Pulmonary capillary blood volume and membrane conductance in Andeans and lowlanders at high altitude: A cross-sectional study

Nitric Oxide ◽  
2010 ◽  
Vol 23 (3) ◽  
pp. 187-193 ◽  
Author(s):  
Claire de Bisschop ◽  
Laurent Kiger ◽  
Michael C. Marden ◽  
Alfredo Ajata ◽  
Sandrine Huez ◽  
...  
2010 ◽  
Vol 109 (3) ◽  
pp. 643-653 ◽  
Author(s):  
Maile L. Ceridon ◽  
Kenneth C. Beck ◽  
Thomas P. Olson ◽  
Jordan A. Bilezikian ◽  
Bruce D. Johnson

Key elements for determining alveolar-capillary membrane conductance (Dm) and pulmonary capillary blood volume (Vc) from the lung diffusing capacity (Dl) for carbon monoxide (DlCO) or for nitric oxide (DlNO) are the reaction rate of carbon monoxide with hemoglobin (θCO) and the DmCO/DlNO relationship (α-ratio). Although a range of values have been reported, currently there is no consensus regarding these parameters. The study purpose was to define optimal parameters (θCO, α-ratio) that would experimentally substantiate calculations of Dm and Vc from the single-inspired O2 tension [inspired fraction of O2 (FiO2)] method relative to the multiple-FiO2 method. Eight healthy men were studied at rest and during moderate exercise (80-W cycle). Dm and Vc were determined by the multiple-FiO2 and single-FiO2 methods (rebreathe technique) and were tabulated by applying previously reported θCO equations (both methods) and by varying the α-ratio (single-FiO2 method) from 1.90 to 2.50. Values were then compared between methods throughout the examined α-ratios. Dm and Vc were critically dependent on the applied θCO equation. For the multiple-FiO2 method, Dm was highly variable between θCO equations (rest and exercise); the range of Vc was less widespread. For the single-FiO2 method, the θCO equation by Reeves and Park (1992) combined with an α-ratio between 2.08 and 2.26 gave values for Dm and Vc that most closely matched those from the multiple-FiO2 method and were also physiologically plausible compared with predicted values. We conclude that the parameters used to calculate Dm and Vc values from the single-FiO2 method (using DlCO and DlNO) can significantly influence results and should be evaluated within individual laboratories to obtain optimal values.


1980 ◽  
Vol 303 (15) ◽  
pp. 842-845 ◽  
Author(s):  
G. V. R. K. Sharma ◽  
Virginia A. Burleson ◽  
Arthur A. Sasahara ◽  
Barbara Roggeveen ◽  
Nazarene Mondello ◽  
...  

1997 ◽  
Vol 83 (3) ◽  
pp. 810-816 ◽  
Author(s):  
Sylvia Verbanck ◽  
Hans Larsson ◽  
Dag Linnarsson ◽  
G. Kim Prisk ◽  
John B. West ◽  
...  

Verbanck, Sylvia, Hans Larsson, Dag Linnarsson, G. Kim Prisk, John B. West, and Manuel Paiva. Pulmonary tissue volume, cardiac output and diffusing capacity in sustained microgravity. J. Appl. Physiol. 83(3): 810–816, 1997.—In microgravity (μG) humans have marked changes in body fluids, with a combination of an overall fluid loss and a redistribution of fluids in the cranial direction. We investigated whether interstitial pulmonary edema develops as a result of a headward fluid shift or whether pulmonary tissue fluid volume is reduced as a result of the overall loss of body fluid. We measured pulmonary tissue volume (Vti), capillary blood flow, and diffusing capacity in four subjects before, during, and after 10 days of exposure to μG during spaceflight. Measurements were made by rebreathing a gas mixture containing small amounts of acetylene, carbon monoxide, and argon. Measurements made early in flight in two subjects showed no change in Vti despite large increases in stroke volume (40%) and diffusing capacity (13%) consistent with increased pulmonary capillary blood volume. Late in-flight measurements in four subjects showed a 25% reduction in Vti compared with preflight controls ( P < 0.001). There was a concomittant reduction in stroke volume, to the extent that it was no longer significantly different from preflight control. Diffusing capacity remained elevated (11%; P< 0.05) late in flight. These findings suggest that, despite increased pulmonary perfusion and pulmonary capillary blood volume, interstitial pulmonary edema does not result from exposure to μG.


2020 ◽  
Vol 56 (6) ◽  
pp. 2000379
Author(s):  
Plamen Bokov ◽  
Priscilla Boizeau ◽  
Jade Pautrat ◽  
Florence Missud ◽  
Aissatou Ba ◽  
...  

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