Modelling the Dynamic Ventilatory Response to Hypoxia in Normal Subjects
โ Scribed by T.P. Kirby; P.K. Wraith; S.C. De Cort; M.A.A. Airlie; J.E. Hill; E.R. Carson; D.C. Flenley; P.M. Warren
- Publisher
- Elsevier Science
- Year
- 1994
- Tongue
- English
- Weight
- 628 KB
- Volume
- 166
- Category
- Article
- ISSN
- 0022-5193
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โฆ Synopsis
We have developed a mathematical model to describe the dynamic ventilatory response to hypoxia. The ventilatory response to both transient (two to three breaths nitrogen) and 3 min step change hypoxic stimuli were measured in ten normal subjects during moderate exercise (oxygen consumption (0.96 \pm 0.08) (1 \min ^{-1}) ). The simplest model relating ventilation to ear oxygen saturation which adequately described the responses in all subjects consisted of two linear differential equations in parallel; both using the fall in oxygen saturation as input, and with the outputs summed to give the rise in ventilation. One equation had a fast time constant ( (<3 \mathrm{sec}) ), and the other a slow time constant. Non-linear terms included were (i) a "saturating" effect, similar to that described by the Michaelis-Menten equation, reducing the gain of the equation with the slow time constant as oxygen saturation falls, and (ii) "inhibition" or "potentiation" of the gain of the equation with a slow time constant as the output of the fast time constant equation increased. Repeated measurements in four subjects showed intra- and inter-subject variability for all parameters, with significant between-subject variability for the gain of the fast time constant equation. The final model structure is similar to that describing the peripheral chemoreceptormediated hypoxic ventilatory response in anaesthetized cats.
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