The physiology and pathophysiology of exercise hyperpnea

JA Dempsey, JA Neder, DB Phillips… - Handbook of clinical …, 2022 - Elsevier
In health, the near-eucapnic, highly efficient hyperpnea during mild-to-moderate intensity
exercise is driven by three obligatory contributions, namely, feedforward central command …

Exercise adaptations in COPD: the pulmonary perspective

SB Nymand, JP Hartmann, CK Ryrsø… - … of Physiology-Lung …, 2022 - journals.physiology.org
In chronic obstructive pulmonary disease (COPD), the progressive loss of lung tissue is
widely considered irreversible. Thus, various treatment and rehabilitation schemes …

Normative reference equations for breathlessness intensity during incremental cardiopulmonary cycle exercise testing

M Ekström, PZ Li, H Lewthwaite… - Annals of the …, 2024 - atsjournals.org
Rationale: Cardiopulmonary exercise testing (CPET) is the gold standard to evaluate
exertional breathlessness, a common and disabling symptom. However, the interpretation of …

Inhaled nitric oxide improves ventilatory efficiency and exercise capacity in patients with mild COPD: a randomized‐control cross‐over trial

DB Phillips, AR Brotto, BA Ross… - The Journal of …, 2021 - Wiley Online Library
Key points Patients with mild chronic obstructive pulmonary disease (COPD) have an
elevated ventilatory equivalent to CO2 production (/) during exercise, secondary to …

The pulmonary vasculature

SR Hopkins, MK Stickland - Seminars in Respiratory and …, 2023 - thieme-connect.com
The pulmonary circulation is a low-pressure, low-resistance circuit whose primary function is
to deliver deoxygenated blood to, and oxygenated blood from, the pulmonary capillary bed …

[HTML][HTML] Dyspnea and exercise limitation in mild COPD: the value of CPET

MD James, KM Milne, DB Phillips, JA Neder… - Frontiers in …, 2020 - frontiersin.org
The majority of smokers with chronic obstructive pulmonary disease (COPD) have mild
airflow limitation as determined by simple spirometry. Although small airway dysfunction is …

Reduced exercise tolerance in mild chronic obstructive pulmonary disease: the contribution of combined abnormalities of diffusing capacity for carbon monoxide and …

DB Phillips, MD James, AF Elbehairy, KM Milne… - …, 2021 - Wiley Online Library
Background and objective The combination of both reduced resting diffusing capacity of the
lung for carbon monoxide (DLCO) and ventilatory efficiency (increased ventilatory …

Pulmonary diffusing capacity to nitric oxide and carbon monoxide during exercise and in the supine position: a test–retest reliability study

AC Madsen, RS Thomsen, SB Nymand… - Experimental …, 2023 - Wiley Online Library
DLCO/NO, the combined single‐breath measurement of the diffusing capacity to carbon
monoxide (DLCO) and nitric oxide (DLNO) measured either during exercise or in the resting …

Elevated exercise ventilation in mild COPD is not linked to enhanced central chemosensitivity

DB Phillips, NJ Domnik, AF Elbehairy… - Respiratory Physiology …, 2021 - Elsevier
Background The purpose of this study was to determine if altered central chemoreceptor
characteristics contributed to the elevated ventilation relative to carbon dioxide production …

Beyond Spirometry: Linking Wasted Ventilation to Exertional Dyspnea in the Initial Stages of COPD

JA Neder, G Santyr, B Zanette, M Kirby… - COPD: Journal of …, 2024 - Taylor & Francis
Exertional dyspnea, a key complaint of patients with chronic obstructive pulmonary disease
(COPD), ultimately reflects an increased inspiratory neural drive to breathe. In non …