[Hemorheologic assessment in hypoxic and hypoxic-hypercapnic states]. 1996

A Cortinovis, and A Crippa, and P Ardemagni, and A Rezaei
Dipartimento di Medicina Interna e Terapia Medica, IRCCS Policlinico S. Matteo, Università degli Studi-Pavia.

METHODS Twenty-four male and female people have been examined. They were afflicted with respiratory failure; on blood gas analysis they have been divided into two groups: hypoxic and hypoxic-hypercapnic subjects, disregarding the base pathology. We have used both the rotatory and double filtration methods, using a constant 15 cm water filtration pressure. The following rheological values have been defined: plasmo-erythrocytic viscosity, plasmatic viscosity, erythrocytic viscosity and erythrocytic deformability. The values have been expressed in cP. We have also considered haemacytometric parameters. RESULTS It came out that all the rheological parameters were highly different in both groups, with an increase of, more or less, 30% in plasmo-erythrocytic viscosity; a four times increase of erythrocytic viscosity compared to normal values and a decrease of 60% in erythrocytic deformability. The plasmatic viscosity was also very increased: we must correlate this phenomenon with phlogotic or neoplastic pulmonary pathology of the people we have examined. Regarding haemacytometric parameters, from the hypoxic-hypercapnic group comes out significant higher MCV values and MCHC lower ones, with a higher anisocytosis level. CONCLUSIONS From these results we think that the altered systemic rheology makes hypoxic condition wider, while, at pulmonary level, help the haemodynamic resistances to increase, with the onset of a hypertensive condition.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D012131 Respiratory Insufficiency Failure to adequately provide oxygen to cells of the body and to remove excess carbon dioxide from them. (Stedman, 25th ed) Acute Hypercapnic Respiratory Failure,Acute Hypoxemic Respiratory Failure,Hypercapnic Acute Respiratory Failure,Hypercapnic Respiratory Failure,Hypoxemic Acute Respiratory Failure,Hypoxemic Respiratory Failure,Respiratory Depression,Respiratory Failure,Ventilatory Depression,Depressions, Ventilatory,Failure, Hypercapnic Respiratory,Failure, Hypoxemic Respiratory,Failure, Respiratory,Hypercapnic Respiratory Failures,Hypoxemic Respiratory Failures,Respiratory Failure, Hypercapnic,Respiratory Failure, Hypoxemic,Respiratory Failures
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006935 Hypercapnia A clinical manifestation of abnormal increase in the amount of carbon dioxide in arterial blood.
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000860 Hypoxia Sub-optimal OXYGEN levels in the ambient air of living organisms. Anoxia,Oxygen Deficiency,Anoxemia,Deficiency, Oxygen,Hypoxemia,Deficiencies, Oxygen,Oxygen Deficiencies
D018056 Hemorheology The deformation and flow behavior of BLOOD and its elements i.e., PLASMA; ERYTHROCYTES; WHITE BLOOD CELLS; and BLOOD PLATELETS. Hemorrheology

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