Pulmonary hemodynamics in idiopathic pulmonary fibrosis and other interstitial pulmonary diseases
| Autor: | C Hirth, Julia Rasaholinjanahary, May Ehrhart, Emmanuel Weitzenblum |
|---|---|
| Rok vydání: | 1983 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Lung Diseases Male medicine.medical_specialty Pulmonary Circulation Adolescent Pulmonary Fibrosis Physical Exertion Hemodynamics Pulmonary function testing Idiopathic pulmonary fibrosis Internal medicine Respiration medicine Humans Aged Lung business.industry Pulmonary Gas Exchange respiratory system Hypoxia (medical) Middle Aged medicine.disease respiratory tract diseases Biomechanical Phenomena medicine.anatomical_structure Vascular resistance Cardiology Arterial blood Female medicine.symptom business |
| Zdroj: | Respiration; international review of thoracic diseases. 44(2) |
| ISSN: | 0025-7931 |
| Popis: | 65 patients with interstitial lung diseases were subdivided into two groups: idiopathic pulmonary fibrosis (IPF) and other interstitial pulmonary diseases (OIP) according to histopathological, immunological and follow-up findings. Arterial blood gases and pulmonary hemodynamics at rest and during steady-state exercise were compared in these two groups (IPF = 31 patients, OIP = 34 patients). The resting PaO2 was significantly lower in the IPF group (p less than 0.001) and regularly worsened during exercise in this group (from 69.6 +/- 11.6 to 56.0 +/- 9.4 mm Hg, p less than 0.001) whereas it did not vary significantly in the OIP group (from 79.2 +/- 13.1 to 75.3 +/- 14.1 mm Hg, NS). Pulmonary artery mean pressure (PPA) was higher in the IPF group (p less than 0.001) as were all indices of pulmonary vascular resistance (PVR). During exercise, PPA markedly increased in the IPF group (from 21.7 +/- 7.8 to 45.3 +/- 16.2 mm Hg) but modestly in the OIP group (from 15.5 +/- 3.7 to 28.3 +/- 9.8 mm Hg). The best relationships were found between PPA, PVR and PaO2, which suggests that pulmonary arterial hypertension in these diseases is not only due to anatomical factors but also to alveolar and arterial hypoxia. Arterial blood gases and pulmonary hemodynamics at rest and during exercise may be of interest for the discrimination of 'true' interstitial fibrosis (IPF) from other interstitial lung diseases (OIP). |
| Databáze: | OpenAIRE |
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