We investigated anaerobic threshold (thetaL) gas exchange kinetics and maximal
oxygen uptake (VO2,max) among older men with reduced left ventricular
end-diastolic filling (LVDF). Ten men (mean age, 73 years) with LVDF impairment
and low fitness, but without other cardiovascular dysfunction were studied.
Treatments compared to control included: 5 days, high intensity exercise training
protocol; 5 days, calcium channel blockade (240 mg verapamil); 21 days,
detraining/washout; and 5 days, combined treatments. Results indicated no changes
in resting left ventricular systolic function with any treatment. Significant resting
diastolic function changes included increased early:late flow velocity (control, 0.87;
training, 1.28; verapamil, 1.32), and a decreased isovolumic relaxation time (control,
0.10 s; training, 0.08 s; verapamil, 0.08 s). The combined treatments were not
additive. Sub-threshold oxygen uptake kinetics (tauVO2, s) were significantly faster
following either training or verapamil (tauVO2,control, 62 ± 12; tauVO2,training, 44 ±
9; tauVO2,verapamil, 48 ± 10) and combined treatments (tauVO2, 41 ± 8). V
O2,max (ml kg-1 min-1) was significantly increased (control, 21.8 ± 2.2; training, 27.3 ±
2.2; verapamil, 25.2 ± 3.4; combined treatments, 26.9 ± 2.3). Increasing ventricular
preload with either exercise training or calcium channel blockade was coincident with
faster tauVO2 and increased VO2,max. Experimental Physiology (2000) 85.5,
547-555.