Two temporal components within the human pulmonary vascular response to approximately 2 h of isocapnic hypoxia.

The time course of the pulmonary vascular response to hypoxia in humans has not been fully defined. In this investigation, study A was designed to assess the form of the increase in pulmonary vascular tone at the onset of hypoxia and to determine whether a steady plateau ensues over the following ap...

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Main Authors: Talbot, N, Balanos, G, Dorrington, K, Robbins, P
Format: Journal article
Language:English
Published: 2005
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author Talbot, N
Balanos, G
Dorrington, K
Robbins, P
author_facet Talbot, N
Balanos, G
Dorrington, K
Robbins, P
author_sort Talbot, N
collection OXFORD
description The time course of the pulmonary vascular response to hypoxia in humans has not been fully defined. In this investigation, study A was designed to assess the form of the increase in pulmonary vascular tone at the onset of hypoxia and to determine whether a steady plateau ensues over the following approximately 20 min. Twelve volunteers were exposed twice to 5 min of isocapnic euoxia (end-tidal Po(2) = 100 Torr), 25 min of isocapnic hypoxia (end-tidal Po(2) = 50 Torr), and finally 5 min of isocapnic euoxia. Study B was designed to look for the onset of a slower pulmonary vascular response, and, if possible, to determine a latency for this process. Seven volunteers were exposed to 5 min of isocapnic euoxia, 105 min of isocapnic hypoxia, and finally 10 min of isocapnic euoxia. For both studies, control protocols consisting of isocapnic euoxia were undertaken. Doppler echocardiography was used to measure cardiac output and the maximum tricuspid pressure gradient during systole, and estimates of pulmonary vascular resistance were calculated. For study A, the initial response was well described by a monoexponential process with a time constant of 2.4 +/- 0.7 min (mean +/- SE). After this, there was a plateau phase lasting at least 20 min. In study B, a second slower phase was identified, with vascular tone beginning to rise again after a latency of 43 +/- 5 min. These findings demonstrate the presence of two distinct phases of hypoxic pulmonary vasoconstriction, which may result from two distinct underlying processes.
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spelling oxford-uuid:4888ad6c-5cba-4861-b6ba-b766bc8e19922022-03-26T15:26:17ZTwo temporal components within the human pulmonary vascular response to approximately 2 h of isocapnic hypoxia.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:4888ad6c-5cba-4861-b6ba-b766bc8e1992EnglishSymplectic Elements at Oxford2005Talbot, NBalanos, GDorrington, KRobbins, PThe time course of the pulmonary vascular response to hypoxia in humans has not been fully defined. In this investigation, study A was designed to assess the form of the increase in pulmonary vascular tone at the onset of hypoxia and to determine whether a steady plateau ensues over the following approximately 20 min. Twelve volunteers were exposed twice to 5 min of isocapnic euoxia (end-tidal Po(2) = 100 Torr), 25 min of isocapnic hypoxia (end-tidal Po(2) = 50 Torr), and finally 5 min of isocapnic euoxia. Study B was designed to look for the onset of a slower pulmonary vascular response, and, if possible, to determine a latency for this process. Seven volunteers were exposed to 5 min of isocapnic euoxia, 105 min of isocapnic hypoxia, and finally 10 min of isocapnic euoxia. For both studies, control protocols consisting of isocapnic euoxia were undertaken. Doppler echocardiography was used to measure cardiac output and the maximum tricuspid pressure gradient during systole, and estimates of pulmonary vascular resistance were calculated. For study A, the initial response was well described by a monoexponential process with a time constant of 2.4 +/- 0.7 min (mean +/- SE). After this, there was a plateau phase lasting at least 20 min. In study B, a second slower phase was identified, with vascular tone beginning to rise again after a latency of 43 +/- 5 min. These findings demonstrate the presence of two distinct phases of hypoxic pulmonary vasoconstriction, which may result from two distinct underlying processes.
spellingShingle Talbot, N
Balanos, G
Dorrington, K
Robbins, P
Two temporal components within the human pulmonary vascular response to approximately 2 h of isocapnic hypoxia.
title Two temporal components within the human pulmonary vascular response to approximately 2 h of isocapnic hypoxia.
title_full Two temporal components within the human pulmonary vascular response to approximately 2 h of isocapnic hypoxia.
title_fullStr Two temporal components within the human pulmonary vascular response to approximately 2 h of isocapnic hypoxia.
title_full_unstemmed Two temporal components within the human pulmonary vascular response to approximately 2 h of isocapnic hypoxia.
title_short Two temporal components within the human pulmonary vascular response to approximately 2 h of isocapnic hypoxia.
title_sort two temporal components within the human pulmonary vascular response to approximately 2 h of isocapnic hypoxia
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