Discrepancy between head-up tilt test results utilizing different protocols in the same patient.
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Adult↗
Biomedical subjects
H Genovely
Publications and source records attributed to H Genovely.
Attenuation of pulsus alternans during coronary angiography.
Following coronary angiography in a patient with cardiomyopathy and pulsus alternans, we observed a transient but marked attenuation of the alternation in pulse pressure associated with an elevation in pulmonary artery pressure. Attenuation of pulsus alternans has been rarely reported and may represent further deterioration of ventricular function.
Angiography↗
RR-variation: the autonomic test of choice in diabetes.
RR-variation is a sensitive, reproducible, and noninvasive autonomic test. It is simple to perform and easy for both the operator and the subject. Furthermore, RR-variation correlates to known physiologic function. It therefore fulfills many of the characteristics of a practical diagnostic test. Many of the confounding factors are known, and with proper standardization the test may not only have diagnostic capabilities but also predictive value. RR-variation should be included in clinical research trials of diabetic neuropathy and should be considered in routine clinical management of the diabetic patient.
Autonomic Nervous System↗
Effects of prolonged warm-up exercise above and below anaerobic threshold on maximal performance.
The purpose of the present study was to determine the effects of prolonged warm-up exercise above and below anaerobic threshold (AT) on maximal performance. Warm-up exercise consisted of pedalling the Monark cycle ergometer at either 40% (Below AT) or 68% (Above AT) of VO2max for 60 min. Each maximal performance consisted of two 40 s bouts of "all out" pedalling on the Monark cycle ergometer against 5.5 kg resistance separated by a 5 min rest period. These tests were administered on two occasions without warm-up exercise and were found to be reproducible for work output and peak blood lactate concentration. Below AT warm-up exercise significantly increased core temperature with no increase in steady state blood lactate concentration and was thus representative of a desired warmed-up status. This condition did not contribute to an improved maximal performance. Above AT warm-up exercise resulted in significant increases in core temperature and steady state blood lactate concentration. Work output and peak blood lactate concentration for maximal exercise were significantly decreased. It was concluded that task specific prolonged warm-up exercise below AT does not contribute to an improved maximal performance of the type employed in the present study. Following warm-up exercise above AT, maximal performance was impaired. This was attributed to probable glycogen depletion in fast twitch muscle fibers which in turn may have contributed to a decreased lactate production.
Adult↗