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 …

Impaired ventilatory efficiency, dyspnea, and exercise intolerance in chronic obstructive pulmonary disease: results from the CanCOLD study

DB Phillips, AF Elbehairy, MD James… - American Journal of …, 2022 - atsjournals.org
Rationale: Impaired exercise ventilatory efficiency (high ventilatory requirements for CO2 [V˙
e/V˙ co2]) provides an indication of pulmonary gas exchange abnormalities in chronic …

Exertional dyspnoea in patients with mild‐to‐severe chronic obstructive pulmonary disease: neuromechanical mechanisms

MD James, DB Phillips, SG Vincent… - The Journal of …, 2022 - Wiley Online Library
In patients with chronic obstructive pulmonary disease (COPD), exertional dyspnoea
generally arises when there is imbalance between ventilatory demand and capacity, but the …

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 …

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 …

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 …

Mechanisms of Exertional Dyspnea in Patients with Mild COPD and a Low Resting DLCO

MD James, DB Phillips, AF Elbehairy… - COPD: Journal of …, 2021 - Taylor & Francis
Patients with mild chronic obstructive pulmonary disease (COPD) and lower resting diffusing
capacity for carbon monoxide (DLCO) often report troublesome dyspnea during exercise …

Neurophysiological mechanisms of exertional dyspnea in post-pulmonary embolism syndrome

KM Milne, MD James, RM Smyth… - Journal of Applied …, 2023 - journals.physiology.org
Following pulmonary embolism (PE), a third of patients develop persistent dyspnea, which is
commonly termed the post-PE syndrome. The neurophysiological underpinnings of …

Recent advances in the physiological assessment of dyspneic patients with mild COPD

JA Neder, JP de Torres… - COPD: Journal of Chronic …, 2021 - Taylor & Francis
There is growing recognition that a sizable fraction of COPD patients with forced expiratory
volume in one second (FEV1)/forced vital capacity ratio below the lower limit of normal but …

Effect of induced acute metabolic alkalosis on the VE/VCO2 response to exercise in healthy adults

J Broadman, D Jensen - Respiratory Physiology & Neurobiology, 2021 - Elsevier
We tested the hypothesis that increasing the respiratory control systems' arterial PCO 2
equilibrium point via induced acute metabolic alkalosis by ingestion of sodium bicarbonate …