Effect of pulmonary hyperinflation on central blood volume: An MRI study

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  • Tanja Mijacika
  • Kasper Kyhl
  • Daria Frestad
  • F Otto Barak
  • Ivan Drvis
  • Secher, Niels H.
  • Zeljko Dujic
  • Per Lav Madsen

Pulmonary hyperinflation attained by glossopharyngeal insufflation (GPI) challenges the circulation by compressing the heart and pulmonary vasculature. Our aim was to determine the amount of blood translocated from the central blood volume during GPI. Cardiac output and cardiac chamber volumes were assessed by magnetic resonance imaging in twelve breath-hold divers at rest and during apnea with GPI. Pulmonary blood volume was determined from pulmonary blood flow and transit times for gadolinium during first-pass perfusion after intravenous injection. During GPI, the lung volume increased by 0.8±0.6L (11±7%) above the total lung capacity. All cardiac chambers decreased in volume and despite a heart rate increase of 24±29 bpm (39±50%), pulmonary blood flow decreased by 2783±1820mL (43±20%). The pulmonary transit time remained unchanged at 7.5±2.2s and pulmonary blood volume decreased by 354±176mL (47±15%). In total, central blood volume decreased by 532±248mL (46±14%). Voluntary pulmonary hyperinflation leads to ∼50% decrease in pulmonary and central blood volume.

OriginalsprogEngelsk
TidsskriftRespiratory Physiology & Neurobiology
Vol/bind243
Sider (fra-til)92-96
Antal sider5
ISSN1569-9048
DOI
StatusUdgivet - sep. 2017

ID: 182968843