AJP - Regu Fuel your research with LabChart
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
 QUICK SEARCH:   [advanced]


     


Am J Physiol Regul Integr Comp Physiol (January 11, 2007). doi:10.1152/ajpregu.00792.2006
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
292/5/R1985    most recent
00792.2006v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Fiamma, M.-N.
Right arrow Articles by Similowski, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Fiamma, M.-N.
Right arrow Articles by Similowski, T.
Submitted on November 11, 2006
Accepted on January 8, 2007

Effects of hypercapnia and hypocapnia on ventilatory variability and the chaotic dynamics of ventilatory flow in humans

Marie-Noelle Fiamma1, Christian Straus2, Sylvain Thibault3, Marc Wysocki4, Pierre Baconnier3, and Thomas Similowski5*

1 UPRES EA 2397, Université Pierre et Marie Curie-Paris6, Paris, France
2 Université Pierre et Marie Curie-Paris6, UPRES EA 2397, Paris, France; Explorations Fonctionnelles Respiratoires, Hopital Pitie-Salpetriere, Paris cedex 13, France
3 Laboratoire TIMC/IMAG, Université Joseph Fournier, Faculté de Médecine, Grenoble, France
4 UPRES EA 2397, Université Pierre et Marie Curie-Paris6, Paris, France; Hamilton Medical AG, Medical Research Division, Bonaduz, Switzerland
5 Service de Pneumologie et Reanimation, Groupe Hospitalier Pitie-Salpetriere, Paris 13, France; Service de Pneumologie et Reanimation, Hopitaux de Paris, Groupe Hospitalier Pitie-Salpetriere, Paris, France

* To whom correspondence should be addressed. E-mail: thomas.similowski{at}psl.ap-hop-paris.fr.

In humans, lung ventilation exhibits breath-to-breath variability and a dynamics that is nonlinear, complex, sensitive to initial conditions, unpredictable in the long-term and chaotic. Hypercapnia, as produced by the inhalation of a CO2 enriched gas mixture, stimulates ventilation. Hypocapnia, as produced by mechanical hyperventilation, depresses ventilation in animals and in humans during sleep, but does not induce apnea in awake humans. This emphasizes the suprapontine influences on ventilatory control. How cortical and subcortical commands interfere thus depends on the prevailing CO2 levels. Yet CO2 also influences the variability and complexity of ventilation. This study was designed to describe how this occurs, and to test the hypothesis that CO2 chemoreceptors are important determinants of ventilatory dynamics. Ventilatory flow was recorded in eight healthy subjects. Breath-by-breath variability was studied through the coefficient of variation of several ventilatory variables. Chaos was assessed with noise titration (noise limit, NL) and characterized with numerical indexes (Largest Lyapunov exponent -LLE-, sensitivity to initial conditions; Kolmogorov-Sinai entropy -KSE-, unpredictability; correlation dimension -CD-, irregularity). In all subjects, under all conditions, a positive NL confirmed chaos. Hypercapnia reduced variability, increased LLE (P = 0.0338 vs. normocapnia; P = 0.0018 vs. hypocapnia), increased KSE, and slightly reduced CD. Hypocapnia increased variability, decreased LLE and KSE, and reduced CD. These results suggest that chemoreceptors exert a strong influence on ventilatory variability and complexity. However, complexity persists in the quasi absence of automatic drive. Ventilatory variability and complexity could be determined by the interaction between the respiratory central pattern generator and suprapontine structures.




This article has been cited by other articles:


Home page
J. Appl. Physiol.Home page
P. A. Robbins, B. Suki, J. J. Fredberg, F. E. Yates, J. H. T. Bates, T. Similowski, L. Glass, and A. J. E. Seely
Being uncomfortable.
J Appl Physiol, June 1, 2008; 104(6): 1848 - 1849.
[Full Text] [PDF]


Home page
EuropaceHome page
N. A. Lever, E. G. Newall, and P. D. Larsen
Differences in the characteristics of induced and spontaneous episodes of ventricular fibrillation
Europace, November 1, 2007; 9(11): 1054 - 1058.
[Abstract] [Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Visit Other APS Journals Online
Copyright © 2007 by the American Physiological Society.