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Fitness in chronic heart failure : effects of exercise training and of biventricular pacing

Gademan, M.

Citation

Gademan, M. (2009, June 17). Fitness in chronic heart failure : effects of exercise training and of biventricular pacing.

Retrieved from https://hdl.handle.net/1887/13847

Version: Corrected Publisher’s Version

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden

Downloaded from: https://hdl.handle.net/1887/13847

Note: To cite this publication please use the final published version (if applicable).

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binnenzijde omslag

FITNESS IN CHRONIC HEART FAILURE:

EFFECTS OF EXERCISE TRAINING AND OF BIVENTRICULAR PACING

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FITNESS IN CHRONIC HEART FAILURE:

EFFECTS OF EXERCISE TRAINING AND OF BIVENTRICULAR PACING

MAAIKE G. J. GADEMAN

EXERCISE TRAINING IN CHRONIC HEART FAILURE 3

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FITNESS IN CHRONIC HEART FAILURE:

EFFECTS OF EXERCISE TRAINING AND OF BIVENTRICULAR PACING

Proefschrift ter verkrijging van

de graad Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus prof. mr. P. F. van der Heijden,

volgens besluit van het College voor Promoties te verdedigen op woensdag 17 juni 2009 klokke 15.00 uur

door

Maaike Gademan geboren te Utrecht in 1979 Colophon

ISBN: 978-90-9024250-7 Book design and Composition (parenthese:)Weesp Printing E.P.A. van de Geer bv, Badhoevedorp Binding Meeuwis bv, Amsterdam Cover: Eén enkele ademteug, Nol van der Linden & Maaike Gademan,

Weesp, The Netherlands (2009).

The studies described in this thesis were performed at the department of Cardiology, Leiden University Medical Center,

Leiden, The Netherlands

Copyright © 2009 Maaike G. J. Gademan, Leiden, The Netherlands. All rights reserved.

No part of this book may be reproduced or transmitted in any form or by any means, without prior written permission of the author.

Financial support to the costs associated with the publication of this thesis from Astellas Pharma BV, AstraZeneca BV, Biotronik BV, Boston Scientific Nederland BV,

Finapres Medical Systems BV, Medtronic BV, Merck Sharpe & Dohme BV, Mortara Instrument BV, Pfizer BV, Pink Roccade Healthcare BV, and St. Jude Medical Nederland BV

is gratefully acknowledged.

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Promotores

Co-promotor Overige Leden

PROMOTIECOMMISSIE Prof. Dr. E. E. van der Wall Prof Dr. M. J. Schalij Dr. Ir. C. A. Swenne Dr. J. Brügemann

(Universitair Medisch Centrum Groningen) Prof. Dr. J. H. Arendzen

(Leids Universitair Medisch Centrum) Dr. J. M. Karemaker

(Academisch Medisch Centrum, Universiteit van Amsterdam)

The research described in this thesis was supported by a grant of the Netherlands Heart Foundation (grant nr. 2003B094).

Financial support by the Netherlands Heart Foundation and JE Jurriaanse stichting for the publication of this thesis is gratefully acknowledged.

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‘Enkel met het hart kan men goed zien, het essentiële is onzichtbaar voor de ogen’

(Antoine de Saint-Exupéry)

Aan Jens

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CONTENTS

Chapter 1 13

Introduction

1.1 Prevalence and prognosis of

heart failure 14

1.2 Pathophysiology of chronic

heart failure 14

1.3 Fitness 16

1.3.1 Fitness and exercise capacity in CHF 16 1.3.2 Fitness and autonomic functioning

in CHF 18

1.4 Treatment of heart failure 19 1.5 Mechanisms and effects of exercise

training 19

1.6 Effects/mechanisms of biventricular

pacing on fitness 20

1.7 Aims and outline of this thesis 21

Chapter 2 28

Effect of exercise training on autonomic derangement and neurohumoral activation in chronic heart failure.

J Card Fail 2007;13:294-303

Chapter 3 46

Baroreflex sensitivity, blood pressure buffering, and resonance: what are the links? Computer simulation of healthy subjects and heart failure patients.

J Appl Physiol 2007;102:1348-1356

Chapter 4 62

Periodic somatosensory stimulation increases the arterial baroreflex sensitivity in chronic heart failure patients.

Submitted

Chapter 5 72

Exercise training increases oxygen uptake efficiency slope in chronic heart failure.

Eur J Cardiovasc Prev Rehabil 2008;15:140-144

Chapter 6 82

The effect of exercise training on oxygen uptake - work relation in chronic heart failure.

Submitted

Chapter 7 94

Biventricular pacing in chronic heart failure acutely facilitates the arterial baroreflex.

Am J Physiol Heart Circ Physiol 2008;2:755-760

Chapter 8 106

Biventricular pacing-induced acute response in baroreflex sensitivity has predictive value for mid-term response to cardiac resynchronization therapy.

Am J Physiol Heart Circ Physiol 2009;

in press

Chapter 9 119

Summary, Conclusions and Future Perspectives

Samenvatting, Conclusies en Toekomstperspectief List of frequently used

abbreviations 133

List of publications 135

Nawoord 138

Curriculum Vitae 141

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