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Biomedical subjects

G A Stull

Publications and source records attributed to G A Stull.

At least 37 records · Page 2Linked to original sources
PubMed1976

Cardiorespiratory responses of sedentary college women as a function of training intensity.

Twenty-seven sedentary college women trained on a treadmill 3 times weekly over a 9-wk experimental period. Subjects exercised at a heart rate (HR) of either 50 or 65% of the HR reserve added to the resting HR with the duration of each session limited to the time required to elicit 1,000 beats above the resting value. Treadmill speed was adjusted automatically to maintain the prescribed exercise heart rate (EHR) within +/- 5 beats-min(-1). A comparison of the pretraining and posttraining results revealed that both training intensities caused significant increases in VO2max (1-min(-1) and ml-kg(-1)-min(-1)), V at VO2max, and O2 pulse at VO2max, and a significant decrease in VEO2 at VO2max. There was no alteration in EHR at VO2max for either intensity. For every dependent variable in which training effects were noted, the absolute gain made by the subjects training at the 65% intensity was greater than for those exercising at 50%. In no instance, however, was the difference between groups statistically significant. It was concluded that training at an EHR of either 50 or 65% of the HR reserve plus resting HR is sufficient to elicit a training response.

Adolescent↗
PubMedDate not supplied

Exercise testing early after myocardial infarction: historic perspective and current uses.

Exercise testing performed earlier than six weeks post-MI is accepted as "standard" medical practice. Although both heart rate-limited and symptom-limited exercise protocols are used with nearly equal frequency, the latter appears more valuable because the prognostic yield is greater without sacrificing patient safety. Treadmill or cycle ergometers are the preferred modes of testing because of higher exercise work loads imposed and increased sensitivity and specificity of results. The physiologic exercise responses to graded work loads among these acute MI survivors include a mean maximal heart rate range of 118 to 136 beats/min, a peak systolic blood pressure between 137 and 170 mmHg, a mean peak double product from 16,000 to 22,400, and a mean maximal work load between 4.8 and 7.0 METS. Exercise findings which are most clinically useful are greater than 1 mm ST segment depression from rest level, presence of angina pectoris during exercise, decrease in systolic blood pressure with increasing work, presence of complex or frequent VEBs, and exercise tolerance less than 4 METS. These exercise findings identify, in recent post-MI survivors, groups of patients that have significantly different estimated future cardiac morbidity and mortality rates. The most consistent indices of multi-vessel coronary heart disease are ST segment depression, angina pectoris, and poor exercise tolerance. The most important role of stress testing in this period post-MI is identification of individuals who urgently need evaluation for coronary bypass surgery. In addition to risk stratification, exercise testing provides valuable information regarding exercise prescription for cardiac rehabilitation, direct psychologic benefit for resuming an active lifestyle, and motivation for exercise participation. Although safety of the early post-MI stress test has not been systematically studied, reports from individual studies indicated low morbidity and mortality. Attesting to this is the frequency with which it is performed as a routine office procedure. Finally, there has been a growing use of this procedure not only among cardiologists but also among internists and family practice physicians.

Angina Pectoris↗