Handgrip exercise associated with dobutamine stress echocardiography

Dattilo, Giuseppe; Patanè, Salvatore; Zito, Concetta; Lamari, Annalisa; Tulino, Domenico; Marte, Filippo; Carerj, Scipione

doi:10.1016/j.ijcard.2009.03.016

Cited by 13 publications

(6 citation statements)

References 18 publications

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“…Using this value for all patients makes our protocol comparable with the previous study by Sohn et al [6]. Isometric handgrip exercise during DSE is another method of increasing peripheral vascular resistance and has been reported to be associated with similar benefits to pneumatic limb compression [14][15][16][17]. The advantage of handgrip exercise over pneumatic limb compression is that it is easier to perform because it does not require any special equipment (such as pneumatic trousers); however, it is inferior to pneumatic limb compression in terms of standardisation, in terms of the magnitude of increase in peripheral vascular resistance, and for not being suitable for the long duration of the test.…”

Section: Pneumatic Compression Of Lower Extremities During Dsesupporting

confidence: 65%

Lower limb pneumatic compression during dobutamine stress echocardiography in patients with normal resting wall motion: will it increase diagnostic accuracy?

et al. 2015

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Section: Pneumatic Compression Of Lower Extremities During Dsesupporting

confidence: 65%

Lower limb pneumatic compression during dobutamine stress echocardiography in patients with normal resting wall motion: will it increase diagnostic accuracy?

et al. 2015

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“…Handgrip exercise (HG) is a simple bedside maneuver to increase the intensity of murmur of mitral regurgitation (MR) during auscultation [1]. In addition, HG has been used in echocardiography as a means of stress test to identify exertion induced ischemia or exertion induced left ventricular diastolic dysfunction [2,3]. Furthermore, HG has been used in combination with dobutamine stress echocardiography to identify patients with MR who would probably benefit from percutaneous mitral valve repair [4].…”

Section: Introductionmentioning

confidence: 99%

Dynamic handgrip exercise for the evaluation of mitral valve regurgitation: an echocardiographic study to identify exertion induced severe mitral regurgitation

Alachkar

Kirschfink

Grebe

et al. 2020

Int J Cardiovasc Imaging

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Handgrip exercise (HG) has been occasionally used as a stress test in echocardiography. The effect of HG on mitral regurgitation (MR) is not well known. This study aims to evaluate this effect and the possible role of HG in the echocardiographic evaluation of MR. 722 patients with MR were included (18% primary, 82% secondary disease). We calculated effective regurgitant orifice area (EROA) and regurgitant volume (RVOL) at rest and during dynamic HG. Increase in MR was defined as any increase in EROA or RVOL. We analyzed the data to identify possible associations between clinical or echocardiographic parameters and the effect of HG on MR. MR increased during dynamic HG in 390 of 722 patients (54%) (∆EROA = 25%, ∆RVOL = 27%). Increase of regurgitation occurred in 66 of 132 patients with primary MR (50%) and in 324 of 580 patients with secondary MR (55%). This increase was associated with larger baseline EROA and RVOL, but it was independent from other clinical or echocardiographic parameters. In secondary MR, dynamic HG led to a reclassification of regurgitation severity from non-severe at rest to severe MR during HG in 104 of 375 patients (28%). There was a significant association between this upgrade in MR classification and higher New York Heart Association (NYHA) class (OR 1.486, 95%-CI 1.138–1.940, p = 0.004). Dynamic HG exercise increases MR in about half of patients independent of the etiology. Dynamic HG may be used to identify symptomatic patients with non-severe secondary MR at rest but severe MR during exercise.

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“…Exercise stress testing using a treadmill or bicycle is a widely accepted method for assessing the functional capacity in people with CAD. For persons with disabilities, handgrip exercise testing is an alternative stress method for the evaluation of CAD, albeit with limited sensitivity for the detection of CAD [13,14]. Mroszczyk‐McDonald et al [15] reported improved handgrip strength after cardiac rehabilitation and suggested handgrip strength as a valuable predictor of physical function in elderly people with CAD.…”

Section: Introductionmentioning

confidence: 99%

Benefits of exercise training and the correlation between aerobic capacity and functional outcomes and quality of life in elderly patients with coronary artery disease

Chen

et al. 2014

The Kaohsiung J of Med Scie

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Cardiopulmonary exercise training is beneficial to people with coronary artery disease (CAD). Nevertheless, the correlation between aerobic capacity, and functional mobility and quality of life in elderly CAD patients is less addressed. The purpose of the current study is to investigate the beneficial effects of exercise training in elderly people with CAD, integrating exercise stress testing, functional mobility, handgrip strength, and health-related quality of life. Elderly people with CAD were enrolled from the outpatient clinic of a cardiac rehabilitation unit in a medical center. Participants were assigned to the exercise training group (N = 21) or the usual care group (N = 15). A total of 36 sessions of exercise training, completed in 12 weeks, was prescribed. Echocardiography, exercise stress testing, the 6-minute walking test, Timed Up and Go test, and handgrip strength testing were performed, and the Short-Form 36 questionnaire (SF-36) was administered at baseline and at 12-week follow-up. Peak oxygen consumption improved significantly after training. The heart rate recovery improved from 13.90/minute to 16.62/minute after exercise training. Functional mobility and handgrip strength also improved after training. Significant improvements were found in SF-36 physical function, social function, role limitation due to emotional problems, and mental health domains. A significant correlation between dynamic cardiopulmonary exercise testing parameters, the 6-minute walking test, Timed Up and Go test, handgrip strength, and SF-36 physical function and general health domains was also detected. Twelve-week, 36-session exercise training, including moderate-intensity cardiopulmonary exercise training, strengthening exercise, and balance training, is beneficial to elderly patients with CAD, and cardiopulmonary exercise testing parameters correlate well with balance and quality of life.

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Handgrip exercise associated with dobutamine stress echocardiography

Cited by 13 publications

References 18 publications

Lower limb pneumatic compression during dobutamine stress echocardiography in patients with normal resting wall motion: will it increase diagnostic accuracy?

Lower limb pneumatic compression during dobutamine stress echocardiography in patients with normal resting wall motion: will it increase diagnostic accuracy?

Dynamic handgrip exercise for the evaluation of mitral valve regurgitation: an echocardiographic study to identify exertion induced severe mitral regurgitation

Benefits of exercise training and the correlation between aerobic capacity and functional outcomes and quality of life in elderly patients with coronary artery disease

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