Central and peripheral blood flow during exercise with a continuous-flow left ventricular assist device: constant versus increasing pump speed: a pilot study
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Central and peripheral blood flow during exercise with a continuous-flow left ventricular assist device: constant versus increasing pump speed: a pilot study. / Brassard, Patrice; Jensen, Annette S; Nordsborg, Nikolai; Gustafsson, Finn; Møller, Jacob E; Hassager, Christian; Boesgaard, Søren; Hansen, Peter Bo; Olsen, Peter Skov; Sander, Kåre; Secher, Niels H; Madsen, Per Lav.
In: Circulation. Heart Failure, Vol. 4, No. 5, 2011, p. 554-560.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Central and peripheral blood flow during exercise with a continuous-flow left ventricular assist device: constant versus increasing pump speed: a pilot study
AU - Brassard, Patrice
AU - Jensen, Annette S
AU - Nordsborg, Nikolai
AU - Gustafsson, Finn
AU - Møller, Jacob E
AU - Hassager, Christian
AU - Boesgaard, Søren
AU - Hansen, Peter Bo
AU - Olsen, Peter Skov
AU - Sander, Kåre
AU - Secher, Niels H
AU - Madsen, Per Lav
N1 - CURIS 2011 5200 091
PY - 2011
Y1 - 2011
N2 - Background- End-stage heart failure is associated with impaired cardiac output (CO) and organ blood flow. We determined whether CO and peripheral perfusion are maintained during exercise in patients with an axial-flow left ventricular assist device (LVAD) and whether an increase in LVAD pump speed with work rate would increase organ blood flow. Methods and Results- Invasively determined CO and leg blood flow and Doppler-determined cerebral perfusion were measured during 2 incremental cycle exercise tests on the same day in 8 patients provided with a HeartMate II LVAD. In random order, patients exercised both with a constant (˜9775 rpm) and with an increasing pump speed (+400 rpm per exercise stage). At 60 W, the elevation in CO was more pronounced with increased pump speed (8.7±0.6 versus 8.1±1.1 L · min(-1); mean±SD; P=0.05), but at maximal exercise increases in CO (from 7.0±0.9 to 13.6±2.5 L · min(-1); P
AB - Background- End-stage heart failure is associated with impaired cardiac output (CO) and organ blood flow. We determined whether CO and peripheral perfusion are maintained during exercise in patients with an axial-flow left ventricular assist device (LVAD) and whether an increase in LVAD pump speed with work rate would increase organ blood flow. Methods and Results- Invasively determined CO and leg blood flow and Doppler-determined cerebral perfusion were measured during 2 incremental cycle exercise tests on the same day in 8 patients provided with a HeartMate II LVAD. In random order, patients exercised both with a constant (˜9775 rpm) and with an increasing pump speed (+400 rpm per exercise stage). At 60 W, the elevation in CO was more pronounced with increased pump speed (8.7±0.6 versus 8.1±1.1 L · min(-1); mean±SD; P=0.05), but at maximal exercise increases in CO (from 7.0±0.9 to 13.6±2.5 L · min(-1); P
U2 - 10.1161/CIRCHEARTFAILURE.110.958041
DO - 10.1161/CIRCHEARTFAILURE.110.958041
M3 - Journal article
C2 - 21765126
VL - 4
SP - 554
EP - 560
JO - Circulation: Heart Failure
JF - Circulation: Heart Failure
SN - 1941-3289
IS - 5
ER -
ID: 34409226