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November 3, 1988New England Journal of Medicine

Evidence of an Altered Pattern of Breathing during Exercise in Recipients of Heart–Lung Transplants

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Why the study?

Does the disruption of neural pathways between the lungs and the central nervous system in heart-lung transplant recipients alter the pattern of breathing during exercise compared to heart transplant recipients?

Population

14 patients: 7 recipients of heart-lung transplants with normal pulmonary function and 7 recipients of heart…

Comparison

Heart-lung transplantation vs Heart transplantation

Design

Cross-sectional

Authors

FSFrank C. SciurbaGOGregory R. OwensMSMark Sanders

Discussion

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Overview

Suggests intrapulmonary receptors shape exercise ventilation; hypothesis-generating and should not yet change practice.

Structured PICO

Does the disruption of neural pathways between the lungs and the central nervous system in heart-lung transplant recipients alter the pattern of breathing during exercise compared to heart transplant recipients?

P
Population
14 patients: 7 recipients of heart-lung transplants with normal pulmonary function and 7 recipients of heart transplants.
I
Intervention
Heart-lung transplantation (representing disrupted neural pathways between the lungs and the central nervous system)
C
Comparator
Heart transplantation
O
Outcome
Ventilation response during incremental bicycle ergometry (including level of ventilation, arterial pH, partial pressure of carbon dioxide, respiratory rate, and tidal volume)surrogate

Heart-lung transplant recipients exhibit an altered breathing pattern during exercise characterized by a disproportionate increase in tidal volume at a reduced respiratory rate, suggesting intrapulmonary receptors regulate the pattern of ventilation.

Cite This Study

Sciurba et al. (1988) studied this question.

synapsesocial.com/papers/6a8d1a18bb484da2fed4fb8fhttps://doi.org/10.1056/nejm198811033191803
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