Heart & Lung: The Journal of Acute and Critical Care
Volume 40, Issue 2 , Pages 97-104 , March 2011

Assessment of respiratory mechanics by impulse oscillometry in orthopneic patients with acute left ventricular failure

  • Dionisios G. Spyratos, MD

      Affiliations

    • Department of Pulmonary, Aristotle University of Thessaloniki, G. Papanicolaou Hospital, Exochi, Thessaloniki, Greece
    • Corresponding Author InformationCorresponding author: Dionisios G. Spyratos, MD, Department of Pulmonary, G. Papanicolaou Hospital, Exochi, Thessaloniki, 57010, Greece.
  • ,
  • Georg P. Glattki, MD

      Affiliations

    • Karl-Hansen-Klinik, Department of Pneumology, Bad Lippspringe, Germany
  • ,
  • Lazaros T. Sichletidis, MD, FCCP

      Affiliations

    • Department of Pulmonary, Aristotle University of Thessaloniki, G. Papanicolaou Hospital, Exochi, Thessaloniki, Greece
  • ,
  • Dimitrios Patakas, MD, PhD

      Affiliations

    • Department of Pulmonary, Aristotle University of Thessaloniki, G. Papanicolaou Hospital, Exochi, Thessaloniki, Greece

Received 11 May 2009 ,Revised 20 April 2010 ,Accepted 18 May 2010.

References 

  1. Hogg JC, Agarawal JB, Gardiner AJS, et al. Distribution of airway resistance with developing pulmonary edema in dogs. J Appl Physiol. 1972;32:20–24
  2. Michel RP, Zocchi L, Rossi A, et al. Does interstitial lung edema compress airways and arteries? A morphometric study. J Appl Physiol. 1987;62:108–115
  3. Brown RH, Zerhouni EA, Mitzner W. Visualization of airway obstruction in vivo during pulmonary vascular engorgement and edema. J Appl Physiol. 1995;78:1070–1078
  4. Kindman LA, Vagelos RH, Willson K, et al. Abnormalities of pulmonary function in patients with congestive heart failure, and reversal with ipratropium bromide. Am J Cardiol. 1994;73:258–262
  5. Torchio R, Gulotta C, Greco-Lucchina P, et al. Closing capacity and gas exchange in chronic heart failure. Chest. 2006;129:1330–1336
  6. Meyer FG, Borst MM, Zugck C, et al. Respiratory muscle dysfunction in congestive heart failure. Circulation. 2001;103:2153–2158
  7. Nava S, Larovere MT, Fanfulla F, et al. Orthopnea and inspiratory effort in chronic heart failure patients. Respir Med. 2003;97:647–653
  8. Yap JC, Moore DM, Cleland JGF, et al. Effect of supine posture on respiratory mechanics in chronic left ventricular failure. Am J Respir Crit Care Med. 2000;162:1285–1291
  9. Duguet A, Tantucci C, Lozinguez O, et al. Expiratory flow limitation as a determinant of orthopnea in acute left heart failure. J Am Coll Cardiol. 2000;35:690–700
  10. Boni E, Bezzi M, Carminati M, et al. Expiratory flow limitation is associated with orthopnea and reversed by vasodilators and diuretics in left heart failure. Chest. 2005;128:1050–1057
  11. Torchio R, Gulotta C, Greco-Lucchina P, et al. Orthopnea and tidal expiratory flow limitation in chronic heart failure. Chest. 2006;130:472–479
  12. Smith HJ, Reinhold P, Goldman MD. Forced oscillation technique and impulse oscillometry. Eur Respir Mon. 2005;31:72–105
  13. Borg G. Psychophysical basis of perceived exertion. Med Sci Sports Exerc. 1982;14:377–381
  14. Navagas D, Farre′ R. Oscillation mechanics. Eur Respir Mon. 1999;12:112–140
  15. Oostveen E, MacLeod D, Lorino H, et al. The forced oscillation technique in clinical practice: methodology, recommendations and future developments. Eur Respir J. 2003;22:1026–1041
  16. Quanjer PH, Tammelinh GL, Cotes JE, Pedersen DF, Peslin R, Yernault JC. Lung volumes and forced ventilatory flows. Report Working Party, Standardization of lung function tests, European Community for Steel and Coal, Official statement of the European Respiratory Society. Eur Respir J. 1993;16:5–40
  17. Cotes JE, Chinn DJ, Quanjer PH, Roca J, Yernault JC. Standardization of the measurement of transfer factor (diffusing capacity). Eur Respir J Suppl. 1993;16:41–52
  18. Pasker HG, Mertens I, Clement J, et al. Normal values of total respiratory input resistance and reactance for adult men and women. Eur Respir Rev. 1994;4:134–137
  19. Ambrosino N, Opasich C, Crotti P, Cobelli F, Tavazzi L, Rampulla C. Breathing pattern, ventilatory drive and respiratory muscle strength in patients with chronic heart failure. Eur Respir J. 1994;7:17–22
  20. Michels A, Decoster K, Derde L, et al. Influence of posture on lung volumes and impedance of respiratory system in healthy smokers and nonsmokers. J Appl Physiol. 1991;71:294–299
  21. Depeursinge FB, Feihl F, Depeursinge CD, et al. Respiratory acoustic impedance in left ventricular failure. Chest. 1989;96:1368–1373
  22. Witte KK, Morice A, Clark AL, et al. Airway resistance in chronic heart failure measured by impulse oscillometry. J Card Fail. 2002;8:225–231
  23. Witte KK, Morice A, Cleland JG, et al. The reversibility of increased airways resistance in chronic heart failure measured by impulse oscillometry. J Card Fail. 2004;10:149–154

 Cite this article: Spyratos, D. G., Glattki, G. P., Sichletidis, L. T., & Patakas, D. (2011, MARCH/APRIL). Assessment of respiratory mechanics by impulse oscillometry in orthopneic patients with acute left ventricular failure. Heart & Lung, 40(2), 97-104. doi:10.1016/j.hrtlng.2010.05.055.

PII: S0147-9563(10)00210-4

doi: 10.1016/j.hrtlng.2010.05.055

Heart & Lung: The Journal of Acute and Critical Care
Volume 40, Issue 2 , Pages 97-104 , March 2011