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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Transplant international 10 (1997), S. 323-327 
    ISSN: 1432-2277
    Keywords: Key words Exercise ; kidney transplantation ; heart transplantation ; renal function
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract There is a lack of information about renal responses in heart and kidney transplant patients after intense physical exercise. Eleven heart and ten kidney transplant recipients, as well as two control groups of healthy subjects, were given a maximum exercise test on a bicycle ergometer. One control group was also given a moderate load corresponding to the peak load of the kidney transplant group. Blood and urine samples were collected before and after exercise and assayed for lactate, creatinine, total protein, and albumin. The glomerular filtration rate remained stable at the end of exercise in the transplant patients, while there was a slight (17 %) decrease in the control group. Albumin excretion rates after maximum exercise attained a mean of 237 μg · min–1in the control group and a mean of 45 and 16 μg · min–1, respectively, in the heart and kidney groups. Postexercise proteinuria seemed to be related to the absolute intensity of the event, but kidney transplant patients showed a reduced effect as compared to heart transplant patients. We conclude that short-term, maximum exercise in heart and kidney transplant recipients is not detrimental to kidney function.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1439-6327
    Keywords: Transcranial Doppler ultrasound ; Endtidal carbon dioxide tension ; Dynamic exercise ; Oxygen uptake ; Anaerobic threshold
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Cerebral blood flow has been reported to increase during dynamic exercise, but whether this occurs in proportion to the intensity remains unsettled. We measured middle cerebral artery blood flow velocity (νm) by transcranial Doppler ultrasound in 14 healthy young adults, at rest and during dynamic exercise performed on a cycle ergometer at a intensity progressively increasing, by 50 W every 4 min until exhaustion. Arterial blood pressure, heart rate, end-tidal, partial pressure of carbon dioxide (P ETCO2), oxygen uptake ( $$\dot V$$ O2) and carbon dioxide output were determined at exercise intensity. Mean vM increased from 53 (SEM 2) cm · s−1 at rest to a maximum of 75 (SEM 4) cm · s−1 at 57% of the maximal attained $$\dot V$$ O2( $$\dot V$$ O2max), and thereafter progressively decreased to 59 (SEM 4) cm · s−1 at $$\dot V$$ O2max. The respiratory exchange ratio (R) was 0.97 (SEM 0.01) at 57% of $$\dot V$$ O2maxand 1.10 (SEM 0.01) at $$\dot V$$ O2max. The P ETCO2 increased from 5.9 (SEM 0.2) kPa at rest to 7.4 (SEM 0.2) kPa at 57% of $$\dot V$$ O2maxand thereafter decreased to 5.9 (SEM 0.2) kPa at $$\dot V$$ O2max. Mean arterial pressure increased from 98 (SEM 1) mmHg (13.1 kPa) at rest to 116 (SEM 1) mmHg (15.5 kPa) at 90% of $$\dot V$$ O2max, and decreased slightly to 108 (SEM 1) mmHg (14.4 kPa) at $$\dot V$$ O2max. In all the subjects, the maximal value of v m was recorded at the highest attained exercise intensity below the anaerobic threshold (defined by R greater than 1). We concluded that cerebral blood flow as evaluated by middle cerebral artery flow velocity increased during dynamic exercise as a function of exercise intensity below the anaerobic threshold. At higher intensities, cerebral blood flow decreased, without however a complete return to baseline values, and it is suggested that this may have been at least in part explained by concomitant changes in arterial PCO2.
    Type of Medium: Electronic Resource
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