Comparative hemodynamic responses to upright and recumbent cycling in patients with exercise intolerance

IntroductionUnderstanding the influence of body position on cardiovascular responses during exercise is crucial for precise diagnostic and therapeutic strategies, particularly in patients with exercise intolerance.AimThis study aims to compare the hemodynamic responses to exercise in upright and rec...

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Main Authors: Arif Albulushi, Faisal Al Harthi, Gamal Aly, Yahya Al-Wahshi, Mohammed H. El-Deeb
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Cardiovascular Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2024.1431787/full
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author Arif Albulushi
Arif Albulushi
Faisal Al Harthi
Gamal Aly
Yahya Al-Wahshi
Mohammed H. El-Deeb
author_facet Arif Albulushi
Arif Albulushi
Faisal Al Harthi
Gamal Aly
Yahya Al-Wahshi
Mohammed H. El-Deeb
author_sort Arif Albulushi
collection DOAJ
description IntroductionUnderstanding the influence of body position on cardiovascular responses during exercise is crucial for precise diagnostic and therapeutic strategies, particularly in patients with exercise intolerance.AimThis study aims to compare the hemodynamic responses to exercise in upright and recumbent cycling positions in patients with exercise intolerance.MethodsA cross-over study design was employed, enrolling 21 patients for right heart catheterization during exercise in both upright and recumbent positions. Hemodynamic variables were measured at rest and across various exercise intensities.ResultsSignificant differences were observed in right atrial pressure (RAP), mean pulmonary artery pressure (mPAP), and pulmonary artery wedge pressure (PAWP) between upright and recumbent positions. Upright exercise revealed lower values of RAP, mPAP, and PAWP, indicating distinct hemodynamic profiles.ConclusionBody position significantly affects cardiovascular dynamics during exercise, providing valuable insights for diagnosing and managing exercise intolerance.
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institution Kabale University
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publishDate 2025-02-01
publisher Frontiers Media S.A.
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series Frontiers in Cardiovascular Medicine
spelling doaj-art-5dc91c63a79c49cfbdadc6f69e6ac3d42025-02-07T06:49:56ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-02-011110.3389/fcvm.2024.14317871431787Comparative hemodynamic responses to upright and recumbent cycling in patients with exercise intoleranceArif Albulushi0Arif Albulushi1Faisal Al Harthi2Gamal Aly3Yahya Al-Wahshi4Mohammed H. El-Deeb5Department of Adult Cardiology, National Heart Center, The Royal Hospital, Muscat, OmanDivision of Cardiovascular Medicine, University of Nebraska Medical Center, Omaha, NE, United StatesDepartment of Medicine, Diwan of Royal Court Clinic, Muscat, OmanDepartment of Adult Cardiology, National Heart Center, The Royal Hospital, Muscat, OmanDivision of Cardiology, Armed Forces Hospital, Muscat, OmanDepartment of Cardiology, Al Hayat International Hospital, Muscat, OmanIntroductionUnderstanding the influence of body position on cardiovascular responses during exercise is crucial for precise diagnostic and therapeutic strategies, particularly in patients with exercise intolerance.AimThis study aims to compare the hemodynamic responses to exercise in upright and recumbent cycling positions in patients with exercise intolerance.MethodsA cross-over study design was employed, enrolling 21 patients for right heart catheterization during exercise in both upright and recumbent positions. Hemodynamic variables were measured at rest and across various exercise intensities.ResultsSignificant differences were observed in right atrial pressure (RAP), mean pulmonary artery pressure (mPAP), and pulmonary artery wedge pressure (PAWP) between upright and recumbent positions. Upright exercise revealed lower values of RAP, mPAP, and PAWP, indicating distinct hemodynamic profiles.ConclusionBody position significantly affects cardiovascular dynamics during exercise, providing valuable insights for diagnosing and managing exercise intolerance.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1431787/fullexercise physiologycardiovascular dynamicsupright cyclingrecumbent cyclingexercise intolerancehemodynamic measurements
spellingShingle Arif Albulushi
Arif Albulushi
Faisal Al Harthi
Gamal Aly
Yahya Al-Wahshi
Mohammed H. El-Deeb
Comparative hemodynamic responses to upright and recumbent cycling in patients with exercise intolerance
Frontiers in Cardiovascular Medicine
exercise physiology
cardiovascular dynamics
upright cycling
recumbent cycling
exercise intolerance
hemodynamic measurements
title Comparative hemodynamic responses to upright and recumbent cycling in patients with exercise intolerance
title_full Comparative hemodynamic responses to upright and recumbent cycling in patients with exercise intolerance
title_fullStr Comparative hemodynamic responses to upright and recumbent cycling in patients with exercise intolerance
title_full_unstemmed Comparative hemodynamic responses to upright and recumbent cycling in patients with exercise intolerance
title_short Comparative hemodynamic responses to upright and recumbent cycling in patients with exercise intolerance
title_sort comparative hemodynamic responses to upright and recumbent cycling in patients with exercise intolerance
topic exercise physiology
cardiovascular dynamics
upright cycling
recumbent cycling
exercise intolerance
hemodynamic measurements
url https://www.frontiersin.org/articles/10.3389/fcvm.2024.1431787/full
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