Unexplained exertional intolerance associated with impaired systemic oxygen extraction.
Kathryn H MelamedMário SantosRudolf K F OliveiraMariana Faria UrbinaDonna FelsensteinAlexander R OpotowskyAaron B WaxmanDavid M SystromPublished in: European journal of applied physiology (2019)
We identified a cohort of patients whose exercise limitation is due only to systemic oxygen extraction, due to either an intrinsic abnormality of skeletal muscle mitochondrion, limb muscle microcirculatory dysregulation, or hyperventilation and left shift the oxyhemoglobin dissociation curve.