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Pulmonary vascular resistance in dogs and minipigs-effects of hypoxia and inhaled nitric oxide

par Maggiorini, Marco ;Melot, Christian ;Gilbert, Eric;Vermeulen, Françoise ;Naeije, Robert
Référence Respiration physiology, 111, 2, page (213 - 222)
Publication Publié, 1998-02

Article révisé par les pairs

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Résumé :

The pig has been reported to present with a stronger hypoxic pulmonary vasoconstriction than many other species, including the dog, but it is not known whether this is associated with a different longitudinal partitioning of pulmonary vascular resistance (PVR). We investigated the relationships between cardiac output (Q) and mean pulmonary artery pressure (Ppa) minus occluded Ppa (Ppao), and effective pulmonary capillary pressure (Pc') minus Ppao, in seven minipigs and in seven dogs in hyperoxia (FI(O(2)) 0.4) and hypoxia (FI(O(2)) 0.1), first without, then with the inhalation of 80 ppm nitric oxide (NO) to inhibit any reversible component of PVR. Pc' was estimated from the Ppa decay curve following pulmonary artery balloon occlusion. In hyperoxia, minipigs compared to dogs had (Ppa-Ppao)/Q and (Pc'-Ppao)/Q plots shifted to higher pressures. Hypoxia at each level of Q increased Ppa-Ppao in minipigs more than in dogs, and Pc'-Ppao in minipigs only. Inhaled NO reversed hypoxia-induced changes in (Ppa-Ppao)/Q and (Pc'-Ppao)/Q plots. We conclude that the minipig, compared to the dog, presents with higher PVR and reactivity including vessels downstream to the site of Pc' as determined by the arterial occlusion technique. Copyright (C) 1998 Elsevier Science B.V.