Source:http://linkedlifedata.com/resource/pubmed/id/21372097
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
2011-5-12
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pubmed:abstractText |
The prevalence of a patent foramen ovale (PFO) is ~30%, and this source of right-to-left shunt could result in greater pulmonary gas exchange impairment at rest and during exercise. The aim of this work was to determine if individuals with an asymptomatic PFO (PFO+) have greater pulmonary gas exchange inefficiency at rest and during exercise than subjects without a PFO (PFO-). Separated by 1 h of rest, 8 PFO+ and 8 PFO- subjects performed two incremental cycle ergometer exercise tests to voluntary exhaustion while breathing either room air or hypoxic gas [fraction of inspired O(2) (FI(O(2))) = 0.12]. Using echocardiography, we detected small, intermittent boluses of saline contrast bubbles entering directly into the left atrium within 3 heart beats at rest and during both exercise conditions in PFO+. These findings suggest a qualitatively small intracardiac shunt at rest and during exercise in PFO+. The alveolar-to-arterial oxygen difference (AaDo(2)) was significantly (P < 0.05) different between PFO+ and PFO- in normoxia (5.9 ± 5.1 vs. 0.5 ± 3.5 mmHg) and hypoxia (10.1 ± 5.9 vs. 4.1 ± 3.1 mmHg) at rest, but not during exercise. However, arterial oxygen saturation was significantly different between PFO+ and PFO- at peak exercise in normoxia (94.3 ± 0.9 vs. 95.8 ± 1.0%) as a result of a significant difference in esophageal temperature (38.4 ± 0.3 vs. 38.0 ± 0.3°C). An asymptomatic PFO contributes to pulmonary gas exchange inefficiency at rest but not during exercise in healthy humans and therefore does not explain intersubject variability in the AaDO(2) at maximal exercise.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
1522-1601
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
110
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1354-61
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pubmed:meshHeading |
pubmed-meshheading:21372097-Foramen Ovale, Patent,
pubmed-meshheading:21372097-Humans,
pubmed-meshheading:21372097-Middle Aged,
pubmed-meshheading:21372097-Physical Endurance,
pubmed-meshheading:21372097-Physical Exertion,
pubmed-meshheading:21372097-Pulmonary Gas Exchange,
pubmed-meshheading:21372097-Rest,
pubmed-meshheading:21372097-Young Adult
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pubmed:year |
2011
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pubmed:articleTitle |
Effect of a patent foramen ovale on pulmonary gas exchange efficiency at rest and during exercise.
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pubmed:affiliation |
University of Oregon, Department of Human Physiology, Eugene, Oregon, USA.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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