Comparison of oxygen uptake during arm or leg cardiopulmonary exercise testing in vascular surgery patients and control subjects

British Journal of Anaesthesia

Volumn 112, Issue 1, 2014, Pages 57-65

  Loughney, L ^a   West, M ^a,b   Pintus, S ^c   Lythgoe, D ^e   Clark, E ^c   Jack, S ^a,b   Torella, F ^d  

^a UNIVERSITY HOSPITAL SOUTHAMPTON NHS FOUNDATION TRUST   (United Kingdom)

^b UNIVERSITY OF LIVERPOOL   (United Kingdom)

^c Department of Anaesthesia ^*  (United Kingdom)

^d UNIVERSITY HOSPITAL AINTREE   (United Kingdom)

^e IMPERIAL CANCER RESEARCH FUND   (United Kingdom)

Author keywords

arm ergometry; cardiopulmonary exercise testing; cycle ergometry; preoperative assessment; vascular surgery

Indexed keywords

CARBON DIOXIDE; LACTIC ACID; OXYGEN;

ARM EXERCISE; ARTICLE; CARDIOPULMONARY EXERCISE TEST; CLINICAL ARTICLE; COHORT ANALYSIS; COMPARATIVE STUDY; CONTROLLED STUDY; FEMALE; FORCED EXPIRATORY VOLUME; FORCED VITAL CAPACITY; HUMAN; LEG EXERCISE; LUNG GAS EXCHANGE; LUNG MINUTE VOLUME; MALE; OXYGEN CONSUMPTION; OXYGEN DESATURATION; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; PROSPECTIVE STUDY; RISK ASSESSMENT; TIDAL VOLUME; VASCULAR SURGERY;

EID: 84890460569     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aet370     Document Type: Article

References (30)

1. Smith TB, Stonell C, Purkayastha S, et al. Cardiopulmonary exercise testing as a risk assessment method in non cardio-pulmonary surgery: a systematic review. Anaesthesia 2009; 64: 883-93
2. West M, Jack S, Grocott MPW. Perioperative cardiopulmonary exercise testing in the elderly. Best Pract Res Clin Anaesthesiol 2011; 25: 427-37
3. Snowden CP, Prentis JM, Anderson HL, et al. Submaximal cardiopulmonaryexercise testing predicts complications and hospital length of stay in patients undergoing major elective surgery. Ann Surg 2010; 251: 535-41
4. Wilson RJT, Davies S, Yates D, et al. Impaired functional capacity is associated with all-cause mortality after major elective intraabdominal surgery. Br J Anaesth 2010; 105: 297-303
5. Hennis PJ, Meale PM, Grocott MPW. Cardiopulmonary exercise testing for the evaluation of perioperative risk in noncardiopulmonary surgery. Postgrad Med J 2011; 87: 550-7
6. Hartley RA, PichelAC,GrantSW, et al. Preoperative cardiopulmonary exercise testing and risk of early mortality following abdominal aortic aneurysm repair. Br J Surg 2012; 99: 1539-46
7. Schrieks IC, Barnes MJ, Hodges LD. Comparison study of treadmill versus arm ergometry. Clin Physiol Funct Imaging 2011; 31: 326-31
8. Lyons S, Richardson M, Bishop P, et al. Excess post-exercise oxygen consumption in untrained men following exercise of equal energy expenditure: comparisons of upper and lower body exercise. Diabetes Obes Metab 2007; 9: 889-94
9. Bar-Or O, Zwiren LD. Maximal oxygen consumption test during arm exercise reliability and validity. J Appl Physiol 1975; 38: 424-6
10. Franklin B. Exercise testing, training and arm ergometry. J Sports Med 1985; 2: 100-19
11. Martin T, Zebalos R, Weisman I. Gas exchange during maximal upper extremity exercise. Chest 1991; 99: 420-5
12. Reybrouck T, Heigenhauser GF, Faulkner JA, et al. Limitations to maximum oxygen uptake in arms, leg, and combined arm-leg ergometry. J Appl Physiol 1975; 38: 774-9
13. Davis J, Vodak P, Wilmore J, et al. Anaerobic threshold and maximal aerobic power for three modes of exercise. J Appl Physiol 1976; 41: 544-50
14. Orr JL, Williamson P, AndersonW, et al. Cardiopulmonary exercise testing: arm crank vs cycle ergometry. Anaesthesia 2013; 68: 497-501
15. Schneider DA, Wing AN, Morris NR. Oxygen uptake and heart rate kinetics during heavy exercise: a comparison between arm cranking and leg cycling. Eur J Appl Physiol 2002; 88: 100-6
16. Fleisher L, Beckman JA, Brown KA, et al. ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guideline). J Am Coll Cardiol 2007; 50: 159-241
17. Palange P, Ward SA, Carlsen KH, et al. Recommendations on the use of exercise testing in clinical practice. Eur Respir J 2007; 29: 185-209
18. Wasserman K, Hansen JE, Sue DY, et al. Principles of Exercise Testing and Interpretation: Pathophysiology and Clinical Applications, 4th Edn. Lippincott: Williams & Wilkins, 2005; 33-89
19. Sue DY, Wasserman K, Moricca RB, et al. Metabolic acidosis during exercise in patients with chronic obstructive pulmonary disease: use of the V-slope method for anaerobic threshold determination. Chest 1988; 94: 931-8
20. OlderP, Smith R,CourtneyP, et al. Preoperativeevaluation of cardiac failure and ischemia in elderly patients by cardiopulmonary exercise testing . Chest 1993; 104: 701-4
21. Older P, Hall A, Hader R. Cardiopulmonary exercise testing as a screening test for perioperative management of major surgery in the elderly. Chest 1999; 116: 355-62
22. Stringer W, Casaburi R, Older P. Cardiopulmonary exercise testing: does it improve perioperative care and outcome? Curr Opin Anaesthesiol 2012; 25: 178-84
23. Colson M, Baglin J, Bolsin S, et al. Cardiopulmonary exercise testing predictsyr survival after major surgery. Br J Anaesth 2012; 109: 735-41
24. HansonP, Pease M, Berkoff H, et al.Armexercise testing forcoronary artery disease in patients with peripheral vascular disease. Clin Cardiol 1988; 11: 70-4
25. Ilias NA, Xian H, InmanC, et al.Armexercise testing predicts clinical outcome. Am Heart J 2009; 157: 69-76
26. Priebe M, Davidoff G, Lampman RM. Exercise testing and training in patients with peripheral vascular disease and lower extremity amputation. West J Med 1991; 154: 598-601
27. Casaburi R, Barstow TJ, Robinson T, et al. Dynamic and steady-state ventilatory and gas exchange responses to arm exercise. Med Sci Sports Exerc 1992; 24: 1365-74
28. Boushel R, Gnaiger E, Calbet JAL, et al. Muscle mitochondrial capacity exceeds maximal oxygen delivery in humans. Mitochondrion 2011; 11: 303-7
29. HelgeJW. Arm and leg substrate utilization and muscle adaptation after prolonged low-intensity training. Acta Physiol (Oxford, England) 2010; 199: 519-28
30. Carter R. Peak physiologic responses to arm and leg ergometry in male and female patients with airflow obstruction. Chest 2003; 124: 511-8