Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2008-5-2
pubmed:abstractText
Exercise-induced intrapulmonary arteriovenous shunting, as detected by saline contrast echocardiography, has been demonstrated in healthy humans. We have previously suggested that increases in both pulmonary pressures and blood flow associated with exercise are responsible for opening these intrapulmonary arteriovenous pathways. In the present study, we hypothesized that, although cardiac output and pulmonary pressures would be higher in hypoxia, the potent pulmonary vasoconstrictor effect of hypoxia would actually attenuate exercise-induced intrapulmonary shunting. Using saline contrast echocardiography, we examined nine healthy men during incremental (65 W + 30 W/2 min) cycle exercise to exhaustion in normoxia and hypoxia (fraction of inspired O(2) = 0.12). Contrast injections were made into a peripheral vein at rest and during exercise and recovery (3-5 min postexercise) with pulmonary gas exchange measured simultaneously. At rest, no subject demonstrated intrapulmonary shunting in normoxia [arterial Po(2) (Pa(O(2))) = 98 +/- 10 Torr], whereas in hypoxia (Pa(O(2)) = 47 +/- 5 Torr), intrapulmonary shunting developed in 3/9 subjects. During exercise, approximately 90% (8/9) of the subjects shunted during normoxia, whereas all subjects shunted during hypoxia. Four of the nine subjects shunted at a lower workload in hypoxia. Furthermore, all subjects continued to shunt at 3 min, and five subjects shunted at 5 min postexercise in hypoxia. Hypoxia has acute effects by inducing intrapulmonary arteriovenous shunt pathways at rest and during exercise and has long-term effects by maintaining patency of these vessels during recovery. Whether oxygen tension specifically regulates these novel pathways or opens them indirectly via effects on the conventional pulmonary vasculature remains unclear.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
8750-7587
pubmed:author
pubmed:issnType
Print
pubmed:volume
104
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1418-25
pubmed:dateRevised
2011-8-1
pubmed:meshHeading
pubmed-meshheading:18292301-Adolescent, pubmed-meshheading:18292301-Adult, pubmed-meshheading:18292301-Anoxia, pubmed-meshheading:18292301-Blood Gas Analysis, pubmed-meshheading:18292301-Body Temperature, pubmed-meshheading:18292301-Data Interpretation, Statistical, pubmed-meshheading:18292301-Echocardiography, pubmed-meshheading:18292301-Exercise, pubmed-meshheading:18292301-Exercise Test, pubmed-meshheading:18292301-Humans, pubmed-meshheading:18292301-Lactic Acid, pubmed-meshheading:18292301-Lung, pubmed-meshheading:18292301-Male, pubmed-meshheading:18292301-Middle Aged, pubmed-meshheading:18292301-Oxygen, pubmed-meshheading:18292301-Oxygen Consumption, pubmed-meshheading:18292301-Pulmonary Diffusing Capacity, pubmed-meshheading:18292301-Pulmonary Gas Exchange, pubmed-meshheading:18292301-Respiratory Function Tests
pubmed:year
2008
pubmed:articleTitle
Intrapulmonary shunting and pulmonary gas exchange during normoxic and hypoxic exercise in healthy humans.
pubmed:affiliation
Department of Human Physiology, 1240 University of Oregon, Eugene, OR 97403-1240, USA. lovering@uoregon.edu
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't, Research Support, N.I.H., Extramural