EFFECTS OF rHuEPO THERAPY ON EXERCISE CAPACITY IN HEMODIALYSIS PATIENTS WITH CORONARY ARTERY DISEASE

We investigated the effects of recombinant human erythropoietin (rHuEPO) therapy on exercise capacity by symptom-limited maximal treadmill exercise testing in 9 patients with coronary artery disease who were receiving maintenance hemodialysis. The initial hemoglobin concentration of 7.9±0.7g/dl, (me...

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Veröffentlicht in:JAPANESE CIRCULATION JOURNAL 1993/05/20, Vol.57(2), pp.131-137
Hauptverfasser: HASE, HIROKI, IMAMURA, YOSHIHIKO, NAKAMURA, RYOICHI, INISHI, YOJI, MACHII, KIYOSHI, MAGUCHI, TETSUYA
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container_start_page 131
container_title JAPANESE CIRCULATION JOURNAL
container_volume 57
creator HASE, HIROKI
IMAMURA, YOSHIHIKO
NAKAMURA, RYOICHI
INISHI, YOJI
MACHII, KIYOSHI
MAGUCHI, TETSUYA
description We investigated the effects of recombinant human erythropoietin (rHuEPO) therapy on exercise capacity by symptom-limited maximal treadmill exercise testing in 9 patients with coronary artery disease who were receiving maintenance hemodialysis. The initial hemoglobin concentration of 7.9±0.7g/dl, (mean±S.D.) rose to 10.4±1.1 g/dl, (p
doi_str_mv 10.1253/jcj.57.131
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The initial hemoglobin concentration of 7.9±0.7g/dl, (mean±S.D.) rose to 10.4±1.1 g/dl, (p&lt;0.01) after three months of rHuEPO therapy. The partial correction of renal anemia resulted in a significant increase in exercise duration (from 278±84 sec to 384±74 sec, p&lt;0.01) and maximum pressure-rate product (from 228.3±50.3mmHg·bpm/l02 to 262.8±40.4 mmHg·bpm/102, p&lt;0.01). The maximum exercise-induced ST segment depression significantly decreased after treatment (from 1.3 ±0.5 mm to 0.5±0.5 mm, p&lt;0.05). 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The initial hemoglobin concentration of 7.9±0.7g/dl, (mean±S.D.) rose to 10.4±1.1 g/dl, (p&lt;0.01) after three months of rHuEPO therapy. The partial correction of renal anemia resulted in a significant increase in exercise duration (from 278±84 sec to 384±74 sec, p&lt;0.01) and maximum pressure-rate product (from 228.3±50.3mmHg·bpm/l02 to 262.8±40.4 mmHg·bpm/102, p&lt;0.01). The maximum exercise-induced ST segment depression significantly decreased after treatment (from 1.3 ±0.5 mm to 0.5±0.5 mm, p&lt;0.05). These results suggest that the improvement in maximum coronary oxygen supply exceeded the increased maximum myocardial oxygen requirements after the partial correction of renal anemia by rHuEPO therapy in hemodialysis patients with coronary artery disease.</description><subject>Adult</subject><subject>Anemia - etiology</subject><subject>Anemia - prevention &amp; control</subject><subject>Biological and medical sciences</subject><subject>Blood. Blood coagulation. 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Drug treatments</topic><topic>Physical Endurance - drug effects</topic><topic>Recombinant human erythropoietin</topic><topic>Recombinant Proteins - therapeutic use</topic><topic>Renal Dialysis - methods</topic><topic>Treadmill exercise testing</topic><toplevel>online_resources</toplevel><creatorcontrib>HASE, HIROKI</creatorcontrib><creatorcontrib>IMAMURA, YOSHIHIKO</creatorcontrib><creatorcontrib>NAKAMURA, RYOICHI</creatorcontrib><creatorcontrib>INISHI, YOJI</creatorcontrib><creatorcontrib>MACHII, KIYOSHI</creatorcontrib><creatorcontrib>MAGUCHI, TETSUYA</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>JAPANESE CIRCULATION JOURNAL</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HASE, HIROKI</au><au>IMAMURA, YOSHIHIKO</au><au>NAKAMURA, RYOICHI</au><au>INISHI, YOJI</au><au>MACHII, KIYOSHI</au><au>MAGUCHI, TETSUYA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>EFFECTS OF rHuEPO THERAPY ON EXERCISE CAPACITY IN HEMODIALYSIS PATIENTS WITH CORONARY ARTERY DISEASE</atitle><jtitle>JAPANESE CIRCULATION JOURNAL</jtitle><addtitle>JAPANESE CIRCULATION JOURNAL</addtitle><date>1993-02-01</date><risdate>1993</risdate><volume>57</volume><issue>2</issue><spage>131</spage><epage>137</epage><pages>131-137</pages><issn>0047-1828</issn><eissn>1347-4839</eissn><coden>JCIRA2</coden><abstract>We investigated the effects of recombinant human erythropoietin (rHuEPO) therapy on exercise capacity by symptom-limited maximal treadmill exercise testing in 9 patients with coronary artery disease who were receiving maintenance hemodialysis. 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subjects Adult
Anemia - etiology
Anemia - prevention & control
Biological and medical sciences
Blood. Blood coagulation. Reticuloendothelial system
Coronary artery disease
Coronary Disease - complications
Erythropoietin - therapeutic use
Exercise Test
Exercise-induced ST depression
Female
Hemodialysis
Humans
Male
Medical sciences
Middle Aged
Pharmacology. Drug treatments
Physical Endurance - drug effects
Recombinant human erythropoietin
Recombinant Proteins - therapeutic use
Renal Dialysis - methods
Treadmill exercise testing
title EFFECTS OF rHuEPO THERAPY ON EXERCISE CAPACITY IN HEMODIALYSIS PATIENTS WITH CORONARY ARTERY DISEASE
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