title: Physiologic responses to shoveling and thermal stress in men with cardiac disease.
abstract: To investigate the effect of temperature stress on responses to static-dynamic work in patients with ischemic heart disease (IHD), 10 men with IHD shoveled gravel for 30 min in a warm (29 degrees C), neutral (24 degrees C), and cold (-8 degrees C) environment (on separate days). A pace of 15 lifts.min-1 was set, and the load per lift approximated 5.5 kg. Heart rate (HR), oxygen consumption (VO2), and systolic (SBP) and diastolic blood pressures (DBP) were evaluated at 5-min intervals. Arrhythmias and ST-segment depression were evaluated by ambulatory electrocardiographic monitoring. At 30 min, VO2, SBP, and DBP were higher (P < 0.05) in the cold environment, and HR was higher (P < 0.05) in the warm environment compared with the neutral environment. HR increased (P < 0.05) from 5 to 30 min in all three conditions. The increase in HR was greater (P < 0.05) in the warm environment. None of the subjects reported angina or demonstrated electrocardiographic ST-segment changes during shoveling in any environment. The results indicate that low-risk patients with stable IHD show modest temperature-induced alterations in hemodynamic and VO2 responses during 30 min of moderate intensity (50-60% of peak VO2) static-dynamic work without adverse electrocardiographic responses or symptomatology.
authors.affiliation: Department of Medicine, VA Medical Center, Milwaukee, WI.
authors.forename: S M
authors.initials: SM
authors.lastname: Dougherty
authors.forename: L M
authors.initials: LM
authors.lastname: Sheldahl
authors.forename: N A
authors.initials: NA
authors.lastname: Wilke
authors.forename: S G
authors.initials: SG
authors.lastname: Levandoski
authors.forename: M D
authors.initials: MD
authors.lastname: Hoffman
authors.forename: F E
authors.initials: FE
authors.lastname: Tristani
mesh_terms: D000368:Aged; D001794:Blood Pressure / Q000502:physiology; D003080:Cold Temperature; D015716:Electrocardiography, Ambulatory; D004734:Energy Metabolism / Q000502:physiology*; D005080:Exercise Test; D006321:Heart / Q000503:physiopathology*; D006339:Heart Rate / Q000502:physiology; D006358:Hot Temperature; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000378:metabolism / Q000503:physiopathology*; D010101:Oxygen Consumption / Q000502:physiology; D005082:Physical Exertion / Q000502:physiology*; D013312:Stress, Physiological / Q000503:physiopathology*; D013696:Temperature; D013997:Time Factors; D014937:Work / Q000502:physiology*