NEW DIAGNOSTIC OPPORTUNITIES OF LUNG DIFFUSION CAPACITY MEASUREMENT FOR CO AND NO
https://doi.org/10.18093/0869-0189-2011-0-1-85-88
Abstract
Summary. When using the initial CO concentration of 0.3 % in the test gas, a significant deficit of Hb has been occurred as a result of carboxyhemoglobin (COHb) generation. Therefore, the pulmonary capillary haemodynamics (blood flow – FC) should be taken into account. The aim of this study was to reveal relationships between measured values of membrane diffusion capacity (DM), the total diffusion lung capacity for CO (DLCO) and computerized values of VC and FC considering COHb generation. According to the equation derived mean relative flow concentration of COHb in CO= 0.3 % were ≥ 10 % in healthy and in patients with pulmonary artery hypertension (PAH), but VC and FC were about twice lower in PAH patients. We have shown that simultaneous measurements of DM and DLCO in two different CO values allows calculate FC in spite of VC and could be used for noninvasive investigation of pulmonary haemodynamics.
About the Authors
E. V. BabarskovRussian Federation
к. т. н., ведущий научный сотрудник лаборатории функциональных и ультразвуковых методов исследования
105077, Москва, ул. 116я Парковая, 32, к. 4
тел.: (495) 465-52-64
Yu. A. Shulagin
Russian Federation
к. б. н., ведущий научный сотрудник
123007, Москва, Хорошевское ш., 76а
тел.: (499) 195-67-46
Han Do O
Russian Federation
к. м. н., зав. отделом биоэнергетики
105077, Москва, ул. 116я Парковая, 32, к. 4
тел.: 8 (916) 407-10-99
A. V. Chernyak
Russian Federation
к. м. н., зав. лабораторией функциональных и ультразвуковых методов исследования
105077, Москва, ул. 116я Парковая, 32, к. 4
тел.: (495) 465-53-84
S. R. Aisanov
Russian Federation
к. м. н., зав. лабораторией функциональных и ультразвуковых методов исследования
105077, Москва, ул. 116я Парковая, 32, к. 4
тел.: (495) 465-53-84
A. G. Chuchalin
Russian Federation
акад. РАМН, д. м. н., проф., директор
105077, Москва, ул. 116я Парковая, 32, к. 4
тел.: (495) 465-52-64
References
1. Roughton F., Forster R. Relative importance of diffusion and chemical reaction rates in determining rate of exchange of gases in the lung, with special reference to true diffusing capacity of pulmonary membrane and volume of blood in the capillaries. J. Appl. Physiol. 1957; 11: 290–302.
2. Guenard H., Varene N., Vaida P. Determination of lung capillary blood volume and membrane diffusion capacity in man by the measurements of NO and CO transfer. Respir.Physiol. 1987; 70: 113–120.
3. Farha S., Laskowski D., Steinhaeusser W. et al. Membrane diffusion and capillary blood volume using DLNO and DLCO. Am. J. Respir. Crit. Med. 2008; 177: A222.
4. Dromer C., Glenet S., Gunard H. Capillary lung volume (QC) and membrane conductance (DmCO) in patients with pulmonary hypertension: effects of tracler. Eur. Respir. J.2007; 30 (Suppl. 51): 347s.
5. Aguilaniu B., Maitre J., Glenet S. et al. European reference equations for CO and NO lung transfer. Eur. Respir. J. 2008;31: 1091–1097.
Review
For citations:
Babarskov E.V., Shulagin Yu.A., O H.D., Chernyak A.V., Aisanov S.R., Chuchalin A.G. NEW DIAGNOSTIC OPPORTUNITIES OF LUNG DIFFUSION CAPACITY MEASUREMENT FOR CO AND NO. PULMONOLOGIYA. 2011;(1):85-88. (In Russ.) https://doi.org/10.18093/0869-0189-2011-0-1-85-88