Circulatory transport of oxygen in patients with chronic airflow obstruction exercising maximally. 1982

B Raffestin, and P Escourrou, and A Legrand, and P Duroux, and A Lockhart

Twenty patients with chronic bronchitis were exercised maximally on a bicycle ergometer. At exhaustion, arterial partial pressure of O2 (Pao2) decreased and that of CO2 (Paco2) increased in 8 patients (Subgroup 1). Arterial PO2 increased and Paco2 did not change in the remaining 12 patients (Subgroup 2). Forced expiratory volume in one second was lower in Subgroup 1 than in Subgroup 2. The decrease in arterial pH and the response of cardiac output were the same in both subgroups. Mixed venous PO2 decreased to 23 mm Hg or less in all patients in Subgroup 1 and in 3 patients in Subgroup 2; it stayed above 25 mm Hg in the remaining 9 patients. Our data imply that the ventilatory response to exercise is insufficient not only in Subgroup 1 but also in Subgroup 2 where the patients failed to hyperventilate in response to exercise-induced acidosis and that an unused oxygen reserve is still present at exhaustion in some patients with chronic airflow obstruction.

UI MeSH Term Description Entries
D008173 Lung Diseases, Obstructive Any disorder marked by obstruction of conducting airways of the lung. AIRWAY OBSTRUCTION may be acute, chronic, intermittent, or persistent. Obstructive Lung Diseases,Obstructive Pulmonary Diseases,Lung Disease, Obstructive,Obstructive Lung Disease,Obstructive Pulmonary Disease,Pulmonary Disease, Obstructive,Pulmonary Diseases, Obstructive
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010100 Oxygen An element with atomic symbol O, atomic number 8, and atomic weight [15.99903; 15.99977]. It is the most abundant element on earth and essential for respiration. Dioxygen,Oxygen-16,Oxygen 16
D010313 Partial Pressure The pressure that would be exerted by one component of a mixture of gases if it were present alone in a container. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Partial Pressures,Pressure, Partial,Pressures, Partial
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
D012146 Rest Freedom from activity. Rests
D005082 Physical Exertion Expenditure of energy during PHYSICAL ACTIVITY. Intensity of exertion may be measured by rate of OXYGEN CONSUMPTION; HEAT produced, or HEART RATE. Perceived exertion, a psychological measure of exertion, is included. Physical Effort,Effort, Physical,Efforts, Physical,Exertion, Physical,Exertions, Physical,Physical Efforts,Physical Exertions
D005541 Forced Expiratory Volume Measure of the maximum amount of air that can be expelled in a given number of seconds during a FORCED VITAL CAPACITY determination . It is usually given as FEV followed by a subscript indicating the number of seconds over which the measurement is made, although it is sometimes given as a percentage of forced vital capacity. Forced Vital Capacity, Timed,Timed Vital Capacity,Vital Capacity, Timed,FEVt,Capacities, Timed Vital,Capacity, Timed Vital,Expiratory Volume, Forced,Expiratory Volumes, Forced,Forced Expiratory Volumes,Timed Vital Capacities,Vital Capacities, Timed,Volume, Forced Expiratory,Volumes, Forced Expiratory
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

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