Haemodynamic effects of proportional assist ventilation during high-intensity exercise in patients with chronic obstructive pulmonary disease

Respirology

Volumn 15, Issue 8, 2010, Pages 1185-1191

  Carrascossa, Cláudia R ^a   Oliveira, Cristino C ^a   Borghi Silva, Audrey ^a,b   Ferreira, Eloara M V ^a   Maya, Joyce ^a   Queiroga Jr , Fernando ^a   Berton, Danilo C ^a   Nery, Luiz E ^a   Neder, J Alberto ^a  

^a FEDERAL UNIVERSITY OF SÃO PAULO   (Brazil)

^b FEDERAL UNIVERSITY OF SÃO CARLOS   (Brazil)

Author keywords

Cardiac output; Chronic obstructive pulmonary disease; Exertion; Proportional assisted ventilation; Stroke volume

Indexed keywords

ADULT; AGED; ARTICLE; ASSISTED VENTILATION; BICYCLE ERGOMETRY; BREATHING; CARDIOPULMONARY EXERCISE TEST; CARDIOPULMONARY HEMODYNAMICS; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL ARTICLE; DISEASE SEVERITY; EXERCISE INTENSITY; EXERCISE TOLERANCE; HEART OUTPUT; HEART RATE; HEART STROKE VOLUME; HUMAN; IMPEDANCE CARDIOGRAPHY; MALE; PRIORITY JOURNAL; PROPORTIONAL ASSIST VENTILATION; STEADY STATE; THERAPY EFFECT; TREATMENT RESPONSE;

AGED; CARDIAC OUTPUT; EXERCISE; EXERCISE TEST; HEART RATE; HEMODYNAMICS; HUMANS; MALE; MIDDLE AGED; POSITIVE-PRESSURE RESPIRATION; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; RESPIRATION; STROKE VOLUME;

EID: 78349231295     PISSN: 13237799     EISSN: 14401843     Source Type: Journal    
DOI: 10.1111/j.1440-1843.2010.01846.x     Document Type: Article

References (36)

1. O Donnell DE, Laveneziana P,. Dyspnea and activity limitation in COPD: mechanical factors. COPD 2007; 4: 225-36.
2. Grazzini M, Stendardi L, Gigliotti F, et al. Pathophysiology of exercise dyspnea in healthy subjects and in patients with chronic obstructive pulmonary disease (COPD). Respir. Med. 2005; 99: 1403-12.
3. Cooper CB,. The connection between chronic obstructive pulmonary disease symptoms and hyperinflation and its impact on exercise and function. Am. J. Med. 2006; 119: 21-31.
4. Van t Hul A, Kwakkel G, Gosselink R,. The acute effects of noninvasive ventilatory support during exercise on exercise endurance and dyspnea in patients with chronic obstructive pulmonary disease: a systematic review. J. Cardiopulm. Rehabil. 2002; 22: 290-7.
5. Ambrosino N, Strambi S,. New strategies to improve exercise tolerance in chronic obstructive pulmonary disease. Eur. Respir. J. 2004; 24: 313-22.
6. Clini EM, Ambrosino N,. Nonpharmacological treatment and relief of symptoms in COPD. Eur. Respir. J. 2008; 32: 218-28.
7. Chiappa GR, Queiroga F Jr, Meda E, et al. Heliox improves oxygen delivery and utilization during dynamic exercise in patients with COPD. Am. J. Respir. Crit. Care Med. 2009; 179: 1004-10.
8. Whittemberger JL, McGregor M, Berglund E, et al. Influence of the state of the lung on pulmonary vascular resistance. J. Appl. Physiol. 1960; 15: 878-82.
9. Ambrosino N, Nava S, Torbicki A, et al. Haemodynamic effects of pressure support and PEEP ventilation by nasal route in patients with stable chronic obstructive pulmonary disease. Thorax 1993; 48: 523-8.
10. Marangoni S, Vitacca M, Quadri A, et al. Non-invasive haemodynamic effects of two nasal positive pressure ventilation modalities in stable chronic obstructive lung disease patients. Respiration 1997; 64: 138-44.
11. Holverda S, Rietema H, Westerhof J, et al. Stroke volume increase to exercise in chronic obstructive pulmonary disease is limited by increased pulmonary artery pressure. Heart 2009; 95: 137-41.
12. Bogaard HJ, Dekker BM, Arntzen BW, et al. The hemodynamic response to exercise in chronic obstructive pulmonary disease: assessment by impedance cardiography. Eur. Respir. J. 1998; 12: 374-9.
13. Baril J, De Souza M, Leroy D, et al. Does dynamic hyperinflation impair submaximal exercise cardiac output in chronic obstructive pulmonary disease? Clin. Invest. Med. 2006; 29: 104-9.
14. Vassaux C, Torre-Bouscoulet L, Zeineldine S, et al. Effects of hyperinflation on the oxygen pulse as a marker of cardiac performance in COPD. Eur. Respir. J. 2008; 32: 1275-82.
15. Oliveira CC, Carrascosa CR, Borghi-Silva A, et al. Influence of respiratory pressure support on hemodynamics and exercise tolerance in patients with COPD. Eur. J. Appl. Physiol. 2010; 109: 681-9.
16. Younes M,. Proportional assist ventilation, a new approach to ventilatory support. Theory. Am. Rev. Respir. Dis. 1992; 145: 114-20.
17. Rabe KF, Hurd S, Anzueto A, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am. J. Respir. Crit. Care Med. 2007; 176: 532-55.
18. Bianchi L, Foglio K, Pagani M, et al. Effects of proportional assist ventilation on exercise tolerance in COPD patients with chronic hypercapnia. Eur. Respir. J. 1998; 11: 422-7.
19. Hawkins P, Johnson LC, Nikoletou D, et al. Proportional assist ventilation as an aid to exercise training in severe chronic obstructive pulmonary disease. Thorax 2002; 57: 853-9.
20. Borghi-Silva A, Oliveira CC, Carrascosa CR, et al. Respiratory muscle unloading improves leg muscle oxygenation during exercise in patients with COPD. Thorax 2008; 63: 910-15.
21. Neder JA, Andreoni S, Castelo-Filho A, et al. Reference values for lung function tests. I. Static volumes. Braz. J. Med. Biol. Res. 1999; 32: 703-17.
22. Neder JA, Andreoni S, Peres C, et al. Reference values for lung function tests. III. Carbon monoxide diffusing capacity. Braz. J. Med. Biol. Res. 1999; 32: 729-37.
23. Neder JA, Nery LE, Castelo A, et al. Prediction of metabolic and cardiopulmonary responses to maximum cycle ergometry: a randomized study. Eur. Respir. J. 1999; 14: 1303-13.
24. Bernstein DP,. A new stroke volume equation for thoracic electrical bioimpedance: theory and rationale. Crit. Care Med. 1986; 14: 904-9.
25. Charloux A, Lonsdorfer-Wolf E, Richard R, et al. A new impedance cardiograph device for the non-invasive evaluation of cardiac output at rest and during exercise: comparison with the direct Fick method. Eur. J. Appl. Physiol. 2000; 82: 313-20.
26. Chiappa GR, Borghi-Silva A, Ferreira LF, et al. Kinetics of muscle deoxygenation are accelerated at the onset of heavy-intensity exercise in patients with COPD: relationship to central cardiovascular dynamics. J. Appl. Physiol. 2008; 104: 1341-50.
27. Kondili E, Xirouchaki N, Vaporidi K, et al. Short-term cardiorespiratory effects of proportional assist and pressure-support ventilation in patients with acute lung injury/acute respiratory distress syndrome. Anesthesiology 2006; 105: 703-8.
28. Fang Z, Niu S, Zhu L, et al. Distribution of ventilation and hemodynamic effects of different ventilatory patterns. Chin. Med. J. (Engl.) 2002; 115: 188-91.
29. Ranieri VM, Giuliani R, Mascia L, et al. Patient ventilator interaction during acute hypercapnia: pressure support vs proportional assist ventilation. J. Appl. Physiol. 1996; 81: 426-36.
30. Wrigge H, Golisch W, Zinserling J, et al. Proportional assist versus pressure support ventilation: effects on breathing pattern and respiratory work of patients with chronic obstructive pulmonary disease. Intensive Care Med. 1999; 25: 790-8.
31. Robotham JL, Scharf SM,. Effects of positive and negative pressure ventilation on cardiac performance. Clin. Chest Med. 1983; 4: 161-87.
32. Daaz O, Bégin P, Torrealba B, et al. Effects of noninvasive ventilation on lung hyperinflation in stable hypercapnic COPD. Eur. Respir. J. 2002; 20: 1490-8.
33. Raupach T, Bahr F, Herrmann P, et al. Slow breathing reduces sympathoexcitation in COPD. Eur. Respir. J. 2008; 32: 387-92.
34. Dolmage TE, Goldstein RS,. Proportional assist ventilation and exercise tolerance in subjects with COPD. Chest 1997; 111: 948-54.
35. Hernandez P, Maltais F, Gursahaney A, et al. Proportional assisted ventilation may improve exercise performance in severe chronic obstructive pulmonary disease. J. Cardiopulm. Rehabil. 2001; 21: 135-42.
36. Bougault V, Lonsdorfer-Wolf E, Charloux A, et al. Does thoracic bioimpedance accurately determine cardiac output in COPD patients during maximal or intermittent exercise? Chest 2005; 127: 1122-31.