Ischemic preconditioning of the lower extremity attenuates the normal hypoxic increase in pulmonary artery systolic pressure

Gary P. Foster, Daniel E. Westerdahl, Laura A. Foster, Jeffrey V. Hsu, James D. Anholm

Research output: Contribution to journalArticlepeer-review

Abstract

Ischemic pre-condition of an extremity (IPC) induces effects on local and remote tissues that are protective against ischemic injury. To test the effects of IPC on the normal hypoxic increase in pulmonary pressures and exercise performance, 8 amateur cyclists were evaluated under normoxia and hypoxia (13% F IO 2) in a randomized cross-over trial. IPC was induced using an arterial occlusive cuff to one thigh for 5min followed by deflation for 5min for 4 cycles. In the control condition, the resting pulmonary artery systolic pressure (PASP) increased from a normoxic value of 25.6±2.3mmHg to 41.8±7.2mmHg following 90min of hypoxia. In the IPC condition, the PASP increased to only 32.4±3.1mmHg following hypoxia, representing a 72.8% attenuation (p=0.003). No significant difference was detected in cycle ergometer time trial duration between control and IPC conditions with either normoxia or hypoxia. IPC administered prior to hypoxic exposure was associated with profound attenuation of the normal hypoxic increase of pulmonary artery systolic pressure.

Original languageEnglish
Pages (from-to)248-253
Number of pages6
JournalRespiratory Physiology and Neurobiology
Volume179
Issue number2-3
DOIs
StatePublished - Dec 15 2011

ASJC Scopus Subject Areas

  • General Neuroscience
  • Physiology
  • Pulmonary and Respiratory Medicine

Keywords

  • Hypoxia
  • Ischemic pre-conditioning
  • Pulmonary pressure

Cite this