Intermittent hypoxia increases lobar hypoxic pulmonary vasoconstriction. 1983

J L Benumof

The author tested the hypothesis that in a canine lobar hypoxic pulmonary vasoconstriction (HPV) model, the passage of time alone would eliminate a previously observed association between increasing lobar HPV and repeated intermittent hypoxia of the lung lobe. The HPV model included electromagnetic measurement of the fraction of the cardiac output perfusing the left lower lobe (QLLL/Qt) and ventilation of the left lower lobe (LLL) independent of, but still synchronous with, the rest of the lung. Following surgical preparation of the model, the LLL and the rest of the lung were ventilated with 100% O2 and no further manipulations or procedures were performed for 120-150 min. The LLL then was made intermittently hypoxic four times by ventilation with 95% N2 and 5% CO2 and the LLL HPV response was quantified as the per cent decrease in QLLL/Qt. The LLL was kept either normoxic or hypoxic until the QLLL/Qt ratio was stable for several minutes. The first three LLL hypoxic exposures caused a significant progressive increase in LLL HPV response (from 37.8 to 54.7 to 61.3%) while the second LLL HPV response required significantly less time (16.6 min) to reach a stable decreased QLLL/Qt value compared with the first LLL HPV response (26.4 min). Animals with the smallest initial LLL HPV response increased their HPV response the most, and animals with the largest initial LLL HPV response increased their HPV response the least with repeated LLL hypoxic exposures. The conclusion that intermittent hypoxia increases HPV has important implications for the conduct of HPV experiments and the interpretation of blood-gas changes during one-lung ventilation for thoracic surgery.

UI MeSH Term Description Entries
D008168 Lung Either of the pair of organs occupying the cavity of the thorax that effect the aeration of the blood. Lungs
D011652 Pulmonary Circulation The circulation of the BLOOD through the LUNGS. Pulmonary Blood Flow,Respiratory Circulation,Circulation, Pulmonary,Circulation, Respiratory,Blood Flow, Pulmonary,Flow, Pulmonary Blood,Pulmonary Blood Flows
D002302 Cardiac Output The volume of BLOOD passing through the HEART per unit of time. It is usually expressed as liters (volume) per minute so as not to be confused with STROKE VOLUME (volume per beat). Cardiac Outputs,Output, Cardiac,Outputs, Cardiac
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D000860 Hypoxia Sub-optimal OXYGEN levels in the ambient air of living organisms. Anoxia,Oxygen Deficiency,Anoxemia,Deficiency, Oxygen,Hypoxemia,Deficiencies, Oxygen,Oxygen Deficiencies
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor
D014655 Vascular Resistance The force that opposes the flow of BLOOD through a vascular bed. It is equal to the difference in BLOOD PRESSURE across the vascular bed divided by the CARDIAC OUTPUT. Peripheral Resistance,Total Peripheral Resistance,Pulmonary Vascular Resistance,Systemic Vascular Resistance,Peripheral Resistance, Total,Resistance, Peripheral,Resistance, Pulmonary Vascular,Resistance, Systemic Vascular,Resistance, Total Peripheral,Resistance, Vascular,Vascular Resistance, Pulmonary,Vascular Resistance, Systemic
D014661 Vasoconstriction The physiological narrowing of BLOOD VESSELS by contraction of the VASCULAR SMOOTH MUSCLE. Vasoconstrictions

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