title: Vasoconstrictive response in the vascular beds of the non-exercising forearm during leg exercise in patients with mild chronic heart failure.
abstract: BACKGROUND
  Reduced exercise capacity may be related to decreased redistribution of blood flow from the non-exercising tissues to the exercising skeletal muscle in patients with mild chronic heart failure (CHF).
  
  
  RESULTS
  In the present study 14 patients with mild CHF and 10 healthy subjects (N) underwent symptom-limited multistage-ergometer exercise, during which forearm vascular resistance (FVR), cardiac index (CI), systemic vascular resistance index (SVRI), and oxygen uptake (VO(2)) were measured non-invasively using the plethysmograph, impedance, and respiratory gas analysis methods, respectively. The VO(2) and CI at peak exercise were lower (p<0.01 each), and SVRI and FVR at both rest and peak exercise were higher in the CHF group than in N. However, both the percent increase in FVR and percent decrease in SVRI from the resting state to peak exercise were lower in CHF than N, and both of them correlated with not only peak VO(2), but also the corresponding resting value of FVR and SVRI (p<0.01 each).
  
  
  CONCLUSIONS
  Redistribution of blood flow from the non-exercising tissues to the working skeletal muscles, which may participate in exercise capacity, can be blunted in CHF. The decreased vasoconstrictive response in the non-exercising tissues is intimately related to the increased resting vascular tone in CHF.
authors.affiliation: First Department of Internal Medicine, Fukushima Medical University, 1 Hikarigaoka, Fukushima 960-1295, Japan.
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Chiba
authors.forename: Kazuhira
authors.initials: K
authors.lastname: Maehara
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Yaoita
authors.forename: Akiomi
authors.initials: A
authors.lastname: Yoshihisa
authors.forename: Jiro
authors.initials: J
authors.lastname: Izumida
authors.forename: Yukio
authors.initials: Y
authors.lastname: Maruyama
mesh_terms: D000328:Adult; D000368:Aged; D002908:Chronic Disease; D005080:Exercise Test; D005260:Female; D005542:Forearm / Q000098:blood supply*; D006333:Heart Failure / Q000503:physiopathology*; D006801:Humans; D007866:Leg / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D012039:Regional Blood Flow; D014655:Vascular Resistance; D014661:Vasoconstriction