EPREUVES D’ EFFORT INDICATIONS - PROTOCOLES

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Presentation transcript:

EPREUVES D’ EFFORT INDICATIONS - PROTOCOLES J.C. VERDIER INSTITUT CŒUR EFFORT SANTE PARIS

PROTOCOLES: Exemples 21 ml /kg / min d’O2 = Frontière; 4 Mets; 6 Mets; 8 Mets

PROTOCOLES: Exemples

PROTOCOLES: PALIERS - RAMPE

PROTOCOLES: Exemples PROTOCOLES: Exemples

I.C.: QUEL PROTOCOLE ? Rampe ( R ): 30W / RAMPE 10W / min. Paliers ( P ): 30 W / 10W / 1 min. 22 sujets; étude randomisée. Rampe Paliers Pic VO2 ( l/min ): 1.5 (0.44 ) 1.49 (0.43 ) N. S. V.E. Max ( l/min ): 50.8 (12.9 ) 49.9 (14.5) N. S. F.C. Max 133 (24) 131 (22) P>0.05 W max. 110 (37.1) 105.6 (35.6) P>0.05 Durée ( min. ) 8.2 (2) 7.6 (1.9) P>0.05 REVILL SM; CHEST 2002

I.C.: QUEL PROTOCOLE ? 15 I.C. F.E. 23.5% +/- 8.6 3 Protocoles : Bruce / Naughton modifié / Bicyclette Résultats: S. A .V. ( A.T. ) atteint par tous les patients BRUCE NAUGHTON CYCLE S.A.V. 15,4+/-4,1 15,6+/-4,4 11,8+/-3,0 PIC VO2 17,7+/-3,8 18,0+/-4,7 15,3+/-3,1 %VO2 Th. 57,20% 58,1+/-22,5 Strzelczyk and All. Am. Heart J. 2001 Sept; 142(3):384-7