Redistribution of cardiac output during exercise by functional mitral regurgitation in heart failure: compensatory O2 peripheral uptake to delivery failure

Author:

Guazzi Marco1,Generati Greta1,Borlaug Barry2,Alfonzetti Eleonora1,Sugimoto Tadafumi13,Castelvecchio Serenella4,Menicanti Lorenzo4,Bandera Francesco1

Affiliation:

1. Cardiology University Department, Istituto di Ricovero e Cura a Carattere Scientifico Policlinico San Donato, University of Milano, Milano, Italy

2. Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota

3. Department of Clinical Laboratory, Mie University Hospital, Tsu, Japan

4. Department of Cardiac Surgery, Istituto di Ricovero e Cura a Carattere Scientifico, Policlinico San Donato, San Donato Milanese, Milan, Italy

Abstract

This is an analysis involving 134 heart failure patients with reduced ejection fraction versus 80 controls investigated during functional evaluation with gas exchange and hemodynamic, addressing the severe mitral regurgitation phenotype and testing the hypothesis that the backward cardiac output redistribution to the lung during exercise impairs delivery and overexpresses peripheral extraction. This information is new and has important implications in the management of heart failure.

Publisher

American Physiological Society

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine,Physiology

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