Key result
Exercise increases lung lymph flow proportional to cardiac output whereas isoproterenol shows no effect.
Why the study?
The study aimed to determine whether different methods of increasing cardiac output have similar effects on lung lymph flow and to assess the microvasculature's contribution to pulmonary vascular resistance.
In sheep, exercise but not isoproterenol increases lung lymph flow in proportion to cardiac output, suggesting microvascular recruitment occurs during exercise-induced but not isoproterenol-induced increases in cardiac output.
No immediate clinical implications from sheep data; leaves open whether exercise recruits pulmonary microvasculature independently of cardiac output in humans.
Experiments were performed to determine whether different methods of increasing cardiac output would have similar effects on lung lymph flow, and to assess the contribution of the microvasculature (fluid-exchanging vessels) to the total calculated pulmonary vascular resistance. Yearling unanesthetized sheep with chronic vascular catheters and lung lymph fistulas underwent intravenous infusions of isoproterenol at 0.2 micrograms X kg-1. min-1 (n = 8) or were exercised on a treadmill (n = 16). Both isoproterenol and exercise increased cardiac output, lowered calculated total pulmonary and systemic vascular resistances, and had no effect on the calculated pulmonary microvascular pressure. Isoproterenol infusions did not affect lung lymph flow, whereas exercise increased lung lymph flow in proportion to the increase in cardiac output. We conclude that 1) the sheep has a different pulmonary hemodynamic response to exercise than dogs and man, 2) the microvasculature is recruited during exercise-induced but not isoproterenol-induced increases in cardiac output, and 3) the microvasculature represents only a small proportion of the total calculated pulmonary vascular resistance.
No takes yet. Share an insight, caveat, or question.
OʼBrodovich et al. (1986) studied Pulmonary hemodynamics (n=24). Isoproterenol vs. Exercise on a treadmill was evaluated on Lung lymph flow and hemodynamics. Exercise increased lung lymph flow in proportion to cardiac output, whereas isoproterenol infusions did not affect lung lymph flow despite increasing cardiac output.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: