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[Preprint]. 2020 Jun 1:rs.3.rs-32949. [Version 1] doi: 10.21203/rs.3.rs-32949/v1

Figure 2.

Figure 2.

Effects of alterations to hypoxic pulmonary vasoconstriction (HPV). Severity of pulmonary shunt with respect to fractional injury extent (Finj), type of HPV modification (color), injury location within one height level (light to dark). Rows correspond to the ratio of arterial oxygen tension to inspired oxygen fraction (PaO2:FiO2), shunt fraction (Fshu), and ratio of shunt fraction to injured fraction (Fshu:Finj). Columns correspond to varying degrees of impaired oxygen equilibration between capillary blood and alveolar gas in the injured region. Baseline perfusion gradient was 30%, and reversed HPV was modeled with 72% reduction of vascular resistance in injured regions. Short-dashed line in the top row indicates PaO2:FiO2 = 300 mmHg %−1, a threshold for ARDS. Dotted and long-dashed lines in the bottom row indicate Fshu:Finj ratios of 3.0 and 1.3, respectively, the values reported by Gattinoni et al. for COVID-19 and ARDS patients, respectively 8.