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  4. RC time constant of single lung equals that of both lungs together: a study in chronic thromboembolic pulmonary hypertension
 
research article

RC time constant of single lung equals that of both lungs together: a study in chronic thromboembolic pulmonary hypertension

Saouti, N
•
Westerhof, N
•
Helderman, F
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2009
American journal of physiology. Heart and circulatory physiology

The product of resistance, R, and compliance, C (RC time), of the entire pulmonary circulation is constant. It is unknown if this constancy holds for individual lungs. We determined R and C in individual lungs in chronic thromboembolic pulmonary hypertension (CTEPH) patients where resistances differ between both lungs. Also, the contribution of the proximal pulmonary arteries (PA) to total lung compliance was assessed. Patients (n=23) were referred for the evaluation of CTEPH. Pressure was measured by right heart catheterization and flows in the main, left, and right PA by magnetic resonance imaging. Total, left, and right lung resistances were calculated as mean pressure divided by mean flow. Total, left, and right lung compliances were assessed by the pulse pressure method. Proximal compliances were derived from cross-sectional area change DeltaA and systolic-diastolic pressure difference DeltaP (DeltaA/DeltaP) in main, left, and right PA, multiplied by vessel length. The lung with the lowest blood flow was defined "low flow" (LF), the contralateral lung "high flow" (HF). Total resistance was 0.57+/-0.28 mmHg.s(-1).ml(-1), and resistances of LF and HF lungs were 1.57+/-0.2 vs. 1.00+/-0.1 mmHg.s(-1).ml(-1), respectively, P<0.0001. Total compliance was 1.22+/-1.1 ml/mmHg, and compliances of LF and HF lung were 0.47+/-0.11 and 0.62+/-0.12 ml/mmHg, respectively, P=0.01. Total RC time was 0.49+/-0.2 s, and RC times for the LF and HF lung were 0.45+/-0.2 and 0.45+/-0.1 s, respectively, not different. Proximal arterial compliance, given by the sum of main, right, and left PA compliances, was only 19% of total lung compliance. The RC time of a single lung equals that of both lungs together, and pulmonary arterial compliance comes largely from the distal vasculature.

  • Details
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Type
research article
DOI
10.1152/ajpheart.00694.2009
Web of Science ID

WOS:000272075300024

PubMed ID

19801491

Author(s)
Saouti, N
Westerhof, N
Helderman, F
Marcus, J T
Stergiopulos, N  
Westerhof, B E
Boonstra, A
Postmus, P E
Vonk-Noordegraaf, A
Date Issued

2009

Published in
American journal of physiology. Heart and circulatory physiology
Volume

297

Issue

6

Start page

H2154

End page

60

Subjects

Pulmonary Circulation

•

Vascular Resistance

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LHTC  
Available on Infoscience
December 16, 2010
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/62206
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