Circulatory breathing abnormality：Clinical observation on exercise induced oscillatory breathing pattern

doi:10.12047/j.cjap.0122.2015.017

Abstract

Abstract: Objective: Exercise induced oscillatory ventilation (EIOB) during cardiopulmonary exercise testing (CPET) is associated with severity and prognosis of disease, but clinical approach for the character of EIOB due to circulatory dysfunction are seldom reported. Methods: This retrospective analysis of symptom-limited maximum CPET data with an increment of 10~20 W/min in 38 patients with CHF. We calculated the duration, frequency, amplitude and other parameters of EIOB. Results: There were 31 presenting with EIOB （82%）in all patients with CHF. In EIOB group, VE amplitude were (12.4±4.4)L/min (accounting for 81%±30% of mean) and duration were (77.0±20.0)s. The number of patients whose EIOB presenting at rest, exercise, recovery stage and the whole period were 24, 31, 4 and 4, respectively. Except VE, there were VO₂, VCO₂, RER and PETO₂ presenting EIOB in all 31 patients; VE/ VCO₂, VO₂/ VE and breath frequency in 29 patients ; PETCO₂ in 26 patients; VT and VO₂/HR in 25 patients ; and HR in 2 patients. Conclusion: EIOB may occur in any period of CPET, mostly in severe patient with CHF, and presenting in many variables. Due to it is resulted from the circulatory dysfunction, we should call it circulatory (cardiac) oscillatory breathing abnormality.

Key words: holistic integrative physiology, holistic integrative medicine, cardiopulmonary exercise testing, chronic heart failure, oscillatory breathing, mixed chamber effect, time phase difference

CLC Number:

R332.1

ZHANG Xue-mei, SUN Xing-guo, AGOSTONI P, LIU Fang, ZHOU Na, TAN Xiao-yue, SONG Gui-qing, GU Lei, LIU Ning-hua. Circulatory breathing abnormality：Clinical observation on exercise induced oscillatory breathing pattern[J]. CJAP, 2015, 31(4): 365-368.

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