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Journal of Applied Physiology, Vol 69, Issue 4 1479-1485, Copyright © 1990 by American Physiological Society
ARTICLES |
J. W. Gratama, J. J. Meuzelaar, M. Dalinghaus, J. H. Koers, A. J. Werre, W. G. Zijlstra and J. R. Kuipers
Department of Pediatrics, University of Groningen, The Netherlands.
We determined maximal exercise capacity and measured hemodynamics in 10 6-wk-old lambs with an aortopulmonary left-to-right shunt [S, 57 +/- 11%, (SD)] and in 9 control lambs (C) during a graded treadmill test 8 days after surgery. Maximal exercise capacity (3.7 +/- 0.2 km/h and 10 +/- 5% inclination vs. 4.0 +/- 0.9 km/h and 15 +/- 0% inclination, P less than 0.02) and peak oxygen consumption (25 +/- 7 vs. 34 +/- 8 ml O2.min-1.kg-1, P less than 0.02) were both lower in the shunt than in the control lambs. This was due to a lower maximal systemic blood flow in the shunt lambs (271 +/- 38 vs. 359 +/- 71 ml.min-1.kg-1, P less than 0.01). Despite their high maximal left ventricular output, which was higher than in the control lambs (448 +/- 87 vs. 359 +/- 71 ml.min-1.kg-1, P less than 0.05), the left-to-right shunt could not be compensated for during maximal exercise because of a decreased reserve in heart rate (S: 183 +/- 22 to 277 +/- 38 beats/min; C: 136 +/- 25 to 287 +/- 29 beats/min) and in left ventricular stroke volume (S: 1.8 +/- 0.3 to 1.6 +/- 0.4 ml/kg; C: 1.0 +/- 0.3 to 1.3 +/- 0.2 ml/kg). We conclude that exercise capacity of shunt lambs is lower than that of control lambs, despite a good left ventricular performance, because a part of the reserves for increasing the left ventricular output is already utilized at rest.
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G. C. M. Beaufort-Krol, J. Takens, M. C. Molenkamp, G. B. Smid, K. J. Meuzelaar, W. G. Zijlstra, and J. R. G. Kuipers Increased myocardial lactate oxidation in lambs with aortopulmonary shunts at rest and during exercise Am J Physiol Heart Circ Physiol, November 1, 1998; 275(5): H1503 - H1512. [Abstract] [Full Text] [PDF] |
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