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1 Division of Physiology, Department of Medicine, University of California San Diego, La Jolla, California 92093-0623; 2 Department of Veterinary Clinical Sciences, Washington State University, Pullman, Washington 99164; and 3 School of Veterinary Science, University of Melbourne, Werribee, Victoria 3030, Australia
During short-term maximal exercise,
horses have impaired pulmonary gas exchange, manifested by diffusion
limitation and arterial hypoxemia, without marked ventilation-perfusion
(
A/
)
inequality. Whether gas exchange deteriorates progressively during
prolonged submaximal exercise has not been investigated. Six
thoroughbred horses performed treadmill exercise at ~60% of maximal
oxygen uptake until exhaustion (28-39 min). Multiple
inert gas, blood-gas, hemodynamic, metabolic rate, and ventilatory data
were obtained at rest and 5-min intervals during exercise. Oxygen
uptake, cardiac output, and alveolar-arterial
PO2 gradient were unchanged after the
first 5 min of exercise. Alveolar ventilation increased progressively
during exercise, from increased tidal volume and respiratory frequency,
resulting in an increase in arterial
PO2 and decrease in arterial
PCO2. At rest there was minimal
A/
inequality, log SD of the perfusion distribution (log
SD
) = 0.20. This doubled by 5 min of exercise (log
SD
= 0.40) but
did not increase further. There was no evidence of alveolar-end-capillary diffusion limitation during exercise. However, there was evidence for gas-phase diffusion limitation at all time points, and enflurane was preferentially overretained. Horses maintain
excellent pulmonary gas exchange during exhaustive, submaximal exercise. Although
A/
inequality is greater than at rest, it is less than observed in most
mammals and the effect on gas exchange is minimal.
ventilation-perfusion inequality; pulmonary mechanics; intrapulmonary gas mixing
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