Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/24109
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dc.contributor.authorLahana, A.en
dc.contributor.authorCostantopoulos, S.en
dc.contributor.authorNakos, G.en
dc.date.accessioned2015-11-24T19:38:05Z-
dc.date.available2015-11-24T19:38:05Z-
dc.identifier.issn0012-3692-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/24109-
dc.rightsDefault Licence-
dc.subjectAnoxiaen
dc.subjectBrain Death/*physiopathologyen
dc.subjectCardiovascular System/*physiopathologyen
dc.subjectFemaleen
dc.subjectHumansen
dc.subjectHypercapniaen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectSleep Apnea, Central/*physiopathologyen
dc.titleThe local component of the acute cardiovascular response to simulated apneas in brain-dead humansen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.primary10.1378/chest.128.2.634-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/16100148-
heal.identifier.secondaryhttp://chestjournal.chestpubs.org/content/128/2/634.full.pdf-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2005-
heal.abstractSTUDY OBJECTIVES: To investigate the local cardiovascular response to hypoxemia and hypercapnia in a simulated central apnea model in which the central autonomic regulation was absent. DESIGN: Experimental study. SETTING: A university hospital. INTERVENTIONS: A simulated central apnea model achieved by a particular setting of the mechanical ventilator in 10 brain-dead patients. MEASUREMENTS: Hemodynamic studies using right-heart catheterization and continuous monitoring of arterial blood gas levels. RESULTS: Hypercapnic hypoxic apneas were associated with no change in heart rate, fall in mean systemic arterial pressure and systemic vascular resistance (from 83 +/- 9 to 68 +/- 7 mm Hg and 1,115 +/- 82 to 768 +/- 58 dyne.s.cm(-5), respectively; each p < 0.05), and rise in mean pulmonary artery pressure, pulmonary vascular resistance, and pulmonary capillary wedge pressure (PCWP) [from 17 +/- 1.5 to 26 +/- 3 mm Hg, 102 +/- 27 to 166 +/- 43 dyne.s.cm(-5), and 10 +/- 1 to 14 +/- 2 mm Hg, respectively; each p < 0.05]. CONCLUSION: Our results suggest that in the absence of central autonomic regulation in humans, apnea-induced hypoxemia and/or hypercapnia are associated with peripheral vasodilatation and pulmonary vasoconstriction, which are probably local in origin, as well as a significant increase in PCWP indicating cardiac dysfunction.en
heal.journalNameChesten
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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