Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0015672 (fatigue)
 51,768 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Twenty-two smokers with elevated hematocrits (mean, 54 per cent) had elevated blood carboxyhemoglobin (mean, 11.6 per cent; normal, less than 1 per cent) and a "left-shifted" oxygen-hemoglobin dissociation curve (mean P50, 21.6 +/- 2.3 [+/- S.D.] torr; normal, 26.7 +/- 1.1). Red-cell volume was increased in 14 of 18, and plasma volume reduced in 14 of 18. Fatigue and headache were common, and syncopal attacks occurred in four patients. Symptoms disappeared and the elevated red-cell volume decreased markedly in all five patients who were able to reduce severely their smoking habit; low plasma volume increased in three of four patients studied. We conclude that carbon monoxide exposure from cigar and cigarette smoke is a frequent cause of an elevated red-cell volume or a reduced plasma volume (or both). Measurement of carboxyhemoglobin should be a routine part of the evaluation of all polycythemic subjects.
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PMID:Smokers' polycythemia. 61 65

1. Adaptive mechanisms of oxygen transport by blood have been studied in severely anaemic young patients on maintenance haemodialysis, in conditions of hyperphosphataemia (Pi greater than or equal to 2.2 mmol/l) or normophosphataemia. 2. In hyperphosphataemia whole-blood affinity for oxygen was slightly decreased, as measured by an increase in P50 (the partial pressure of oxygen necessary to half saturate haemoglobin). 2,3-Diphosphoglycerate was increased by 10% (P less than 0.10) whereas Pi, total erythrocyte phosphate and ATP were increased by 100%, 47% and 36% respectively, compared with control values. 3. After correction of hyperphosphataemia a small but significant decrease in P50 and 2,3-diphosphoglycerate, to normal values, was observed whereas the other variables, although significantly lowered, remained above control values. 4. In these severely anaemic and hyperphosphataemic patients P50 and 2,3-diphosphoglycerate are only slightly increased. ATP synthesis appears to be favoured over that of 2,3-diphosphoglycerate. This is possibly due to alterations in the erythrocyte membrane elicited by bi-weekly extracorporeal circulation. Adequate oxygen transport can be achieved only through a drastic increase in blood flow. Correction of hyperphosphataemia adds further to the abnormality. It is concluded that this condition could induce a long-term myocardial fatigue, which might be prevented with occasional small blood transfusions.
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PMID:Oxygen transport in children on maintenance haemodialysis. 62 Apr 97

P50 and 2,3 DPG content of erythrocytes were determined in 25 patients with heterozygous beta thalassemia minor to assess the adaptive mechanisms to anemia. 2,3 DPG levels were appropriately elevated for the degree of anemia. However, P50 values were not proportionately increased. No correlations were noted between hemoglobin level, 2,3 DPG, or P50 and the presence of symptomatic complaints of fatigue or weakness in these heterozygous patients.
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PMID:Intraerythrocytic adaptation (2,3 DPG,P50) in thalassemia minor. 83 53

We evaluated a 22-yr-old Swedish man with lifelong exercise intolerance marked by premature exertional muscle fatigue, dyspnea, and cardiac palpitations with superimposed episodes lasting days to weeks of increased muscle fatigability and weakness associated with painful muscle swelling and pigmenturia. Cycle exercise testing revealed low maximal oxygen uptake (12 ml/min per kg; healthy sedentary men = 39 +/- 5) with exaggerated increases in venous lactate and pyruvate in relation to oxygen uptake (VO2) but low lactate/pyruvate ratios in maximal exercise. The severe oxidative limitation was characterized by impaired muscle oxygen extraction indicated by subnormal systemic arteriovenous oxygen difference (a-v O2 diff) in maximal exercise (patient = 4.0 ml/dl, normal men = 16.7 +/- 2.1) despite normal oxygen carrying capacity and Hgb-O2 P50. In contrast maximal oxygen delivery (cardiac output, Q) was high compared to sedentary healthy men (Qmax, patient = 303 ml/min per kg, normal men 238 +/- 36) and the slope of increase in Q relative to VO2 (i.e., delta Q/delta VO2) from rest to exercise was exaggerated (delta Q/delta VO2, patient = 29, normal men = 4.7 +/- 0.6) indicating uncoupling of the normal approximately 1:1 relationship between oxygen delivery and utilization in dynamic exercise. Studies of isolated skeletal muscle mitochondria in our patient revealed markedly impaired succinate oxidation with normal glutamate oxidation implying a metabolic defect at the level of complex II of the mitochondrial respiratory chain. A defect in Complex II in skeletal muscle was confirmed by the finding of deficiency of succinate dehydrogenase as determined histochemically and biochemically. Immunoblot analysis showed low amounts of the 30-kD (iron-sulfur) and 13.5-kD proteins with near normal levels of the 70-kD protein of complex II. Deficiency of succinate dehydrogenase was associated with decreased levels of mitochondrial aconitase assessed enzymatically and immunologically whereas activities of other tricarboxylic acid cycle enzymes were increased compared to normal subjects. The exercise findings are consistent with the hypothesis that this defect impairs muscle oxidative metabolism by limiting the rate of NADH production by the tricarboxylic acid cycle.
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PMID:Deficiency of skeletal muscle succinate dehydrogenase and aconitase. Pathophysiology of exercise in a novel human muscle oxidative defect. 191 74

The relationship between electrically evoked isometric and isokinetic properties of the triceps surae have been studied in 11 healthy male subjects. The results showed that the time to peak tension (TPT) and half relaxation time (1/2 RT) of the maximal twitch were 110 +/- 11 ms and 82 +/- 11 ms respectively, and the peak rates of rise of contraction (delta P50, delta P200) and relaxation (delta PR50, delta PR200) at 50 and 200 Hz were 0.36 +/- 0.07, 0.48 +/- 0.08 and 1.27 +/- 0.33, 1.25 +/- 0.27% Po ms-1 respectively. The decline in force during a fatigue test was significantly (P less than 0.02) associated with the decrease in maximal relaxation rate (r = 0.79). The TPT was significantly (P less than 0.05) and inversely related to delta P50 and delta P200. The mean angle specific torque-velocity relationship for the 11 subjects was adequately described by the empirical exponential equation of the form: V = 16.5 (e-P/30.8-e-84.3/30.8) where V = velocity (rads s-1) and P = torque (Nm). The only significant association found between the isometric and isokinetic properties of the muscle was between delta PR200 and the torque expressed at a given velocity of 4 rads s-1. This lack of association between the two variables is difficult to explain with certainty but it is suggested that it may be due to the differential effects of Ca2+ release and uptake and cross-bridge turnover rate in the two situations.
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PMID:Electrically evoked isometric and isokinetic properties of the triceps surae in young male subjects. 322 74

The electrically evoked isometric properties of the triceps surae have been studied in young (22 yr) and elderly (69 yr) men and women. The results show that the triceps surae of elderly subjects had an increased time to peak tension (TPT) of the twitch, a lower specific tension (force/cross section area), and showed a greater relative force loss when subjected to a standard "fatigue" test procedure than young triceps surae. The respective figures for TPT, specific tension, and fatigue index (FI) were 147 +/- 15 ms (male), 143 +/- 8 ms (female), 19.5 N/cm2 and 0.52 +/- 0.16 (male), 0.37 +/- 0.09 (female) in the elderly, compared with 118 +/- 14 ms (male), 132 +/- 11 ms (female), 32.9 N/cm2 and 0.67 +/- 0.11 (male), 0.62 +/- 0.09 (female) in their younger counterparts. The peak rates of rise (delta P50, delta P200) and relaxation (delta PR50, delta PR200) of tetani at 50 Hz and 200 Hz were slower (p less than 0.05) in the elderly group. The delta P50 and delta P200 were inversely associated (r = 0.76 and -0.50 respectively) with TPT, and the half relaxation time (1/2RT) of the maximal twitch was related to delta PR50 (r = 0.53). The decrease of tetanus relaxation rate during the 2 min fatigue test (delta PRF) was greater in the elderly than the young and was positively associated (r = 0.74) with FI. It is concluded that elderly muscle is weaker, more slowly contracting and fatigable than that of the young. However, it is suggested that the reduced specific tension and enhanced fatiguability of the elderly may in part be due respectively to the inadequacies of our estimates of the effective cross-sectional area CSA) of contractile tissue in the lower leg and the influence of blood flow which may be compromised during a 2 min test.
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PMID:Mechanical properties of young and elderly human muscle. 346 6

Oxygen transport to and substrate turnover in leg muscle were studied at rest and during light and heavy upright bicycle exercise in two brothers with a hereditary hemoglobinopathy associated with high oxygen affinity (P50 = 13 mmHg). Femoral venous oxygen tension was below normal and femoral venous oxygen saturation above normal at rest and during exercise. Thus, the arterial-femoral venous oxygen saturation difference was decreased. Despite a compensatory increase in hemoglobin concentration, the arterial-femoral venous oxygen content difference tended to be below normal at heavy exercise. Approximately 25% of the oxygen was delivered via the abnormal hemoglobin at relative heavy exercise. Arterial lactate levels, lactate release, and muscle lactate concentration were not increased at any level of exercise. Glucose, alanine, pyruvate, and glycerol turnover were essentially normal, but the glycogen and creatine phosphate stores were abnormally depleted at the termination of heavy exercise. The exercise electrocardiogram (ECG) was normal, indicating that myocardial oxygenation was adequate. Muscle-surface oxygen pressure fields were normal at rest (not investigated during exercise). It is concluded that the high oxygen affinity of the hemoglobin in our two subjects did not lead to heart or skeletal muscle hypoxia during heavy exercise, as judged from the ECG and from the leg lactate turnover. Despite the lack of evidence for muscle hypoxia, the subjects experienced leg muscle fatigue and the creatine phosphate and glycogen stores were depleted more than normally.
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PMID:Tissue oxygenation and muscular substrate turnover in two subjects with high hemoglobin oxygen affinity. 663 May 12

The aim of our experiment was to test the hypothesis that the performance of maximal isometric exercise every 20 s would reduce the intermediate frequency force, i.e. the force that appears while stimulating the muscle at 15 and 20 Hz, and would produce less decrease the force at 10 and 50 Hz, while Pt would increase. Such changes in stimulated force should demonstrate the coexistence of potentiation, low frequency fatigue (LFF) and 'post-contractile depression' (PCD). The quadriceps muscle of 14 healthy men (aged 19-37 years) was studied. The results have shown, that during isometric exercise of maximal intensity there was significant (P < 0.05) decrease in P15 and P20, increase in Pt, however, MVC and P10 and P50 was unchanged (P > 0.05). LFF manifested itself most significantly which is evident from decrease in P20/P50. During recovery after work there was significant increase in LFF and decrease in P50 which is indicative of the manifestation of PCD. Besides, there was significant (P < 0.05) decrease immediately after exercise in RTP20 and RTP50, while no changes in T50 and RT. There were no significant changes (P > 0.05) however, either in RTP20 and RTP50 or in T50 and RT 20 min after exercise if compared to the initial and immediately post-exercise values.
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PMID:Is post-tetanic potentiation, low frequency fatigue (LFF) and pre-contractile depression (PCD) coexistent in intermittent isometric exercises of maximal intensity? 980 98

One hundred drop jumps were performed at maximal intensity every 20 s in 12 untrained subjects (UT), 9 sprinters (S) and 10 long-distance runners (LDR). Muscle contraction force (P20, P50) induced by percutaneous electrical stimulation (20 Hz and 50 Hz, respectively) as well as maximal voluntary contraction force and the height of vertical jumps performed in different ways decreased (P<0.05) and was not restored to the initial value 20 min post exercise. There was a marked increase in low frequency fatigue (LFF) in all the groups studied as substantiated by a significant decrease in the ratio of P20/P50 immediately after exercise as well as 20 min post exercise compared to pre exercise values (P<0.05). However, low frequency fatigue was similar in UT, S and LDR. The jump height of the sprinters during counter-movement jump and drop jump at 90 degrees decreased to a smaller extent compared to jumps performed by LDR and UT. Muscle pain did not differ between UT, S and LDR at 24 h post exercise. The present data indicate that endurance training status as well as prevalence of muscle fibres of the slow type does not decrease muscle resistance to LFF nor accelerate the recovery of muscle contraction force following maximal, intermittent stretch-shortening cycle exercise.
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PMID:Skeletal muscle fatigue in long-distance runners, sprinters and untrained men after repeated drop jumps performed at maximal intensity. 1198 64

The purpose of this study was to establish the influence of temperature on quadriceps femoris muscle force, contraction and relaxation time, low frequency fatigue and muscle recovery after performing high-intensity exercise. Healthy untrained men (age 21-30 years, n = 9) gave their informed consent to take part in all experiments within the study. A high voltage stimulator (MG 440, Medicor, Hungary) was used for electrical stimulation; quadriceps muscle was stimulated through surface electrodes (9 x 18 cm) padded with cotton cloth and soaked in saline solution. The following data were measured: the force of quadriceps muscle, aroused by electrical stimulation under 1 Hz (Pt), 20 Hz (P20) and 50 Hz (P50) frequencies (the duration of each electrical stimulation series was 1 second) and maximal voluntary contraction force (MVCF). Hot water (44-45 degrees C) bath was used for muscle heating. Blood lactate concentration was measured before exercise and after 5 min. and 1 hour after performing high-intensity exercise. Two experiments with two months recreation time were carried out. The following conclusions were received: even though muscle heating increases the speed of dominating lactate in blood and increases the muscle force caused by low and high stimulation frequency, it does not influence the recovery properties of muscle contraction and relaxation during 24 hours after performing high-intensity exercise.
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PMID:[Influence of temperature on the recovery of muscle function after performing maximal intensity exercise]. 1247 72


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