Detection of inspiratory resistive loads by heart-lung transplant recipients

Academic Article

Abstract

  • Human heart-lung transplantation recipients (HL) are models for the effects of selective lower respiratory tract denervation. We used a series resistor to examine thresholds of inspiratory flow resistance perception among 16 HL in comparison with 15 normal control subjects (C) and 12 heart transplant recipients (H). HL and C were closely age matched. H subjects were older and had mildly reduced lung volumes compared with the other groups. The perception threshold was defined as the added resistance (ΔR) detected by subjects at 50% of random, blinded presentations. These ΔR were subsequently expressed as a fraction of the airway resistance of the subject and baseline resistance of the apparatus (ΔR/Raw + Rapparatus), otherwise known as the Weber fraction. The mean ± SEM Weber fractions were nearly identical for HL and C (0.32 ± 0.05 versus 0.34 ± 0.05, respectively). The Weber fraction of H (0.74 ± 0.17) was significantly greater than those of both other groups (p < 0.05 by Kruskal-Wallis test). We conclude that lower respiratory tract afferents do not play a significant role in the perception of inspiratory resistive loads. The finding of an abnormally high Weber fraction in the heart transplant population remains unexplained but may be a function of age or restrictive pulmonary defects.
  • Authors

    Digital Object Identifier (doi)

    Author List

  • Tapper DP; Duncan SR; Kraft S; Kagawa FT; Marshall S; Theodore J
  • Start Page

  • 458
  • End Page

  • 460
  • Volume

  • 145
  • Issue

  • 2 II SUPPL.