Relationship between blood pressure response during hemodialysis and exercise tolerance or heart rate recovery measured using cardio-pulmonary exercise testing in maintenance hemodialysis patients

Hiroki Yabe; Kenichi Kono; Ryota Shiraki; Akiho Masuda; Yoshifumi Moriyama; Hirotake Kasuga

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Relationship between blood pressure response during hemodialysis and exercise tolerance or heart rate recovery measured using cardio-pulmonary exercise testing in maintenance hemodialysis patients

机译：血液透析期间血压反应与运动耐受性或在维持血液透析患者中测量的运动耐受性或心率恢复之间的关系

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This study investigated the association between the blood pressure response during hemodialysis (HD) and exercise tolerance or heart rate recovery (HRR) measured with cardiopulmonary exercise testing (CPX). The study enrolled 23 patients who had been undergoing 4-h regular maintenance HD. The maximum workload (Loadpeak), peak oxygen uptake (VO2peak), workload and oxygen uptake at the anaerobic threshold (LoadAT and VO2AT, respectively), and HRR were measured with CPX. The average systolic blood pressure during HD (SBPav) was measured, and the number of times the SBP was less than 100?mmHg was determined in the 2-week period after CPX. The SBPav showed a significant correlation with LoadAT (r = 0.46) and Loadpeak (r = 0.43, p 0.05). The number of times the SBP was less than 100?mmHg showed a significant correlation with the HRR (r = ??0.44, p 0.05). Exercise intolerance and HRR in HD patients may be associated with blood pressure instability during HD.

机译：本研究研究了血液透析期间血压反应（HD）和使用心肺运动检测（CPX）测量的运动耐受性或心率恢复（HRR）之间的关联。该研究注册了23名经过4-H定期维护HD的患者。用CPX测量厌氧阈值（分别载荷阈值（分别）和HRR处的最大工作负载（LoadPeak），峰值氧吸收（VO2Peak），工作量和氧气吸收和HRR。测量HD（SBPAV）期间的平均收缩压，并且在CPX后2周的时间内测定了SBP小于100μmHG的次数。 SBPAV显示与LoadAt（R = 0.46）和LoadPeak（R = 0.43，P <0.05）显着相关。 SBP小于100的次数较小，MMHG与HRR（r =Δ00.44，p <0.05）显示出显着的相关性。 HD患者的运动不耐受和HRR可能与高清期间的血压不稳定有关。

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《Renal replacement therapy.》 |2020年第1期|共7页
作者
Hiroki Yabe; Kenichi Kono; Ryota Shiraki; Akiho Masuda; Yoshifumi Moriyama; Hirotake Kasuga;
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Blood pressure instabilityCardio-pulmonary exercise testingExercise toleranceHeart rate recoveryHemodialysis;

机译：血压不稳定心房 - 肺锻炼测试运动耐受性心率恢复血液透析;

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1. Heart rate recovery and blood pressure response during exercise testing in patients with microvascular angina [J] . Bong-Joon Kim, Eun-Ah Jo, Sung-Il Im, Clinical Hypertension . 2019,第1期

机译：运动性微血管性心绞痛患者测试期间的心率恢复和血压反应
2. Combination of low blood pressure response, low exercise capacity and slow heart rate recovery during an exercise test significantly increases mortality risk [J] . Sipila Kalle, Tikkakoski Antti, Alanko Sanni, Annals of medicine . 2019,第7a8期

机译：在运动测试期间，低血压响应，低运动能力和慢心率恢复的组合显着提高了死亡率风险
3. Blunted heart rate recovery is associated with exaggerated blood pressure response during exercise testing [J] . DoganU., DuzenliM.A., OzdemirK., Heart and vessels: An international journal . 2013,第6期

机译：运动测试过程中过慢的心率恢复与血压反应过度有关
4. Post-exercise responses in blood pressure, heart rate and rate pressure product in endurance and resistance exercise [C] . Faraji Hassan, Mohebbi Hamid, Rahmaninia Farhad, European Sports Medicine Congress . 2009

机译：血压，心率和速率压力产品的锻炼后响应耐久性和抵抗运动
5. The effects of isometric handgrip exercise on post-exercise hypotension, ambulatory arterial blood pressure and heart rate variability in individuals medicated for hypertension. [D] . Stiller-Moldovan, Cassandra. 2010

机译：等距手柄锻炼对患有高血压的个体的运动后低血压，动态动脉血压和心率变异性的影响。
6. Heart rate recovery and blood pressure response during exercise testing in patients with microvascular angina [O] . Bong-Joon Kim, Eun-Ah Jo, Sung-Il Im, 2019

机译：运动性微血管性心绞痛患者测试期间的心率恢复和血压反应
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Relationship between blood pressure response during hemodialysis and exercise tolerance or heart rate recovery measured using cardio-pulmonary exercise testing in maintenance hemodialysis patients

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