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Pulmonary hemodynamics responses to hypoxia and/or CO2 inhalation during moderate exercise in humans

Overview of attention for article published in Pflügers Archiv - European Journal of Physiology, March 2018
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Title
Pulmonary hemodynamics responses to hypoxia and/or CO2 inhalation during moderate exercise in humans
Published in
Pflügers Archiv - European Journal of Physiology, March 2018
DOI 10.1007/s00424-018-2127-y
Pubmed ID
Authors

Stéphane Doutreleau, Irina Enache, Cristina Pistea, Bernard Geny, Anne Charloux

Abstract

In this study, we hypothesized that adding CO2to an inhaled hypoxic gas mixture will limit the rise of pulmonary artery pressure (PAP) induced by a moderate exercise. Eight 20-year-old males performed four constant-load exercise tests on cycle at 40% of maximal oxygen consumption in four conditions: ambient air, normobaric hypoxia (12.5% O2), inhaled CO2(4.5% CO2), and combination of hypoxia and inhaled CO2. Doppler echocardiography was used to measure systolic (s)PAP, cardiac output (CO). Total pulmonary resistance (TPR) was calculated. Arterialized blood pH was 7.40 at exercise in ambient and hypoxia conditions, whereas CO2inhalation and combined conditions showed acidosis. sPAP increases from rest in ambient air to exercise ranged as follows: ambient + 110%, CO2inhalation + 135%, combined + 184%, hypoxia + 217% (p < 0.001). CO was higher when inhaling O2-poor gas mixtures with or without CO2(~ 17 L min-1) than in the other conditions (~ 14 L min-1, p < 0.001). Exercise induced a significant decrease in TPR in the four conditions (p < 0.05) but less marked in hypoxia (- 19% of the resting value in ambient air) than in ambient (- 33%) and in both CO2inhalation and combined condition (- 29%). We conclude that (1) acute CO2inhalation did not significantly modify pulmonary hemodynamics during moderate exercise. (2) CO2adjunction to hypoxic gas mixture did not modify CO, despite a higher CaO2in combined condition than in hypoxia. (3) TPR was lower in combined than in hypoxia condition, limiting sPAP increase in combined condition.

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Geographical breakdown

Country Count As %
Unknown 24 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 3 13%
Student > Master 2 8%
Student > Ph. D. Student 2 8%
Student > Doctoral Student 2 8%
Unspecified 1 4%
Other 2 8%
Unknown 12 50%
Readers by discipline Count As %
Sports and Recreations 4 17%
Medicine and Dentistry 3 13%
Unspecified 1 4%
Computer Science 1 4%
Nursing and Health Professions 1 4%
Other 2 8%
Unknown 12 50%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 March 2018.
All research outputs
#19,221,261
of 23,818,521 outputs
Outputs from Pflügers Archiv - European Journal of Physiology
#1,557
of 1,973 outputs
Outputs of similar age
#260,524
of 333,477 outputs
Outputs of similar age from Pflügers Archiv - European Journal of Physiology
#15
of 17 outputs
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We're also able to compare this research output to 17 others from the same source and published within six weeks on either side of this one. This one is in the 11th percentile – i.e., 11% of its contemporaries scored the same or lower than it.