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Respiratory Determinants of Exercise Limitation: Focus on Phrenic Afferents and the Lung Vasculature

Overview
Journal Clin Chest Med
Specialty Pulmonary Medicine
Date 2019 May 13
PMID 31078213
Citations 9
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Abstract

We examine 2 means by which the healthy respiratory system contributes to exercise limitation. These include the activation of respiratory and locomotor muscle afferent reflexes, which constrain blood flow and hasten fatigue in both sets of muscles, and the excessive increases in pulmonary vascular pressures at high cardiac outputs, which constrain O transport and precipitate maladaptive right ventricular remodeling in endurance-trained subjects.

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References
1.
Olson T, Joyner M, Dietz N, Eisenach J, Curry T, Johnson B . Effects of respiratory muscle work on blood flow distribution during exercise in heart failure. J Physiol. 2010; 588(Pt 13):2487-501. PMC: 2915522. DOI: 10.1113/jphysiol.2009.186056. View

2.
La Gerche A, Burns A, Mooney D, Inder W, Taylor A, Bogaert J . Exercise-induced right ventricular dysfunction and structural remodelling in endurance athletes. Eur Heart J. 2011; 33(8):998-1006. DOI: 10.1093/eurheartj/ehr397. View

3.
La Gerche A, Robberecht C, Kuiperi C, Nuyens D, Willems R, de Ravel T . Lower than expected desmosomal gene mutation prevalence in endurance athletes with complex ventricular arrhythmias of right ventricular origin. Heart. 2010; 96(16):1268-74. DOI: 10.1136/hrt.2009.189621. View

4.
Amann M, Regan M, Kobitary M, Eldridge M, Boutellier U, Pegelow D . Impact of pulmonary system limitations on locomotor muscle fatigue in patients with COPD. Am J Physiol Regul Integr Comp Physiol. 2010; 299(1):R314-24. PMC: 2904150. DOI: 10.1152/ajpregu.00183.2010. View

5.
Dempsey J, McKenzie D, Haverkamp H, Eldridge M . Update in the understanding of respiratory limitations to exercise performance in fit, active adults. Chest. 2008; 134(3):613-622. DOI: 10.1378/chest.07-2730. View