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Myocardial Contractility in Normal and Post Infarction Subjects at Rest and During Isometric Exercise

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Ultrasound in Medicine

Abstract

Interest has developed in non-invasive techniques for analyzing left ventricular function. Echocardiography is a tool currently being used in this regard. A deficiency of the technique is its inability to study myocardial function during dynamic exercise. Isometric exercise is a useful alternative to dynamic exercise and allows ultrasound examination of the left ventricle under stress. It has been studied extensively and used in several instances to study abnormal and normal left ventricular function. Isometric exercise results in the production of two cardiovascular phenomenon; an increase in heart rate and an elevation in blood pressure both of which increase myocardial oxygen demand and the work of the heart. Its simplicity of application has allowed several recent studies of isometric exercise and its effects on myocardial force velocity relations. One recent paper has been published by Stefadouros using echocardiography to determine the normal ventricular response.

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References

  1. Glick, G., Sonnenblick, E.H., Braunwald, E.: Myocardial force velocity relations studied in intact unanaesthetized man. Journal of Clinical Investigation 44: 6: 978–988, 1965.

    Article  PubMed  CAS  Google Scholar 

  2. Helfant, R.H., DeVilla, M.A., Meister, S.G.: Effect of sustained isometric handgrip exercise on left ventricular performance. Circulation 44: 982–992, 1971.

    PubMed  CAS  Google Scholar 

  3. Lind, A.R., McNichol, G.W.: Circulatory responses to sustained handgrip contractions performed during other exercise, both rhythmic and static. Journal Physiology 192: 595–607, 1967.

    CAS  Google Scholar 

  4. Linquist, V.A.Y., Spangler, R.D., Blount, S.G. Jr.: A comparison between the effects of dynamic and isometric exercise as evaluated by the systolic time intervals in normal man. American Heart Journal 85: 2, 227–236, 1973.

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  5. Mitchell, J.H., Wildenthal, K.: Static (isometric) exercise and the heart. Annual Review of Medicine 25: 369–381, 1974.

    Article  PubMed  CAS  Google Scholar 

  6. Quinones, M.A., Gaasch, W.A., Cole, J.S., Alexander, J.K.: Echocardiographic determination of left ventricular stress-velocity relations in man. Circulation 51: 689–700, 1975.

    PubMed  CAS  Google Scholar 

  7. Sonnenblick, E.H., Braunwald, E., Williams, J.F. Jr., Glick, G.: Effects of exercise of myocardial force velocity relations in intact unanaesthetized man: Relative roles of changes in heart rate, sympathetic activity and ventricular dimensions. Journal of Clinical Investigation 44: 12: 2051–2062, 1965.

    Article  PubMed  CAS  Google Scholar 

  8. Stefadouros, M.A., Grossman, W., Shahawy, M.E., Stefadouros, F., Witham, A.C.: Noninvasive study of the effects of isometric exercise on left ventricular performance in normal man. British Heart Journal 36: 988–995, 1974.

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© 1976 American Institute of Ultrasound in Medicine and Plenum Press, New York

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Nolan, J.P., Cunningham, D.A., Boughner, D.R. (1976). Myocardial Contractility in Normal and Post Infarction Subjects at Rest and During Isometric Exercise. In: White, D., Barnes, R. (eds) Ultrasound in Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-4307-3_4

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  • DOI: https://doi.org/10.1007/978-1-4613-4307-3_4

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-4309-7

  • Online ISBN: 978-1-4613-4307-3

  • eBook Packages: Springer Book Archive

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