Impaired systemic oxygen extraction in treated exercise pulmonary hypertension: a new engine in an old car?

Ambrisentan in 22 patients with pulmonary hypertension diagnosed during exercise (ePH) improved pulmonary hemodynamics; however, there was only a trend toward increased maximum oxygen uptake (VO(2)max) secondary to decreased maximum exercise systemic oxygen extraction (Ca-vO(2)). We speculate that i...

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Detalles Bibliográficos
Autores: Faria-Urbina, Mariana, Oliveira, Rudolf K. F. [UNIFESP], Segrera, Sergio A., Lawler, Laurie, Waxman, Aaron B., Systrom, David M.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:inglés
OAI Identifier:oai:repositorio.unifesp.br:11600/54252
Acceso en línea:http://dx.doi.org/10.1177/2045893218755325
https://repositorio.unifesp.br/handle/11600/54252
Access Level:acceso abierto
Palabra clave:systemic oxygen extraction
pulmonary hypertension
ambrisentan
exercise
Descripción
Sumario:Ambrisentan in 22 patients with pulmonary hypertension diagnosed during exercise (ePH) improved pulmonary hemodynamics; however, there was only a trend toward increased maximum oxygen uptake (VO(2)max) secondary to decreased maximum exercise systemic oxygen extraction (Ca-vO(2)). We speculate that improved pulmonary hemodynamics at maximum exercise "unmasked" a pre-existing skeletal muscle abnormality.