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Volume 356:2007-2008 May 10, 2007 Number 19
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Superior Athletic Performance Two Decades after Cardiac Transplantation

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To the Editor: Cardiac-transplant recipients have a severely reduced exercise capacity (defined as the maximum volume of oxygen consumed [VO2]), in part because of chronotropic incompetence associated with cardiac denervation.1 The upper limits of athletic performance and exercise capacity in the long term after cardiac transplantation are not clear. We report superior exercise capacity and athletic performance in a man two decades after he underwent cardiac transplantation.

The patient underwent cardiac transplantation in August 1986, at 26 years of age. Other than a history of post-transplantation hypertension that was easily controlled with the use of calcium-channel blockers, he has . . . [Full Text of this Article]



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