[Widening of the alveolar-arterial oxygen gradient during incremental exercise].

Abstract:

:Excessive widening of the alveolar-arterial gradient for oxygen, with respect to the subject's age and oxygen uptake, is the most sensitive signal of a disturbance in pulmonary gas exchange, whether it is due to ventilation, circulation or diffusion. During incremental exercise, simultaneous measurements of metabolic power, ventilation and dead space may suggest a possible aetiological diagnosis without confirming the causal nature of the impairment. The magnitude and the kinetic of P(Ai-a)O(2) can suggest explanations of the mechanisms involved and lead to complementary functional or morphological investigations (CT, ultrasound, DLCO, etc.) in relation to the clinical setting. The purpose of this text is to review the physiology of the pathway of oxygen from the alveolar air to pulmonary capillary blood during incremental exercise, with emphasis on the predominant role of the dimensions of diffusion and pulmonary capillary capacity in relation to oxygen uptake and the functional responses (alveolar ventilation and cardiac output).

journal_name

Rev Mal Respir

authors

Aguilaniu B,Péronnet F

doi

10.1016/j.rmr.2012.05.018

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

1224-37

issue

10

eissn

0761-8425

issn

1776-2588

pii

S0761-8425(12)00262-8

journal_volume

29

pub_type

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