Table 1.
Cardiopulmonary parameters across all study phases
HDT |
HDT+nITP |
HDT+COPD Model |
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Parameter | Baseline | Condition | Δ BL | Condition | Δ BL | Δ HDT | Condition | Δ BL | Δ HDT |
RR, bpm | 14.5 ± 1.8 | 14.7 ± 1.9 | 0.2 ± 2.1 | 9.3 ± 2.6 | −5.2 ± 2.9*† | −5.3 ± 3.2* | 14.1 ± 0.9 | −0.4 ± 2.2† | 0.6 ± 2.1 |
VT, l | 0.59 ± 0.25 | 0.55 ± 0.08 | −0.05 ± 0.22 | 0.96 ± 0.39 | 0.35 ± 0.46*† | 0.40 ± 0.39* | 0.56 ± 0.10 | 0.03 ± 0.26† | 0.01 ± 0.14 |
VE, l/min | 8.5 ± 3.7 | 8.0 ± 1.2 | −0.6 ± 3.3 | 7.9 ± 1.4 | −0.6 ± 3.9 | −0.02 ± 1.12 | 7.8 ± 1.4 | −0.7 ± 1.7 | −0.11 ± 1.98 |
TI, s | 1.6 ± 0.4 | 1.7 ± 0.4 | 0.1 ± 0.3 | 4.7 ± 1.8 | 3.0 ± 1.8*† | 2.9 ± 1.9* | 2.3 ± 0.2 | 0.7 ± 0.4*† | 0.6 ± 0.4* |
TE, s | 2.4 ± 0.4 | 2.4 ± 0.4 | 0.0 ± 0.4 | 2.4 ± 1.0 | 0.0 ± 1.1 | 0.0 ± 1.1 | 1.8 ± 0.1 | −0.7 ± 0.4*† | −0.6 ± 0.4* |
TI/TTOT | 0.41 ± 0.07 | 0.42 ± 0.05 | 0.09 ± 0.05 | 0.66 ± 0.07 | 0.25 ± 0.09*† | 0.24 ± 0.09* | 0.56 ± 0.03 | 0.17 ± 0.07*† | 0.15 ± 0.06* |
Pes.insp, cmH2O | −3.5 ± 1.7 | −3.5 ± 2.4 | 0.0 ± 1.5 | −22.8 ± 2.2 | −19.3 ± 2.4*† | −19.3 ± 2.7* | −24.0 ± 3.6 | −20.5 ± 3.8* | −20.5 ± 4.0* |
Pes.exp, cmH2O | 1.9 ± 1.6 | 2.1 ± 1.8 | 0.2 ± 1.5 | 4.1 ± 2.0 | 2.2 ± 2.0* | 2.0 ± 2.6 | 7.3 ± 6.3 | 5.4 ± 6.5* | 5.2 ± 6.2* |
IC, l | 2.65 ± 0.71 | — | — | — | — | — | 0.66 ± 0.21 | −1.89 ± 0.81* | — |
LVEDV, ml | 115 ± 21 | 125 ± 27 | 10 ± 8.0* | 107 ± 20 | −7 ± 10*† | −15 ± 13* | 96 ± 22 | −19 ± 13*† | −30 ± 13* |
LVESV, ml | 48 ± 10 | 50 ± 10 | 2 ± 4 | 47 ± 9 | 1 ± 5 | −2 ± 6 | 42 ± 12 | −5 ± 9*† | −8 ± 9* |
LVEF, % | 59 ± 2 | 60 ± 3 | 1 ± 3 | 55 ± 3 | −4 ± 4*† | −5 ± 5* | 57 ± 5 | −3 ± 5 | −4 ± 6* |
SV, ml | 68 ± 12 | 75 ± 17 | 7 ± 7* | 59 ± 12 | −8 ± 7*† | −14 ± 10* | 54 ± 12 | −15 ± 8*† | −22 ± 10* |
Q, l/min | 3.9 ± 0.5 | 4.4 ± 1.0 | 0.5 ± 0.6* | 3.7 ± 0.7 | −0.2 ± 0.5† | −0.56 ± 0.56* | 3.7 ± 0.8 | −0.2 ± 0.9 | −0.64 ± 0.92* |
HR, bpm | 59 ± 12 | 60 ± 12 | 0 ± 4 | 64 ± 13 | 4 ± 7* | 4 ± 6 | 70 ± 10 | 12 ± 10*† | 11 ± 9* |
MAP, mmHg | 76 ± 8 | 76 ± 8 | 0 ± 8 | 76 ± 9 | 0 ± 8 | 0 ± 4 | 86 ± 9 | 10 ± 11*† | 10 ± 8* |
SpO2, % | 99 ± 1 | 99 ± 1 | 0 ± 1 | 99 ± 1 | 0 ± 1 | 0 ± 2 | 80 ± 5 | −21 ± 6*† | −21 ± 6* |
RSC-ED, cm | 3.2 ± 0.9 | 4.2 ± 1.4 | 0.9 ± 1.3 | 6.1 ± 2.9 | 2.8 ± 2.5*† | 2.2 ± 2.3* | 7.8 ± 3.2 | 4.3 ± 3.2* | 0.7 ± 2.3* |
RSC-ES, cm | 1.9 ± 0.5 | 2.2 ± 1.0 | 0.3 ± 1.0 | 3.4 ± 2.9 | 1.5 ± 2.7*† | 1.2 ± 2.7* | 4.6 ± 3.7 | 2.5 ± 3.5* | 0.8 ± 1.4* |
RFWC-ED, cm | 2.5 ± 0.2 | 2.7 ± 0.4 | 0.2 ± 0.3* | 2.8 ± 0.3 | 0.3 ± 0.2* | 0.1 ± 0.3 | 2.7 ± 0.4 | 0.1 ± 0.3 | −0.2 ± 0.4 |
RFWC-ES, cm | 1.6 ± 0.3 | 1.6 ± 0.3 | 0.0 ± 0.2 | 1.7 ± 0.3 | 1.7 ± 0.3 | 0.1 ± 0.2 | 1.6 ± 0.3 | 0.0 ± 0.4 | −0.1 ± 0.4 |
Data presented as means ± SD; Δ BL = change from baseline; Δ HDT = change from volume-loaded state (HDT alone); n = 20, except for echocardiographic volume measurements n = 18, n = 17, and n = 16 for LV geometry; n = 20, n = 18, and n = 11 in HDT, HDT+nITP, and HDT+COPD model, respectively. RR, respiratory rate; VT, tidal volume; TI, inspiratory time; TE, expiratory time; TI/TTOT, ratio of inspiratory time to total respiratory cycle time; Pes.insp, mean inspiratory esophageal pressure; Pes.exp, mean expiratory esophageal pressure; IC, inspiratory capacity; LVEDV, left ventricular end-diastolic volume; LVESV, left ventricular end-systolic volume; LVEF, left ventricular ejection fraction; SV, stroke volume; Q, cardiac output; HR, heart rate; MAP, mean arterial pressure; SpO2, oxygen saturation measured by pulse oximetry.
Significant difference from baseline (Δ BL or Δ HDT, P < 0.05);
significant difference from the previous phase (P < 0.05).