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J Am Coll Cardiol, 2003; 42:1044-1050, doi:10.1016/S0735-1097(03)00914-8
© 2003 by the American College of Cardiology Foundation
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Insulin ameliorates exercise ventilatory efficiency and oxygen uptake in patients with heart failure–type 2 diabetes comorbidity

Marco Guazzi, MD, PhD, FACC*,*, Gabriele Tumminello, MD*, Marco Matturri, MD{dagger} and Maurizio D. Guazzi, MD, PhD{dagger}

* Department of Medicine and Surgery, University of Milan, Cardiology Division, San Paolo Hospital, Milan, Italy
{dagger} Institute of Cardiology, University of Milan, Milan, Italy



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Figure 1 Individual responses to insulin of the pulmonary gas exchange and exercise capacities. Filled circles are the means ± SD. *p < 0.01 vs. baseline. DLCO = lung diffusing capacity for carbon monoxide; DM = diffusing capacity of the alveolar-capillary membrane; peak VO2 = oxygen consumption at peak exercise; Vc = pulmonary capillary volume available for gas exchange; VE/VCO2 slope = slope of the increase in ventilation with respect to carbon dioxide production; VO2AT = oxygen consumption at the anaerobic threshold.

 


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Figure 2 Individual changes in carbon monoxide diffusion ({Delta}DLCO) vs. changes in peak exercise oxygen uptake ({Delta}peak VO2) and in the slope of increase in ventilation with respect to carbon dioxide production ({Delta}VE/VCO2 slope), after insulin infusion.

 




 
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