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July 11, 2019Journal of Applied PhysiologyOpen Access

Impaired central hemodynamics in chronic obstructive pulmonary disease during submaximal exercise

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Why the study?

It was unknown whether central hemodynamics are impaired during exercise in patients with chronic obstructive pulmonary disease.

Do patients with COPD have impaired central hemodynamics (cardiac output and stroke volume) during submaximal exercise compared to healthy controls?

Population

13 clinically stable COPD patients and 10 controls

Comparison

COPD patients vs healthy controls during constant workload submaximal exercise

Design

Physiological cross-sectional study

Authors

JSJoshua R. SmithBJBruce D. JohnsonTOThomas P. Olson

Discussion

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Overview

May link hyperinflation to blunted exercise hemodynamics in COPD; leaves open whether volume-targeted interventions improve cardiac output.

Structured PICO

Do patients with COPD have impaired central hemodynamics (cardiac output and stroke volume) during submaximal exercise compared to healthy controls?

P
Population
23 participants, including 13 patients with clinically stable COPD (FEV1/FVC: 52 ± 13%) and 10 healthy controls.
I
Intervention
Constant workload submaximal exercise at an absolute V̇o2 of ~1.3 L/min.
C
Comparator
Healthy controls performing the same submaximal exercise.
O
Outcome
Cardiac output and stroke volume during exercise.surrogate

Patients with COPD exhibit impaired central hemodynamics (reduced cardiac output and stroke volume) during submaximal exercise, which correlates with the severity of static hyperinflation.

Cite This Study

Smith et al. (2019) studied this question.

synapsesocial.com/papers/6a6fb4cfe5469ee92be090bchttps://doi.org/10.1152/japplphysiol.00877.2018
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