A novel diagnostic principle for alveolar6capillary membrane permeability disorders
https://doi.org/10.18093/0869-0189-2016-26-3-340-344
Abstract
The aim of this study was to estimate the diffusing capacity of the alveolar"capillary membrane (Dm) and the alveolar volume of the lungs (Va) based on measured CO concentration and basic spirometric parameters.
Methods. Previously, we calculated CO concentration in the exhaled air during tidal and forced breathing. Experimental data of a healthy volunteer were analyzed with presumable predicted values of Dm = 60 and Va = 7.0. Then, the real Dm and Va were estimated.
Results. We determined an equation for the present case (male; 176 cm of height; 50 years of age). This equation was too intricate for the routine use, so we developed an online calculator to estimate values in the real"time regimen on the basis of DELPHI platform.
Conclusion. Our findings could make reasonability for further investigation to develop a new method for Dm and Va estimation that could be more feasible because it do not need test gas mixtures.
About the Authors
E. V. BabarskovRussian Federation
PhD in Engineering, Chief Scientist at Laboratory of Functional and Ultrasound Investigations; Federal Pulmonology Research Institute, Federal Medical and Biological Agency of Russia; tel.: (495) 3965309
A. P. Mazurik
Russian Federation
freelance information technology consultant of Federal Pulmonology Research Institute, Federal Medical and Biological Agency of Russia; tel.: (910) 4445376
A. V. Chernyak
Russian Federation
MD, Professor, Head of Division of Clinical Physiology and Clinical Trials, Federal Institution “Pulmonology Research Institute”, Federal Medical and Biological Agency of Russia; tel.: (495) 9653466
Z. R. Aysanov
Russian Federation
PhD, Head of Laboratory of Functional and Ultrasound Investigations; Federal Pulmonology Research Institute, Federal Medical and Biological Agency of Russia; tel.: (495) 4655384
A. G. Chuchalin
Russian Federation
MD, Professor, Academician of Russian Science Academy, Director of Federal Institution “Pulmonology Research Institute”, Federal Medical and Biological Agency of Russia; tel.: (495) 4655264
References
1. Babarskov E.V., Stepanov E.V., Shulagin Yu.A., et al. Perspectives for endogenous carbon monooxide measurement in the exhaled air. Pul'monologiya. 2013; 3: 56–61 (in Russian).
2. Shulagin Yu.A., Stepanov E.V., Chuchalin A.G. et al. Lazer analysis of endogenous carbon monooxide in the exhaled air. Trudy Instituta obshchey fiziki RAN. Moscow: Nauka; 2005. T. 61: 135–188 (in Russian).
3. Roughton F., Forster R. Relative importance of diffusion and chemical reaction rates in determining rate of exchange of gases in the human lung, with special reference to true diffusing capacity of pulmonary membrane and volume of blood in the lung capillaries. J. Appl. Physiol. 1957; 11: 290–302.
4. 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.
5. Hou, Gheorghiu, Huxley, Pfeifer. Suppoorting Text S1. Description of physiological data and model computations. Journal.pcbi.1000902.s001.doc
6. Standardization of lung function testing. European Community for Steel and Coal. Luxemburg 1993, Pul'monologiya. 1993; Suppl. (in Russian).
7. Macintyre N., Crapo R.O., Viegi G. et al. Standardisation of the single"breath determination of carbon monoxide uptake in the lung. Eur. Respir. J. 2005; 26: 720– 735.
Review
For citations:
Babarskov E.V., Mazurik A.P., Chernyak A.V., Aysanov Z.R., Chuchalin A.G. A novel diagnostic principle for alveolar6capillary membrane permeability disorders. PULMONOLOGIYA. 2016;26(3):340-344. (In Russ.) https://doi.org/10.18093/0869-0189-2016-26-3-340-344