Skip to main content
SpringerLink
Log in
Book cover

Cardiopulmonary Interactions in Acute Respiratory Failure pp 1–11Cite as

Cardiopulmonary Interactions: A Pathophysiological Introduction

  • Chapter

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 2))

Abstract

The concept of mechanical interaction between the heart and lungs is not new. The book Diseases of the Heart, edited by F. L. Kreysig in 1819 [1], contains the following statement: “As the lungs and the heart are linked together and the functions of both organs aim at the same purpose, respiration is necessarily troubled if the heart action is altered”. This pronouncement may be regarded as the first explicit reference to the “cardiac lung”. A few years later (1832) the idea of cor pulmonale made its appearance. At that time, A. G. Testa [2] wrote: “… if, however, the expansion of the lung or its aptitude to receive the normal quantity of blood is impaired, some delay in emptying of the right heart is inevitable”.

This is a preview of subscription content, log in via an institution.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Kreysig FL (1819) Le malattie del cuore. Bizzoni (ed), Pa via

    Google Scholar 

  2. Testa AG (1831) Delle malattie di cuore. Schieppati, Truffi e Fusi (ed), Milano

    Google Scholar 

  3. Weber KT, Janicki JS, Shroff S, Likoff MJ (1983) The cardiopulmonary unit: the body’s gas transport system. Clin Chest Med 4:101–110

    PubMed  CAS  Google Scholar 

  4. Weber KT, Janicki JS, Shroff S, Fishman AP (1981) Contractile mechanics and interaction of the right and left ventricles. Am J Cardiol 47:686–695

    Article  PubMed  CAS  Google Scholar 

  5. Weber KT, Janicki JS, Hunter WC, Shroff S, Pearlman ES, Fishman AP (1982) The contractile behavior of the heart and its functional coupling to the circulation. Progr Cardiovasc Dis 24:375–400

    Article  CAS  Google Scholar 

  6. Weber KT, Janicki JS (1986) Cardio-pulmonary exercise testing. Physiological principles and clinical application. WB Saunders Co

    Google Scholar 

  7. Pinsky MR (1986) Cardiopulmonary interaction. The effects of negative and positive pleural pressure changes on cardiac output. In: Dantzker R: Cardiopulmonary Critical Care, Grune-Stratton

    Google Scholar 

  8. Robotham JL (1981) Cardiovascular disturbances in chronic respiratory insufficiency. Am J Cardiol 47:941–949

    Article  PubMed  CAS  Google Scholar 

  9. Charlier AA (1968) Beat to beat hemodynamic effects of lung inflation and normal respiration in anaesthetized and conscious dogs. Edit Arscia, Bruxelles

    Google Scholar 

  10. O’Quin P, Marini JJ (1983) Pulmonary artery occlusion pressure: clinical physiology, measurement, and interpretation. Am Rev Respir Dis 128:319–326

    PubMed  Google Scholar 

  11. Raper R, Sibbald WJ (1986) Misled by the wedge? The Swan-Ganz catheter and left ventricular preload. Chest 89:427–434

    Article  PubMed  CAS  Google Scholar 

  12. Benza GC, Mantero O, Marzegalli M, Morbelli E, Rampulla C, Morpurgo M (1975) Simultaneous right and left heart catheterization and transmural pressures in chronic obstructive lung disease. Progr Resp Res 9:55–62

    Google Scholar 

  13. Salmon O, Dhainaut JF (1984) Interaction entre ventricule droit, pression pleurale et volume pulmonaire chez l’asthmatique et dans la pathologie broncho-pulmonaire. Atti Con- vegno: Aspettrdi patologia bronco-polmonare in anestesia e rianimazione, Pavia, pp 45–62

    Google Scholar 

  14. Stalcup SA, Mellins RB (1977) Mechanical forces producing pulmonary edema in acute asthma. N Engl J Med 297:592–596

    Article  PubMed  CAS  Google Scholar 

  15. Cayler GG, Johnson EE, Lewis BE et al. (1969) Heart failure due to enlarged tonsils and adenoids. Am J Dis Child 118:708–717

    PubMed  CAS  Google Scholar 

  16. Karam M, Wise RA, Natarajan TK, Permutt S, Wagner HN (1984) Mechanism of decreased left ventricular stroke volume during inspiration in man. Circulation 69:866–873

    Article  PubMed  CAS  Google Scholar 

  17. Fowler NO (1985) The pericardium in health and disease. Futura Pubi Co, Mount Kisko NY, p 235–245

    Google Scholar 

  18. Brenner JI, Waugh RA (1978) Effect of phasic respiration on left ventricular dimension and performance in a normal population. An echocardiographic study. Circulation 57:122- 127

    Google Scholar 

  19. Elzinga G, Van Grondelle RN, Vanderbos GC (1974) Ventricular interference. Am J Physiol 226:941–947

    PubMed  CAS  Google Scholar 

  20. Bove AA, Santamore WP (1981) Ventricular interdependence. Progr Cardiovasc Dis 23:365–388

    Article  CAS  Google Scholar 

  21. Olsen CO, Tyson GS, Maier GW, Davis JW, Rankin JS (1985) Diminished stroke volume during inspiration: a reverse thoracic pump. Circulation 72:668–679

    Article  PubMed  CAS  Google Scholar 

  22. Santamore WP, Heckman JL, Bove AA (1986) Right and left ventricular pressure-volume response to elevated pericardial pressure. Am Rev Respir Dis 134:101–107

    PubMed  CAS  Google Scholar 

  23. Andersen K, Vik-Mo H (1984) Effects of spontaneous respiration on left ventricular function assessed by echocardiography. Circulation 69:874–879

    Article  PubMed  CAS  Google Scholar 

  24. Gershan JA (1983) Effect of positive end-expiratory pressure on pulmonary capillary wedge pressure. Heart and Lung 12:143–148

    PubMed  CAS  Google Scholar 

  25. West JB (1980) The use of radioactive materials in the study of lung function. In: Fishman AP: Assessment of lung function, Me Graw Hill NY, p 172

    Google Scholar 

  26. Levin RI, Glassman E (1985) Left atrial-pulmonary artery wedge pressure relation: effect of elevated pulmonary vascular resistance. Am J Cardiol 55:856–857

    Article  PubMed  CAS  Google Scholar 

  27. Lockhart A (1973) Hémodynamique pulmonaire dans la bronchite chronique. Bull Physio- path Resp 9:1069–1099

    CAS  Google Scholar 

  28. Caldwell EJ (1984) The left ventricle in chronic lung disease. In: Rubin LJ: Pulmonary heart disease, M Nejhoff Pubi, Boston, pp 247–271

    Google Scholar 

  29. Murphy ML, Bone RC (1984) Cor pulmonale in chronic bronchitis and emphysema. Futura Pubi Co, NY, p 68

    Google Scholar 

  30. Mariani E (1978) Comportamento della pressione capillare polmonare nella malattia bron- co-ostruttiva. Tesi Università di Milano

    Google Scholar 

  31. Even P, Sors H, Safran D, Reynaud P (1980) Interaction between ventilation and circulation in bronchial asthma and pulmonary emphysema. In: Cumming G, Bonsignore G: Pulmonary circulation in health and disease. Plenum Press, pp 279–293

    Google Scholar 

  32. Tartulier M, Boutarin J, Ritz B, Barret G (1982) Mecanismes de Fhypertension arterielle pulmoanaire. In: Denolin H: Physiopathologie cardio-pulmonaire. Simep Bruxelles, vol II, p 529

    Google Scholar 

  33. Bromberger-Barner B (1981) Mechanical effects of inspiration on heart function: a review. Fed Proc 40:2172–2177

    Google Scholar 

  34. Scharf M, Brown R, Saunders N, Green LH (1979) Effects of normal and loaded spontaneous inspiration on cardiovascular function. J Appi Physiol 47:582–590

    CAS  Google Scholar 

  35. Summer WR, Permutt S, Sagawa K, Shoukas AA, Bromberger-Barnea B (1979) Effect of spontaneous respiration on canine left ventricular function. Circ Res 45:719–728

    PubMed  CAS  Google Scholar 

  36. Lewis BS, Lewis N, Gotsman MS (1979) Effect of respiration on echocardiographic ventricular dimensions and’relationship to the second heart sound. Europ J Cardiol 10:89–99

    CAS  Google Scholar 

  37. Murray JF (1986) The normal lung. 2nd Edition, W. B. Saunders, Philadelphia, p 139

    Google Scholar 

  38. Santamore WP, Heckman JL, Bove AA (1984) Right and left ventricular pressure-volume response to respiratory manouvers. J Appi Physiol 57:1520–1527

    CAS  Google Scholar 

  39. Leighton RF, Weissler AM, Weinstein PB, Wooly CF (1971) Right and left ventricular systolic time intervals. Effects of heart rate, respiration and atrial pacing. Am J Cardiol 27:66- 72

    Google Scholar 

  40. Fogari R, Grossoni M, Rustici A, Morpurgo M (1986) Influence of breathing on right ventricular systolic time intervals. Joint Meeting SEP-SEPCR, Paris, abstract, Bull Europ Phy- siopath Resp, 22 (suppl 8): p 89s

    Google Scholar 

  41. Reeves JT, Turkevich D, Morrison DA (1985) Noninvasive detection of pulmonary hypertension. Seminars in Resp Med 7:147–159

    Article  Google Scholar 

  42. Fogari R, Morpurgo M, Rampulla C, Malamani V (1975) Le oscillazioni respiratorie delle pressioni intraventricolari destre nelle broncopneumopatie croniche ostruttive. Boll Soc Ital Cardiol 20:1313–1321

    PubMed  CAS  Google Scholar 

Download references

Authors
  1. H. Denolin
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Morpurgo
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Intensive Care, Erasme Hospital, Free University of Brussels, Route de Lennik 808, B-1070, Brussels, Belgium

    Jean Louis Vincent (Assistant-Director) (Assistant-Director)

  2. Department of Surgical Intensive Care, University Hospital of Geneva, CH-1211, Geneva 4, Switzerland

    Peter M. Suter (Director) (Director)

Rights and permissions

Reprints and permissions

Copyright information

© 1987 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Denolin, H., Morpurgo, M. (1987). Cardiopulmonary Interactions: A Pathophysiological Introduction. In: Vincent, J.L., Suter, P.M. (eds) Cardiopulmonary Interactions in Acute Respiratory Failure. Update in Intensive Care and Emergency Medicine, vol 2. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83010-5_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-83010-5_1

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-17474-5

  • Online ISBN: 978-3-642-83010-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation