Document Detail


Pulmonary vascular response to air-breathing exercise in humans following an 8-h exposure to hypoxia.
MedLine Citation:
PMID:  19666148     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study is concerned with the pulmonary vasculature in euoxia after preconditioning with 8h of hypoxia. The particular question we ask is whether the pulmonary vasculature will dilate normally with exercise or retain some degree of vasoconstriction, as has previously been reported in studies involving longer exposures to the hypoxia of high altitude. Ten subjects were studied on two separate days. On one day, subjects were exposed to 8h of isocapnic hypoxia (end-tidal P(O)(2) 55Torr) and on the other day to 8h of euoxia as a control. Before and after each exposure, subjects undertook 20min of exercise at an intensity to elevate heart rate (HR) by approximately 30bpm. During this period, Doppler echocardiography was used to assess the maximum pressure gradient during systole across the tricuspid valve (DeltaP(max)) as an index of pulmonary arterial pressure. Following 8-h hypoxia, but not control, DeltaP(max) increased by approximately 2mmHg with the subjects breathing air at rest (ANOVA, P<0.02). Under control conditions, exercise at approximately 30 bpm above resting HR increased DeltaP(max) by 9.9+/-1.3mmHg (mean+/-SE). Following 8-h hypoxia, but not control, this sensitivity of DeltaP(max) to exercise increased by approximately 35% to 13.4+/-2.1mmHg (P<0.05). We conclude that prior conditioning with 8h of hypoxia impairs the ability of the pulmonary vasculature to dilate normally during exercise.
Authors:
Mari Herigstad; Peter A Robbins
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Publication Detail:
Type:  Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-08-08
Journal Detail:
Title:  Respiratory physiology & neurobiology     Volume:  169     ISSN:  1878-1519     ISO Abbreviation:  Respir Physiol Neurobiol     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-05     Completed Date:  2009-12-09     Revised Date:  2010-04-16    
Medline Journal Info:
Nlm Unique ID:  101140022     Medline TA:  Respir Physiol Neurobiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  11-5     Citation Subset:  IM    
Affiliation:
Department of Physiology, Anatomy and Genetics, University of Oxford, Parks Road, Oxford OX1 3PT, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Altitude
Analysis of Variance
Anoxia / physiopathology,  rehabilitation*
Blood Pressure / physiology
Breathing Exercises*
Echocardiography, Doppler / methods
Female
Heart Rate / physiology
Humans
Male
Pulmonary Circulation / physiology*
Rest / physiology
Tidal Volume / physiology
Time Factors
Young Adult
Grant Support
ID/Acronym/Agency:
//Wellcome Trust

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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