Clark A L, Coats A J
Department of Cardiac Medicine, National Heart and Lung Institute, London, UK.
Eur J Clin Invest. 1993 Jul;23(7):428-32. doi: 10.1111/j.1365-2362.1993.tb00786.x.
The aim of this study was to test the hypothesis that the increased ventilation to carbon dioxide production relationship on exercise associated with chronic cardiac failure may be due in part to changes in respiratory pattern, causing an increase in anatomical dead space ventilation. In order to assess the effect of changes in respiratory pattern on the relationship between ventilation and carbon dioxide production, normal subjects exercised at the same level at three different respiratory rates (normal, 25% slower, 25% faster). Nine healthy subjects were recruited from amongst hospital staff volunteers. Minute ventilation, carbon dioxide production and oxygen consumption were measured. There were no significant changes in ventilation, carbon dioxide production, or the correlation between ventilation and carbon dioxide production. This finding lends support to the view that changes in respiratory pattern can only be responsible for a very small proportion of the VE/VCO2 slope difference between chronic cardiac failure and normals.
与慢性心力衰竭相关的运动中通气与二氧化碳产生关系的增加,可能部分归因于呼吸模式的改变,从而导致解剖无效腔通气增加。为了评估呼吸模式变化对通气与二氧化碳产生关系的影响,正常受试者以三种不同呼吸频率(正常、慢25%、快25%)在相同水平进行运动。从医院工作人员志愿者中招募了9名健康受试者。测量了每分通气量、二氧化碳产生量和耗氧量。通气、二氧化碳产生量或通气与二氧化碳产生量之间的相关性均无显著变化。这一发现支持了这样一种观点,即呼吸模式的改变仅占慢性心力衰竭与正常人之间VE/VCO2斜率差异的很小一部分。