### Abstract

Inert gas elimination studies in interstitial fibrosis ascribe all of the resting and most (58-83%) of the exercise (A-a)P_{O2} difference to ventilation-perfusion in equality. The previous paper (Hughes, J.M.B., D.N.A. Lockwood, H.A. Jones and R.J. Clark, Respir. Physiol., 1990) suggests from estimates of global Dl_{O2}/Q̇β ratios a larger role diffusion limitation on exercise. Gas exchange data from that paper was analyzed at rest and on exercise for five patients with interstitial fibrosis. Hypoxemia at rest was attributed toV̇a/Q̇ inequality which was quantified using a log-normal lung model. Dl_{O2} was calculated by Bohr integration. The base 10 LogSDQ̇ at rest averaged 0.5 ± 0.1 (SEM) the assumption that V̇a/Q̇ inequality remained unchanged on exercise, Dl_{O2} (exercise) was estimated to be 14.3 ± 1.9 ml·min^{-1}·Torr^{-1}. At that level of Dl_{O2}, diffusion limitation accounted for 36% ± 8(SEM)% of the total (A-a)P_{O2} difference using the log-normal Q̇a/Q̇ model. But estimates of Dl_{O2}/Q̇β assuming a homogeneous lung, ascribed 96% of the (A-a)P_{O2} gradient on exercise to diffusion limitation. The discrepancy was shown to be related to the shape of the oxygen equilibrium curve and high alveolar P_{O2} values. On the other hand, analysis in terms of oxygen contents showed that 68 ± 5% of the (A-a) content difference was accounted for by diffusion limitation. This differs substantially from estimates based on partial pressure alone.

Original language | English (US) |
---|---|

Pages (from-to) | 167-178 |

Number of pages | 12 |

Journal | Respiration Physiology |

Volume | 83 |

Issue number | 2 |

DOIs | |

State | Published - 1991 |

Externally published | Yes |

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### Keywords

- Alveolar-arterial P difference
- Diffusing capacity, for O
- Diffusion, and alveolar gas exchange
- Hypoxemia, at rest, on exercise

### ASJC Scopus subject areas

- Physiology
- Pulmonary and Respiratory Medicine

### Cite this

_{o2}and diffusion limitation in patients with interstitial fibrosis.

*Respiration Physiology*,

*83*(2), 167-178. https://doi.org/10.1016/0034-5687(91)90026-F

**Estimating exercise Dl _{o2} and diffusion limitation in patients with interstitial fibrosis.** / Hempleman, Steven C; Hughes, J. M B.

Research output: Contribution to journal › Article

_{o2}and diffusion limitation in patients with interstitial fibrosis',

*Respiration Physiology*, vol. 83, no. 2, pp. 167-178. https://doi.org/10.1016/0034-5687(91)90026-F

}

TY - JOUR

T1 - Estimating exercise Dlo2 and diffusion limitation in patients with interstitial fibrosis

AU - Hempleman, Steven C

AU - Hughes, J. M B

PY - 1991

Y1 - 1991

N2 - Inert gas elimination studies in interstitial fibrosis ascribe all of the resting and most (58-83%) of the exercise (A-a)PO2 difference to ventilation-perfusion in equality. The previous paper (Hughes, J.M.B., D.N.A. Lockwood, H.A. Jones and R.J. Clark, Respir. Physiol., 1990) suggests from estimates of global DlO2/Q̇β ratios a larger role diffusion limitation on exercise. Gas exchange data from that paper was analyzed at rest and on exercise for five patients with interstitial fibrosis. Hypoxemia at rest was attributed toV̇a/Q̇ inequality which was quantified using a log-normal lung model. DlO2 was calculated by Bohr integration. The base 10 LogSDQ̇ at rest averaged 0.5 ± 0.1 (SEM) the assumption that V̇a/Q̇ inequality remained unchanged on exercise, DlO2 (exercise) was estimated to be 14.3 ± 1.9 ml·min-1·Torr-1. At that level of DlO2, diffusion limitation accounted for 36% ± 8(SEM)% of the total (A-a)PO2 difference using the log-normal Q̇a/Q̇ model. But estimates of DlO2/Q̇β assuming a homogeneous lung, ascribed 96% of the (A-a)PO2 gradient on exercise to diffusion limitation. The discrepancy was shown to be related to the shape of the oxygen equilibrium curve and high alveolar PO2 values. On the other hand, analysis in terms of oxygen contents showed that 68 ± 5% of the (A-a) content difference was accounted for by diffusion limitation. This differs substantially from estimates based on partial pressure alone.

AB - Inert gas elimination studies in interstitial fibrosis ascribe all of the resting and most (58-83%) of the exercise (A-a)PO2 difference to ventilation-perfusion in equality. The previous paper (Hughes, J.M.B., D.N.A. Lockwood, H.A. Jones and R.J. Clark, Respir. Physiol., 1990) suggests from estimates of global DlO2/Q̇β ratios a larger role diffusion limitation on exercise. Gas exchange data from that paper was analyzed at rest and on exercise for five patients with interstitial fibrosis. Hypoxemia at rest was attributed toV̇a/Q̇ inequality which was quantified using a log-normal lung model. DlO2 was calculated by Bohr integration. The base 10 LogSDQ̇ at rest averaged 0.5 ± 0.1 (SEM) the assumption that V̇a/Q̇ inequality remained unchanged on exercise, DlO2 (exercise) was estimated to be 14.3 ± 1.9 ml·min-1·Torr-1. At that level of DlO2, diffusion limitation accounted for 36% ± 8(SEM)% of the total (A-a)PO2 difference using the log-normal Q̇a/Q̇ model. But estimates of DlO2/Q̇β assuming a homogeneous lung, ascribed 96% of the (A-a)PO2 gradient on exercise to diffusion limitation. The discrepancy was shown to be related to the shape of the oxygen equilibrium curve and high alveolar PO2 values. On the other hand, analysis in terms of oxygen contents showed that 68 ± 5% of the (A-a) content difference was accounted for by diffusion limitation. This differs substantially from estimates based on partial pressure alone.

KW - Alveolar-arterial P difference

KW - Diffusing capacity, for O

KW - Diffusion, and alveolar gas exchange

KW - Hypoxemia, at rest, on exercise

UR - http://www.scopus.com/inward/record.url?scp=0025924532&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025924532&partnerID=8YFLogxK

U2 - 10.1016/0034-5687(91)90026-F

DO - 10.1016/0034-5687(91)90026-F

M3 - Article

VL - 83

SP - 167

EP - 178

JO - Respiratory Physiology and Neurobiology

JF - Respiratory Physiology and Neurobiology

SN - 1569-9048

IS - 2

ER -