Shortness of breath, fatigue, and exercise intolerance are clinical symptoms of chronic heart failure (CHF). Recent studies suggested that peripheral impairment was the major cause of clinical symptoms, and mechanism may be related to neuroendocrine impairment and vascular smooth muscle dysfunction. It results in increased peripheral resistance that may influence limb blood flow, muscle fitness and activities of daily.The purposes of this study are 1. to compare muscular strength, endurance, and perfusion of quadriceps between CHF patients and healthy controls by isokinetic test and near-infrared spectroscopy (NIRS) and difference in activities of daily living 2. to compare endothelium function between CHF patients and healthy control subjects 3. the relationship between endothelium function, muscular strength, endurance, perfusion, and metabolism of quadriceps.
Study Type
OBSERVATIONAL
Enrollment
100
National Taiwan University Hospital
Taipei, Taiwan
RECRUITINGmuscle strength and endurance
Measured by biodex
Time frame: baseline
skeletal muscle oxygenation response
Measured by near-infrared spectroscopy
Time frame: baseline
Walking distance in 6-minute walking test
walking distance (m)
Time frame: baseline
laser Doppler flowmetry combine iontophoresis
To measure the blood flux (PU) response to Ach (endothelial-dependent agent) and SNP (endothelial-independent agent)
Time frame: baseline
sit-to-stand test
Measured times in 1 minute
Time frame: baseline
questionnaire (functional activity and quality of life)
Time frame: baseline
Analysis of venous blood sample
By standard venipuncture
Time frame: baseline
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