Etiologia zakażeń górnych dróg oddechowych jest różnorodna. W zakażeniach górnych dróg oddechowych decyzja o antybiotykoterapii jest najczęściej podejmowana na podstawie wywiadu i objawów klinicznych. Wiedza na te...
Stosowanie szczepionek zalecanych i obowiązkowych przeciw tężcowi, błonicy i krztuścowi u dzieci w wybranej poradni podstawowej opieki medycznej
Wstęp. szczepienia przeciw tężcowi, błonicy i krztuścowi zostały wprowadzone do polskiego Programu szczepień Ochronnych (PsO) w 1960 r. Cel pracy. Określenie, jak często szczepionki refundowane zastępowane są przez szcz...
Cancer awareness and socioeconomic status are associated with mammography screening participation and early detection of breast cancer
Background. Breast cancer (BC) is a major cause of women's mortality. However, early detection can diminish its mortality rate. In 2007, the Polish Government adopted a population-based breast cancer screening. However,...