Effect of heat delivery and extraction on airway conductance in normal and in asthmatic subjects. 1985

M L Aitken, and J J Marini

Ten asthmatic and 10 normal subjects were exposed to 7 air conditions varying in temperature (-2 to 49 degrees C) and relative humidity (10 or 100%). Normocapnic hyperventilation for 3 min at 40% maximal voluntary ventilation was performed for each condition. A constant-volume body plethysmograph measured functional residual capacity and specific airway conductance (SGaw). Three to five sets of functional residual capacity and SGaw measurements were taken before and 1, 5, and 10 min after each challenge. All conditions that extracted heat from the airway caused SGaw to fall in both subject groups. In normal subjects, this response was greatest immediately after challenge. In asthmatic subjects, the immediate response exceeded the normal response, and airway function worsened in the 5 to 10 min after exposure. The quantity of heat extracted correlated moderately well with change from baseline SGaw in both normal (r = 0.55 at 5 min) and asthmatic (r = 0.64) subjects. When heat was added to the airway by hyperventilation of warm, humid air, SGaw increased in normal subjects. However, marked bronchoconstriction followed the same challenge in asthmatic subjects. Changing osmolality of the respiratory mucosa rather than thermal exchange may be responsible for the bronchospasm consequent to heat delivery.

UI MeSH Term Description Entries
D008297 Male Males
D009092 Mucous Membrane An EPITHELIUM with MUCUS-secreting cells, such as GOBLET CELLS. It forms the lining of many body cavities, such as the DIGESTIVE TRACT, the RESPIRATORY TRACT, and the reproductive tract. Mucosa, rich in blood and lymph vessels, comprises an inner epithelium, a middle layer (lamina propria) of loose CONNECTIVE TISSUE, and an outer layer (muscularis mucosae) of SMOOTH MUSCLE CELLS that separates the mucosa from submucosa. Lamina Propria,Mucosa,Mucosal Tissue,Muscularis Mucosae,Mucous Membranes,Membrane, Mucous,Membranes, Mucous,Mucosae, Muscularis,Mucosal Tissues,Propria, Lamina,Tissue, Mucosal,Tissues, Mucosal
D012123 Pulmonary Ventilation The total volume of gas inspired or expired per unit of time, usually measured in liters per minute. Respiratory Airflow,Ventilation Tests,Ventilation, Pulmonary,Expiratory Airflow,Airflow, Expiratory,Airflow, Respiratory,Test, Ventilation,Tests, Ventilation,Ventilation Test
D001980 Bronchi The larger air passages of the lungs arising from the terminal bifurcation of the TRACHEA. They include the largest two primary bronchi which branch out into secondary bronchi, and tertiary bronchi which extend into BRONCHIOLES and PULMONARY ALVEOLI. Primary Bronchi,Primary Bronchus,Secondary Bronchi,Secondary Bronchus,Tertiary Bronchi,Tertiary Bronchus,Bronchi, Primary,Bronchi, Secondary,Bronchi, Tertiary,Bronchus,Bronchus, Primary,Bronchus, Secondary,Bronchus, Tertiary
D005260 Female Females
D005652 Functional Residual Capacity The volume of air remaining in the LUNGS at the end of a normal, quiet expiration. It is the sum of the RESIDUAL VOLUME and the EXPIRATORY RESERVE VOLUME. Common abbreviation is FRC. Capacities, Functional Residual,Capacity, Functional Residual,Functional Residual Capacities,Residual Capacities, Functional,Residual Capacity, Functional
D006358 Hot Temperature Presence of warmth or heat or a temperature notably higher than an accustomed norm. Heat,Hot Temperatures,Temperature, Hot,Temperatures, Hot
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006813 Humidity A measure of the amount of WATER VAPOR in the air. Humidities
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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