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Change in P wave height during progressive exercise in patients with chronic obstructive pulmonary disease.

AbstractWe examined changes in P wave height in lead II of electrocardiogram during progressive exercise in patients with chronic obstructive pulmonary disease (COPD), and obtained the slope (delta P/delta VO2, %/ml/min) of the regression line calculated from the relationship between percent change of P wave height and oxygen consumption (VO2). Four COPD patients, who had a decrease over 5 mmHg in arterial oxygen tension (PaO2) at maximal exercise (group A), had significantly greater slope (0.45 +/- 0.14%/ml/min, mean +/- S.E.) than in five COPD patients (group B, 0.14 +/- 0.05), who did not have a decrease over 5 mmHg in PaO2 at maximal exercise. The increase in P wave height during exercise was inhibited by oxygen inhalation at the given VO2 in group A. These findings suggest that increase in P wave height during exercise in COPD patients may be correlated with hypoxemia during exercise.
AuthorsW Hida, O Taguchi, N Iwase, M Sato, T Chonan, Y Kikuchi, M Ogata, K Shirato, T Takishima (Affiliation: First Department of Internal Medicine, Tohoku University School of Medicine, Sendai Japan.)
JournalThe Tohoku journal of experimental medicine (Tohoku J Exp Med) Vol. 157 Issue 1 Pg. 79-80 (Jan 1989) ISSN: 0040-8727 JAPAN
PMID2711379 (Publication Type: Journal Article)
Topics
  • Adult
  • Aged
  • Electrocardiography
  • Heart (physiopathology)
  • Humans
  • Lung Diseases, Obstructive (physiopathology)
  • Middle Aged
  • Physical Exertion