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1 Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee 37232-2650; 2 Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China; and 3 Gyeongsang University College of Medicine, Chinju 660-280, Korea
We compared the effects of cardiogenic pulmonary
edema, brief pulmonary vascular congestion without frank edema, and
noncardiogenic pulmonary edema on responsiveness to inhaled histamine
in chronically instrumented awake sheep. Histamine responsiveness was
measured before and after 1)
cardiogenic pulmonary edema induced by raising left atrial pressure to
35 cmH2O
(
Pla) for 3.5 h by partial obstruction of flow
across the mitral valve, 2) brief
cardiogenic congestion via
Pla for 0.5 h,
3) noncardiogenic pulmonary edema
induced by 25 mg/kg intravenous perilla ketone (PK), and
4) 3.5 h of monitoring without
Pla or PK (controls). Treatment for 3.5 h with
Pla
(n = 9) and PK
(n = 11) each significantly lessened
the histamine dose required to cause a fall to 65% of baseline dynamic
lung compliance (ED65Cdyn), i.e.,
increased responsiveness. Sheep treated for 0.5 h with
Pla
(n = 7) and controls
(n = 5) showed no significant change
in ED65Cdyn. Intravenous atropine
(0.1 mg/kg) before the second histamine challenge altered neither the
reduction of ED65Cdyn in
Pla (n = 8) and PK
(n = 9) sheep nor the
ED65Cdyn level of controls
(n = 9). These data imply that the
local effects of edema, rather than bronchial vascular hemodynamics,
cholinergic reflexes, and permeability changes, are germane to lung
hyperresponsiveness during pulmonary edema in sheep.
bronchi; bronchial hyperreactivity; lung
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T. UHLIG, J. H. WILDHABER, N. CARROLL, D. J. TURNER, P. R. GRAY, N. DORE, A. L. JAMES, and P. D. SLY Pulmonary Vascular Congestion Selectively Potentiates Airway Responsiveness in Piglets Am. J. Respir. Crit. Care Med., April 1, 2000; 161(4): 1306 - 1313. [Abstract] [Full Text] |
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