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    A comparison of the acute haemodynamic response to aerobic and resistance exercise in subjects with exercise-induced pulmonary arterial hypertension

    Access Status
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    Authors
    Fowler, Robin
    Maiorana, Andrew
    Jenkins, Sue
    Gain, Kevin
    O'Driscoll, G.
    Gabbay, Eli
    Date
    2013
    Type
    Journal Article
    
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    Citation
    Fowler, Robin M. and Maiorana, Andrew J. and Jenkins, Sue C. and Gain, Kevin R. and O'Driscoll, Gerry and Gabbay, Eli. 2013. A comparison of the acute haemodynamic response to aerobic and resistance exercise in subjects with exercise-induced pulmonary arterial hypertension. European Journal of Preventive Cardiology. 20 (4): pp. 605-612.
    Source Title
    European Journal of Preventive Cardiology
    DOI
    10.1177/2047487312445424
    ISSN
    2047-4873
    URI
    http://hdl.handle.net/20.500.11937/13845
    Collection
    • Curtin Research Publications
    Abstract

    Background: Exercise-induced pulmonary arterial hypertension (EIPAH) is associated with reduced exercise capacity and abnormal central haemodynamic responses to maximal aerobic exercise. Aerobic and resistance exercise training are commonly employed to treat reduced exercise capacity; however, the haemodynamic response to aerobic and resistance exercise, at training intensities, in subjects with EIPAH is unknown. Methods: Fourteen subjects (11 with scleroderma, 12 females) with EIPAH underwent cardiopulmonary exercise testing on a cycle ergometer, a one-repetition maximum (1RM) strength test and resistance exercise at 40% and 60% of maximum on a bilateral leg press machine. All tests were performed with a pulmonary artery catheter in situ. Haemodynamic and symptomatic responses to aerobic and resistance exercise, performed at 40% of peak oxygen consumption and 40% of 1RM, and at 60% of peak oxygen consumption and 60% of 1RM, were compared. For maximal exercise, the highest haemodynamic responses recorded during the cycling and 1RM tests were compared.Results: There were no differences in haemodynamic or symptomatic responses between the two modalities of submaximal exercise. At maximal exercise, all haemodynamic and symptomatic responses were lower during resistance compared with aerobic exercise (p < 0.05). Conclusions: At the intensities studied, lower-limb resistance exercise was well tolerated and was mostly associated with similar or lower haemodynamic responses compared with aerobic exercise, in subjects with EIPAH.

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