Adaptacion hemodinamica al ejercicio de intensidad creciente en el bronquitico cronico

Romero Colomer, P.; Schrijen, F.

doi:10.1016/S0300-2896(15)32490-X

Archivos de Bronconeumología

ISSN: 0300-2896

Archivos de Bronconeumologia is an international journal that publishes original studies whose content is based upon results of research initiatives dealing with several aspects of respiratory medicine including epidemiology, respiratory physiology, pathophysiology of respiratory diseases, clinical management, thoracic surgery, pediatric lung diseases, respiratory critical care, respiratory allergy and translational research. Other types of articles such as editorials, reviews, and different types of letters are also published in the journal. Additionally, the journal expresses the voice of the following scientific societies: the Spanish Respiratory Society of Pneumology and Thoracic Surgery (SEPAR; https://www.separ.es/), the Latin American Thoracic Society (ALAT; https://alatorax.org/), and the Iberian American Association of Thoracic Surgery (AIACT; http://www.aiatorax.com/).

It is a monthly journal in which all manuscripts are sent to peer-review and handled by the editor or an associate editor from the team and the final decision is made on the basis of the comments from the expert reviewers and the editors. The journal is published solely in English. All the published data is composed of novel manuscripts not previously published in any other journal and not being in consideration for publication in any other journal..

The journal is indexed at Science Citation Index Expanded, Medline/Pubmed, Embase and SCOPUS. Access to any published article is possible through the journal's web page as well as from Pubmed, ScienceDirect, and other international databases. Furthermore, the journal is also present in X, Facebook and Linkedin. Manuscripts can be submitted electronically using the following web site: https://www.editorialmanager.com/ARBR/.

Indexed in:

Current Contents/Clinical Medicine, JCR SCI-Expanded, Index Medicus/Medline, Excerpta Medica/EMBASE, IBECS, IME, SCOPUS, IBECS

Subscribe:

Impact factor

The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two preceding years.

© Clarivate Analytics, Journal Citation Reports 2022

Impact factor 2023

8.7

Citescore

CiteScore measures average citations received per document published.

Citescore 2023

3.5

SJR

SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.

SJR 2023

0.464

SNIP

SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.

SNIP 2023

0.482

View more metrics

Open Access Option

Journal Information

Previous article | Next article

Vol. 16. Issue 2.

Pages 54-62 (April - June 1980)

More article options

Pages 54-62 (April - June 1980)

DOI: 10.1016/S0300-2896(15)32490-X

Full text access

Adaptacion hemodinamica al ejercicio de intensidad creciente en el bronquitico cronico

Hemodynamic adaptation to exercise of growing intensity in chronic bronchitis

Visits

3746

Download PDF

P. Romero Colomer**, F. Schrijen

I.N.S.E.R.M. U-14 de Recherhes en Physiopathologie Respiratoire. Nancy Francia (Dir.: Prof. P. Sadoul.)

This item has received

3746 Visits

Article information

Abstract

Bibliography

Download PDF

Statistics

Resumen

En 21 enfermos, bronquíticos crónicos, ha sido estudiada la hemodinámica cardio-pulmonar en reposo y en el curso de varios niveles de ejercicio. Los enfermos fueron divididos en tres grupos según la existencia y tipo de hipertensión arterial pulmonar (HAP), a saber: sujetos normotensos (grupo A), sujetos hipertensos al ejercicio moderado (grupo B) y sujetos con HAP de reposo (grupo C). Las principales características diferenciales concernientes a la adaptación hemodinámica al ejercicio se observaron entre los grupos A y C caracterizándose por un comportamiento del lecho vascular pulmonar «más rígido» en el grupo C, así como un mayor recurso a la frecuencia cardíaca con limitación de la adaptación del volumen sistólico en este grupo. La significativamente mayor frecuencia de elevaciones anormales de la presión bloqueada durante el ejercicio en el grupo C permite sospechar una alteración de la mecánica cardíaca biventricular durante el ejercicio, en relación a la elevación del volumen sistólico, hipótesis que se discute.

Summary

For 21 patients suffering from chronic bronchitis the authors have studied cardio-pulmonary hemodynamics at rest and during the course of various levéis of exercise. The patients were divided into three groups according to the existence and type of pulmonary arterial hypertension, namely, subjects with normal tensión (group A), subjects with hypertension to modérate exercise (group B), and subject with pulmonary arterial hypertension at rest (group C). The principal differential characteristics concerning the hemodynamic adaptation to exercise was observed between groups A and C and was characterized by a «more rigid» behaviour of the pulmonary vascular bed in Group C, as well as greater recourse to cardiac frequency with limitation of the adaptation of the systolic volume in this group. The significantly greater frequency of abnormal elevations of the blocked pressure during exercise in group C permits one to suspect an alteration of biventricular cardiac mechanics during exercise, in relation to the elevation of the systolic volume. This hypothesis is discussed.

Full text is only aviable in PDF

Bibliografia

[1.]

V. Jezek, F. Schrijen, P. Sadoul.

Right ventricular function and pulmonary hemodynamics during exercise in patients with chronic obstructive bronchopulmonary disease.

Cardiology, 58 (1973), pp. 20

Medline

[2.]

A. Lockhart.

Hemodynamique pulmonaire dans la bronchite chronique.

Bull. Physiopath. Resp., 9 (1973), pp. 1069

[3.]

E. Weitzemblum, C. Hirth, J.P. Parini.

Interét de l’exploration hemodynamique pulmonaire au cours de l’exercise musculaire dans la bronchite chronique.

Bull. Physiopath. Resp., 11 (1975), pp. 200P

[4.]

S.G. Spiro, H.L. Hahn, R.H.T. Edwards, N.B. Pride.

An analysis of the physiological strain of submaximal exercise in patients with chronic obstructive bronchitis.

Thorax, 30 (1974), pp. 415

Medline

[5.]

J. Zielinsky.

Intrathoracic pressure variations and pulmonary artery pressure in patients with chronic obstructive lung disease.

Bull, europ. Physiopath. Resp., 15 (1979), pp. 397

[6.]

P. Romero colomer.

Función cardio-respiratoria en reposo y limitación energética del bronquítico crónico.

Relaciones. Arch. Bronconeumol, 14 (1979), pp. 117

[7.]

M. Gimenez, P. Romero colomer, H. Hennequin, C. Saunier.

Hyperlactacidémie et hémodynamique pulmonaire à l’exercise moderé chez les insuffisants respiratoires chroniques.

Bull. Physiopath. Resp., 11 (1975), pp. 203

[8.]

ROMERO. Colomer, P. Schrijen.

Hemodynamique pulmonaire à l’exercise et puissance maximale tolerèe dans les bronchopneumopathies chroniques.

Bull. Physiopath. Resp., 10 (1974), pp. 301

[9.]

CIBA.

Terminology, definition and clasification of chronic pulmonary emphysema and related conditions. A repport of the CIBA Guest Symposium.

Thorax, 14 (1959), pp. 286

[10.]

M. Tartulier, M. Bourret, F. Deyrieux.

Les pressions arterielles pulmonaires chez l’homme normal, effets de Page et de Pexercise musculaire.

Bull. Physiopath. Resp., 8 (1972), pp. 1295

[11.]

A.N. Damato, J.G. Galante, W.M. Smith.

Hemodynamic response to treadmill exercise in normal subjects.

J. Appl. Physiol, 21 (1966), pp. 956

[12.]

B.E. Higgs, M. Clode, J.R. Mchardy, N.L. Jones, J.M. Campbell.

Changes in ventilation, gas exchange and círculation during exercise in normal subjects.

Clin. Sci., 32 (1967), pp. 329

Medline

[13.]

V. Stanek, P. Jebavy, J. Hurich, J. Widimsky.

Central hemodynamics during supine exercise and pulmonary artery occlusion in normal subjects.

Bull. Physiopath. Resp., 9 (1973), pp. 1203

[14.]

S.K. Gabriel.

Respiratory and circulatory investigations in obstructive and restrictive lung disease. Part III: Exercise tolerance in patients with obstructive and restrictive lung disease.

Acta Med. Scand., Suplemento, (1971), pp. 546

[15.]

J.M. Marcus, R.L. Mclean, G.M. Duffel, R.H. Ingram.

Exercise performance in relation to the pathophysiologic type of chronic obstructive pulmonary disease.

Amer. J. Med., 49 (1970), pp. 14

Medline

[16.]

Minh Vu-Dinh, H.M. Lee, P. Vasquez, J.W. Shepard, J.W. Bell.

Relations of VO2 max to cardio pulmonary function in patients with chronic obstructive lung disease.

Bull. europ. Physiopath. Resp., 15 (1979), pp. 359

[17.]

W.B. Jones, G.L. Forster.

Determinants of left ventricular ejection in normal young men.

J. Appl. Physiol., 19 (1964), pp. 270

[18.]

W.M. Pigott, D.H. Spodick, E.H. Rectra, H.K. Abdul.

Cardiocirculatory responses to exercise Physiologic study by noninvasive techniques.

Am. Heart J., 82 (1972), pp. 632

Medline

[19.]

P. Besse.

Determination de la contractilitè myocardique, bases physiologiques, application aux ètudes de la fonction du ventricule droit.

Bull. Physiopath. Resp., 8 (1972), pp. 1423

[20.]

F.H. Degenring.

The myocardial function in primary pulmonary hypertension and in chronic lung disease.

Bull. Physiopath. Resp., 8 (1972), pp. 1456

[21.]

M.J. Frank, A.B. Weisse, C.B. Moschos.

Left ventricular function metabolism and blood flow in chronic cor pulmonale.

Circulation, 44 (1971), pp. 403

Medline

[22.]

L.C. Christianson, A. Shah, V.J. Fisher.

Quantitative left ventricular cineangiography in patients with chronic obstructive pulmonary disease.

Am. J. Med., 66 (1979), pp. 399

Medline

[23.]

J. Stemberg, B. Ekblom, R. Messin.

Hemodynamic response to work at simulated altitude 4000 m.

J. Appl. Physiol., 21 (1966), pp. 1589

Medline

[24.]

J. Banchero.

Studies at high altitude and at sea level: pulmonary pressure, cardiac output and arterial oxygen saturation.

Circulation, 33 (1966), pp. 252

[25.]

P. Even, P. Duroux, J. Caubarrere, P. Devernejour, P. Brouet.

The pressure-flow relations of the pulmonary circulation in normal man and in chronic obstructive lung disease.

Scand. J. Resp. Dis., Suplemento, 77 (1971), pp. 72

[26.]

P. Harris, N. Segel, I. Green, E. Housley.

The influence of the airways resistence and alveolar pressure on the pulmonary vascular resistance in chronic bronchitis.

Cardiovasc. Res., 2 (1968), pp. 84

Medline

[27.]

B. Bake.

Circulation. En: Pathophysiology and diagnostic methods in incipient pulmonary emphysema.

Bull. Physiopath. Resp., 10 (1974), pp. 578

[28.]

R.M. Harvey, Y. Enson, R. Bettl, M.R. Lewis, D.F. Rochester, M.I. Ferrer.

Further observations on the effect of hydrogen ion on the pulmonary circulation.

Circulation, 34 (1967), pp. 1019

[29.]

W. Hartung.

Etudes fonctinnelles postmortem du poumon atteint de bronchite chronique ou d’emphysìæ Bull.

Physiopath. Resp., 9 (1973), pp. 897

[30.]

F. Schrijen, V. Jezek.

Hemodynamics and pulmonary wedge angiography findings in chronic bronchopulmonary disease.

Scand. J. Resp. Dis., 58 (1977), pp. 151

[31.]

E. Braunwald, J. Ross.

Ventricular end diastolic pressure Appraisal of its value in the recognition of ventricular failure in man.

Am. J. Med., 34 (1963), pp. 147

Medline

[32.]

A. Lockhart, M. Tzareva, F. Nader, P. Leblanc, F. Schrijen, P. Sadoul.

Elevated pulmonary artery wedge pressure at rest and during exercise in chronic bronchitis: Fact or Fancy.

Clin. Sci., 32 (1969), pp. 503

Medline

[33.]

D.T. Kelly, H.M. Spotnitz, G.D. Beiser.

Effects of chronic right ventricular volume and pressure loading en left ventricular performance.

Circulation, 44 (1971), pp. 403

Medline

[34.]

V. Jezek, F. Schrijen.

Left ventricular function in chronic obstructive pulmonary disease with and without cardiac failure.

Clin. Sci. Mol. Med., 45 (1973), pp. 263

Medline

Trabajo incluido en la Tesis Doctoral presentada en la Universidad de Valencia bajo el título: «Fisiopatología del ejercicio muscular en el Bronquítico Crónico

Dirección Actual: Ciudad Sanitaria Príncipes de España. Servicio de Aparato Respiratorio. Sección de Fisiopatología Respiratoria. Hospitalet de Llobregat. Barcelona