Cardiac output response to exercise in patients before allogenic hematopoietic stem cell transplantation
Introduction High-dose chemotherapy for remission induction can induce cardiac toxicity prior to hematopoietic stem cell transplantation (HSCT). However, the details of cardiac function in patients undergoing HSCT are unclear, particularly during exercise. The aim of present study was to evaluate ca...
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| Published in: | International Journal of Clinical Oncology Vol. 23; no. 6; pp. 1173 - 1177 |
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| Main Authors: | , , |
| Format: | Journal Article |
| Language: | English |
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Tokyo
Springer Science and Business Media LLC
01.12.2018
Springer Japan Springer Nature B.V |
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| ISSN: | 1341-9625, 1437-7772, 1437-7772 |
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| Abstract | Introduction
High-dose chemotherapy for remission induction can induce cardiac toxicity prior to hematopoietic stem cell transplantation (HSCT). However, the details of cardiac function in patients undergoing HSCT are unclear, particularly during exercise. The aim of present study was to evaluate cardiac output responses to exercise in patients after high-dose chemotherapy before HSCT compared with in age-matched healthy controls.
Methods
Twenty-nine patients before HSCT (age 44.6 ± 15.2 years) and 13 controls (45.8 ± 16.0 years) performed the 6-min walk test (6MWT). Cardiac output (CO), stroke volume (SV), heart rate (HR), and cardiac index (CI) were continuously measured during the 6MWT using the noninvasive thoracic impedance method.
Results
No significant difference was observed in the six-minute walk distance (6MD) between the two groups. SV, CO, and CI both at rest and the end of the 6MWT in the patients were significantly lower, compared with the controls, but there was no significant difference in HR. In all subjects, the 6MD was positively correlated with SV, CO, CI, and HR after the 6MWT.
Conclusion
These findings suggest that cardiac output response to exercise indicates exercise intolerance, which may not be detected by 6MD in patients before HSCT. |
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| AbstractList | IntroductionHigh-dose chemotherapy for remission induction can induce cardiac toxicity prior to hematopoietic stem cell transplantation (HSCT). However, the details of cardiac function in patients undergoing HSCT are unclear, particularly during exercise. The aim of present study was to evaluate cardiac output responses to exercise in patients after high-dose chemotherapy before HSCT compared with in age-matched healthy controls.MethodsTwenty-nine patients before HSCT (age 44.6 ± 15.2 years) and 13 controls (45.8 ± 16.0 years) performed the 6-min walk test (6MWT). Cardiac output (CO), stroke volume (SV), heart rate (HR), and cardiac index (CI) were continuously measured during the 6MWT using the noninvasive thoracic impedance method.ResultsNo significant difference was observed in the six-minute walk distance (6MD) between the two groups. SV, CO, and CI both at rest and the end of the 6MWT in the patients were significantly lower, compared with the controls, but there was no significant difference in HR. In all subjects, the 6MD was positively correlated with SV, CO, CI, and HR after the 6MWT.ConclusionThese findings suggest that cardiac output response to exercise indicates exercise intolerance, which may not be detected by 6MD in patients before HSCT. Introduction High-dose chemotherapy for remission induction can induce cardiac toxicity prior to hematopoietic stem cell transplantation (HSCT). However, the details of cardiac function in patients undergoing HSCT are unclear, particularly during exercise. The aim of present study was to evaluate cardiac output responses to exercise in patients after high-dose chemotherapy before HSCT compared with in age-matched healthy controls. Methods Twenty-nine patients before HSCT (age 44.6 ± 15.2 years) and 13 controls (45.8 ± 16.0 years) performed the 6-min walk test (6MWT). Cardiac output (CO), stroke volume (SV), heart rate (HR), and cardiac index (CI) were continuously measured during the 6MWT using the noninvasive thoracic impedance method. Results No significant difference was observed in the six-minute walk distance (6MD) between the two groups. SV, CO, and CI both at rest and the end of the 6MWT in the patients were significantly lower, compared with the controls, but there was no significant difference in HR. In all subjects, the 6MD was positively correlated with SV, CO, CI, and HR after the 6MWT. Conclusion These findings suggest that cardiac output response to exercise indicates exercise intolerance, which may not be detected by 6MD in patients before HSCT. High-dose chemotherapy for remission induction can induce cardiac toxicity prior to hematopoietic stem cell transplantation (HSCT). However, the details of cardiac function in patients undergoing HSCT are unclear, particularly during exercise. The aim of present study was to evaluate cardiac output responses to exercise in patients after high-dose chemotherapy before HSCT compared with in age-matched healthy controls. Twenty-nine patients before HSCT (age 44.6 ± 15.2 years) and 13 controls (45.8 ± 16.0 years) performed the 6-min walk test (6MWT). Cardiac output (CO), stroke volume (SV), heart rate (HR), and cardiac index (CI) were continuously measured during the 6MWT using the noninvasive thoracic impedance method. No significant difference was observed in the six-minute walk distance (6MD) between the two groups. SV, CO, and CI both at rest and the end of the 6MWT in the patients were significantly lower, compared with the controls, but there was no significant difference in HR. In all subjects, the 6MD was positively correlated with SV, CO, CI, and HR after the 6MWT. These findings suggest that cardiac output response to exercise indicates exercise intolerance, which may not be detected by 6MD in patients before HSCT. High-dose chemotherapy for remission induction can induce cardiac toxicity prior to hematopoietic stem cell transplantation (HSCT). However, the details of cardiac function in patients undergoing HSCT are unclear, particularly during exercise. The aim of present study was to evaluate cardiac output responses to exercise in patients after high-dose chemotherapy before HSCT compared with in age-matched healthy controls.INTRODUCTIONHigh-dose chemotherapy for remission induction can induce cardiac toxicity prior to hematopoietic stem cell transplantation (HSCT). However, the details of cardiac function in patients undergoing HSCT are unclear, particularly during exercise. The aim of present study was to evaluate cardiac output responses to exercise in patients after high-dose chemotherapy before HSCT compared with in age-matched healthy controls.Twenty-nine patients before HSCT (age 44.6 ± 15.2 years) and 13 controls (45.8 ± 16.0 years) performed the 6-min walk test (6MWT). Cardiac output (CO), stroke volume (SV), heart rate (HR), and cardiac index (CI) were continuously measured during the 6MWT using the noninvasive thoracic impedance method.METHODSTwenty-nine patients before HSCT (age 44.6 ± 15.2 years) and 13 controls (45.8 ± 16.0 years) performed the 6-min walk test (6MWT). Cardiac output (CO), stroke volume (SV), heart rate (HR), and cardiac index (CI) were continuously measured during the 6MWT using the noninvasive thoracic impedance method.No significant difference was observed in the six-minute walk distance (6MD) between the two groups. SV, CO, and CI both at rest and the end of the 6MWT in the patients were significantly lower, compared with the controls, but there was no significant difference in HR. In all subjects, the 6MD was positively correlated with SV, CO, CI, and HR after the 6MWT.RESULTSNo significant difference was observed in the six-minute walk distance (6MD) between the two groups. SV, CO, and CI both at rest and the end of the 6MWT in the patients were significantly lower, compared with the controls, but there was no significant difference in HR. In all subjects, the 6MD was positively correlated with SV, CO, CI, and HR after the 6MWT.These findings suggest that cardiac output response to exercise indicates exercise intolerance, which may not be detected by 6MD in patients before HSCT.CONCLUSIONThese findings suggest that cardiac output response to exercise indicates exercise intolerance, which may not be detected by 6MD in patients before HSCT. |
| Author | Fujiko Someya Shinya Yoshida Tetsutaro Yahata |
| Author_xml | – sequence: 1 givenname: Shinya surname: Yoshida fullname: Yoshida, Shinya email: yoshi511@med.kanazawa-u.ac.jp organization: Department of Rehabilitation, Kanazawa University Hospital – sequence: 2 givenname: Fujiko surname: Someya fullname: Someya, Fujiko organization: School of Health Sciences, Kanazawa University – sequence: 3 givenname: Tetsutaro surname: Yahata fullname: Yahata, Tetsutaro organization: Department of Rehabilitation, Kanazawa University Hospital |
| BackLink | https://cir.nii.ac.jp/crid/1871428067534134656$$DView record in CiNii https://www.ncbi.nlm.nih.gov/pubmed/29974294$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1038/sj.bmt.1704763 10.1183/09031936.00194909 10.1007/s004210100458 10.1007/s11936-016-0447-9 10.1016/j.bbmt.2009.06.001 10.1536/ihj.53.293 10.1378/chest.128.1.145 10.1038/bmt.2014.159 10.1016/j.critrevonc.2015.11.007 10.1016/S0735-1097(00)00748-8 10.1007/s00520-015-2744-3 10.1093/eurjhf/hft026 10.1016/j.bbmt.2014.10.011 10.1007/s004210000226 10.1038/bmt.2012.244 10.1038/sj.bmt.1702783 10.1016/j.jacc.2011.02.055 10.1164/rccm.166/1/111 10.1038/sj.bmt.1704487 10.1161/CIRCHEARTFAILURE.114.001825 10.1016/j.transproceed.2007.11.077 10.1007/s00520-011-1156-2 10.1038/bmt.2013.58 10.1186/s13104-015-1331-5 |
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| Keywords | Cardiac output response Allogenic hematopoietic stem cell transplantation Exercise intolerance Cardiac toxicity |
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High-dose chemotherapy for remission induction can induce cardiac toxicity prior to hematopoietic stem cell transplantation (HSCT). However, the... High-dose chemotherapy for remission induction can induce cardiac toxicity prior to hematopoietic stem cell transplantation (HSCT). However, the details of... IntroductionHigh-dose chemotherapy for remission induction can induce cardiac toxicity prior to hematopoietic stem cell transplantation (HSCT). However, the... |
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| SubjectTerms | Adult Aged Antineoplastic Combined Chemotherapy Protocols Antineoplastic Combined Chemotherapy Protocols - adverse effects Cancer Research Cardiac Output Cardiac Output - drug effects Cardiac Output - physiology Case-Control Studies Chemotherapy Electrocardiography Exercise Test Exercise Test - methods Female Heart rate Hematologic Neoplasms Hematologic Neoplasms - drug therapy Hematologic Neoplasms - pathology Hematopoietic Stem Cell Transplantation Hematopoietic stem cells Humans Intolerance Male Medicine Medicine & Public Health Middle Aged Oncology Original Article Patient Selection Physical training Remission Stem cell transplantation Stem cells Surgical Oncology Thorax Toxicity Young Adult |
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| Title | Cardiac output response to exercise in patients before allogenic hematopoietic stem cell transplantation |
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