Vnitr Lek 2017, 63(2):107-113 | DOI: 10.36290/vnl.2017.022

An assessment of VO2 kinetics in the recovery phase of cardiopulmonary exercise test in patients with heart disease - importance and classification

Leona Mífková*, František Várnay, Pavel Homolka, Petr Dobšák
Klinika tělovýchovného lékařství a rehabilitace LF MU a FN u sv. Anny v Brně

The article reviews the course of VO2 in the phase of recovery kinetics of oxygen uptake (VO2rec) cardiopulmonary exercise test. VO2rec kinetics cannot be completely defined using a single parameter. The article describes the three most frequently used methods: %VO2-REC2, T1/2 VO2rec and TC VO2, and provides detailed procedures of their analysis. The three aforementioned parameters are also at the heart of our classification of VO2rec. The method %VO2-REC2 is an essential one, in our view, since its prognostic significance is proven and it can be also easily applied only based on a data record of the cardiopulmonary exercise test. %VO2-REC2 should be seen, together with VO2peak, VE/VCO2 slope and exercise oscillatory ventilation (EOV) - as one of the four elementary prognostic markers establishing an advanced chronic heart failure.

Keywords: cardiopulmonary exercise test; chronic heart failure; prognosis; recovery kinetics of oxygen uptake

Received: December 7, 2016; Accepted: January 20, 2017; Published: February 1, 2017  Show citation

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Mífková L, Várnay F, Homolka P, Dobšák P. An assessment of VO2 kinetics in the recovery phase of cardiopulmonary exercise test in patients with heart disease - importance and classification. Vnitr Lek. 2017;63(2):107-113. doi: 10.36290/vnl.2017.022.
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References

  1. Guazzi M, Adams V, Conraads V et al. EACPR/AHA Scientific Statement. Clinical Recommendations for Cardiopulmonary Exercise Testing Data Assessment in Specific Patient Populations. Eur Heart J 2012; 33(23): 2917-2927. Dostupné z DOI: <http://dx.doi.org/10.1093/eurheartj/ehs221>. Go to original source... Go to PubMed...
  2. Guazzi M, Ross A, Halle M et al. EACPR/AHA Scientific Statement. 2016 Focused Update: Clinical Recommendations for Cardiopulmonary Exercise Testing Data Assessment in Specific Patient Populations. Circulation 2016; 133(24): e694-e711. Dostupné z DOI: <http://dx.doi.org/10.1161/CIR.0000000000000406>. Go to original source... Go to PubMed...
  3. Daida H, Allison TG, Johnson BD et al. Further Increase in Oxygen Uptake During Early Active Recovery Following Maximal Exercise in Chronic Heart Failure. Chest 1996; 109(1): 47-51. Go to original source... Go to PubMed...
  4. Kriatselis ChD, Nedios S, Kelle S et al. Oxygen Kinetics and Heart Rate Response during Early Recovery from Exercise in Patients with Heart Failure. Cardiol Res Pract 2012; 2012 :512857. Dostupné z DOI: <http://dx.doi.org/10.1155/2012/512857>. Go to original source... Go to PubMed...
  5. Hayashida W, Kumada T, Kohno F et al. Post-exercise oxygen uptake kinetics in patients with left ventricular dysfunction. Int J Cardiol 1993; 38(1): 63-72. Go to original source... Go to PubMed...
  6. Mann TN, Webster Ch, Lamberts TP et al. Effect of exercise intensity on post-exercise oxygen consumption and heart rate recovery. Eur J Appl Physiol 2014; 114(9): 1809-1820. Dostupné z DOI: <http://dx.doi.org/10.1007/s00421-014-2907-9>. Go to original source... Go to PubMed...
  7. DeGroote P, Millaire A, Decloux E et al. Kinetics of Oxygen Consumption During and After Exercise in Patients With Dilated Cardiomyopathy. New Markers of Exercise Intolerance With Clinical Implications. J Am Coll Cardiol 1996; 28(1): 168-175. Go to original source... Go to PubMed...
  8. Pavia L, Myers J, Cesare R. Recovery Kinetics of Oxygen Uptake and Heart Rate in Patients With Coronary Artery Disease and Heart Failure. Chest 1999; 116(3): 808-813. Go to original source... Go to PubMed...
  9. Queirós MC, Mendes M, Ribeiro MA et al. Recovery kinetics of oxygen uptake after cardioupulmonary execise test and prognosis in patients with left ventricular dysfunction. Rev Port Cardiol 2002; 21(4): 383-398. Go to PubMed...
  10. Fortin M, Turgeon PY, Nadreau E et al. Prognostic Value of Oxygen Kinetics during Recovery From Cardiopulmonary Exercise Testing in Patients With Chronic Heart Failure. Can J Cardiol 2015; 31(10): 1259-1265. Dostupné z DOI: <http://dx.doi.org/10.1016/j.cjca.2015.02.015>. Go to original source... Go to PubMed...
  11. Tanabe Y, Takahashi M, Hosaka Y et al. Prolonged recovery of cardiac output after maximal exercise in patients with chronic heart failure. J Am Coll Cardiol 2000; 35(5): 1228-1236. Go to original source... Go to PubMed...
  12. Cohen-Solal A, Laperche T, Morvan D et al. Prolonged Kinetics of Recovery of Oxygen Consumption after Maximal Graded Exercise in Patients With Chronic Heart Failure. Analysis with Gas Exchange Measurements and NMR Spectroscopy. Circulation 1995; 91(12): 2924-2932. Go to original source... Go to PubMed...
  13. Hagberg JM, Mullin JP, Nagle FJ. Effect of work intensity and duration on recovery O2. J Appl Physiol 1980; 48(3): 540-544. Go to original source... Go to PubMed...
  14. Mífková L, Siegelová J, Vymazalová L et al. Intervalový a kontinuální trénink v kardiovaskulární rehabilitaci. Vnitř Lék 2006; 52(1): 44-50. Go to PubMed...
  15. Wasserman K, Hansen JE, Sue DY et al. Principles of Exercise Testing and Interpretation. Including Pathophysiology and Clinical Applications. 5th ed. Lippincott Williams & Wilkins: Philadelphia 2012. ISBN 978-1609138998.




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