nefrНефрологияNephrology (Saint-Petersburg)1561-62742541-9439Pavlov First Saint-Petersburg State Medical University10.24884/1561-6274-2006-10-2-60-64nefr-559Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИ. КЛИНИЧЕСКИЕ ИССЛЕДОВАНИЯORIGINAL ARTICLES. CLINICAL INVESTIGATIONSАДЕКВАТНО ЛИ ИСПОЛЬЗОВАНИЕ ЧАСТОТЫ СЕРДЕЧНЫХ СОКРАЩЕНИЙ В ОЦЕНКЕ ФИЗИЧЕСКОЙ РАБОТОСПОСОБНОСТИ У БОЛЬНЫХ ХРОНИЧЕСКОЙ БОЛЕЗНЬЮ ПОЧЕК, ПОЛУЧАЮЩИХ ЛЕЧЕНИЕ ПРОГРАММНЫМ ГЕМОДИАЛИЗОМ?IS THE USE OF HEART RATE ADEQUATE IN ASSESSMENT OF PHYSICAL CAPACITY OF HEMODIALYSIS PATIENTS WITH CHRONIC KIDNEY DISEASE?КоростелеваН. Ю.KorostelevaN. Yu.

кафедра пропедевтики

РумянцевА. Ш.RumyantsevA. Sh.

кафедра пропедевтики

Научно-исследовательский институт нефрологии Санкт-Петербургского государственного медицинского университета им. акад. И.П. ПавловаRussian Federation2006100220061026064Copyright © Коростелева Н.Ю., Румянцев А.Ш., 20062006Коростелева Н.Ю., Румянцев А.Ш.Korosteleva N.Y., Rumyantsev A.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.nephrolog.ru/jour/article/view/559

ЦЕЛЬ РАБОТЫ - определить, как использовать частоту сердечных сокращений (ЧСС) для оценки физической работоспособности диализных больных. ПАЦИЕНТЫ И МЕТОДЫ. Обследовали 147 клинически стабильных больных, получающих лечение гемодиализом. У всех пациентов проводили эргоспирометрию, эхокардиографию. РЕЗУЛЬТАТЫ. У 45% больных выявлено умеренное снижение сердечного выброса, несмотря на отсутствие типичных жалоб. ЧСС на высоте нагрузки не отражала величину выполненной работы и ее мощность. ЗАКЛЮЧЕНИЕ. Комбинация ЧСС на высоте нагрузки и времени достижения максимальной нагрузки позволяла адекватно оценить физическую работоспособность у больных как без сердечной недостаточности, так и при ее наличии.

THE AIM of the study was to assess the ability of heart rate to determine physical capacity of dialysis patients. PATIENTS AND METHODS. Under investigation there were 147 dialysis patients. In all the patients spiroergometry and echocardiography were used. RESULTS. The decreased stroke volume was registered in 45% of the patients despite the absence of clinical signs. Heart rate did not reflect the volume of the fulfilled work and its power. CONCLUSION.A combination of heart rate at the peak of loading and the time of achieving the maximal capacity for work allowed adequate assessment of the physical capacity for work both with and without heart failure.

гемодиализфизическая работоспособностьчастота сердечных сокращенийhemodialysisphysical capacityheart rateReferencesМакарова ГА. Спортивная медицина.Советский спорт, М., 2004; 74-79Макарова ГА. Спортивная медицина.Советский спорт, М., 2004; 74-79Rubinger D, Sapoznikov D, Pollak A et al. Heart rate variability during chronic hemodialysis and after renal transplantation: Studies in patients without and with systemic amyloidosis. J Am Soc Nephro l1999; 10: 1972–1981Rubinger D, Sapoznikov D, Pollak A et al. Heart rate variability during chronic hemodialysis and after renal transplantation: Studies in patients without and with systemic amyloidosis. J Am Soc Nephro l1999; 10: 1972–1981Rydzewski A, Malyszko J, Borawski J et al. Heart rate variability in diabetic and non-diabetic renal transplant patients. Acta Anaesthesiol Scand 1996; 40: 804–808Rydzewski A, Malyszko J, Borawski J et al. Heart rate variability in diabetic and non-diabetic renal transplant patients. Acta Anaesthesiol Scand 1996; 40: 804–808Severi S, Cavalcanti S. Electrolytes and pH dependence of heart rate during hemodialysis: a model-based analysis. Artif Organs 2000; 24: 245-260Severi S, Cavalcanti S. Electrolytes and pH dependence of heart rate during hemodialysis: a model-based analysis. Artif Organs 2000; 24: 245-260Severi S, Cavalcanti S, Mancini E et al. Heart rate response to hemodialysis-induced changes in potassium and calcium levels. J Nephrol 2001; 14: 488-496Severi S, Cavalcanti S, Mancini E et al. Heart rate response to hemodialysis-induced changes in potassium and calcium levels. J Nephrol 2001; 14: 488-496Vallebona A, Gigli G, Orlandi S et al. Heart rate response to graded exercise correlates with aerobic and ventilatory capacity in patients with heart failure. Clin Cardiol 2005; 28 (1): 25-29Vallebona A, Gigli G, Orlandi S et al. Heart rate response to graded exercise correlates with aerobic and ventilatory capacity in patients with heart failure. Clin Cardiol 2005; 28 (1): 25-29Tsuyuki K, Kimura Y, Chiashi K et al. Oxygen uptake efficiency slope as monitoring tool for physical training in chronic hemodialysis patients. Ther Apher Dial 2003; 7 (4): 461-467Tsuyuki K, Kimura Y, Chiashi K et al. Oxygen uptake efficiency slope as monitoring tool for physical training in chronic hemodialysis patients. Ther Apher Dial 2003; 7 (4): 461-467Daugirdas JT. Simplified equations for monitoring Kt/V, PCRn, eKT/V and ePCRn. Adv Ren Replace Ther 1995; 2 (4): 295-304Daugirdas JT. Simplified equations for monitoring Kt/V, PCRn, eKT/V and ePCRn. Adv Ren Replace Ther 1995; 2 (4): 295-304Schaffield LJ, Roitman D. Stress testing methology. Progr Cardiovascular Dis 1976; 19 (1): 33–49Schaffield LJ, Roitman D. Stress testing methology. Progr Cardiovascular Dis 1976; 19 (1): 33–49Mallie JP, Moskovtchenko JF, Quard S et al. Study of the criteria of evaluation of the exercise capacity of the chronic hemodialyzed subject. Pathol Biol (Paris) 1975; 23 (8): 609-614Mallie JP, Moskovtchenko JF, Quard S et al. Study of the criteria of evaluation of the exercise capacity of the chronic hemodialyzed subject. Pathol Biol (Paris) 1975; 23 (8): 609-614Diesel W, Noakes TD, Swanepoel C et al. Isokinetic muscle strength predicts maximum exercise tolerance in renal patients on chronic hemodialysis. Am J Kidney Dis 1990; 16 (2): 109-114Diesel W, Noakes TD, Swanepoel C et al. Isokinetic muscle strength predicts maximum exercise tolerance in renal patients on chronic hemodialysis. Am J Kidney Dis 1990; 16 (2): 109-114

The authors declare that there are no conflicts of interest present.