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Biomedical subjects

E Agostoni

Publications and source records attributed to E Agostoni.

At least 73 records · Page 4Linked to original sources

Selective activation of quadriceps muscle fibers according to bicycling rate.

Moving average electromyography (MA) of quadriceps muscle bellies has been recorded during bicycling at different rates (30-70 cycles/min) or forces (1-3 kg). For power increments (50-100%) achieved by increasing force at constant rate, MA during pedal downstroke always increased. For similar power increments achieved by increasing the rate at constant force, MA did not increase (37% of cases), increased less (37%), or increased similarly (26%). Investigations by others on the rat suggest that the lack of increase of MA despite power increment was not compensated by other muscle activity; hence it indicates a shift from slow to fast fibers, which provide greater power per unit stimulus. Smaller increase of MA with increasing rate rather than force at isopower could depend on this shift or on muscle properties, if operating on ascending limb of power-velocity curve. This, however, does not seem the case for slow fibers, which should develop peak power at about 25 cycles/min. Hence, fibers of quadriceps muscle of humans seem selectively activated according to movement speed, as previously found in inspiratory muscles of rabbits.

Adult↗

Slow to fast shift in inspiratory muscle fibers during heat tachypnea.

The firing patterns of single diaphragm fibers and electromyographic moving average (M.A.) of diaphragm and parasternal intercostal muscles (P.I.) were studied in rabbits during control and heat tachypnea at nearly constant tidal volume (VT). During tachypnea the percentage of single diaphragm fibers with relatively high values of peak firing rate (fp) increased. Conversely, fibers with relatively low values of fp at control (likely slow) showed little or no increase of this parameter during tachypnea. These findings, similar to those previously found in P.I., suggest a slow to fast shift in diaphragm fibers during tachypnea. Inspiratory flow at half VT control increased significantly during tachypnea, while the corresponding M.A. of diaphragm did not change. Moreover, during tachypnea mean inspiratory flow increased significantly, while the mean M.A. over inspiratory time did not change either in diaphragm or in P.I. Since during tachypnea the firing rate of most fibers is greater than at control, a lack of increase of M.A. in spite of an increased mechanical power confirms a shift from slow to fast inspiratory muscle fibers under this condition.

Animals↗

Inspiratory facilitation and inhibition from pulmonary stretch receptors in rabbits.

In anesthetized rabbits firing rate (FR) of single fibers of diaphragm and of parasternal intercostal muscles (PIM) was determined at 30, 50 and 70% of control inspiratory time. During first inspiratory effort after airway occlusion at end expiration it increased on the average by 12.1 +/- 0.6 and 43.0 +/- 2.2% relative to control. Under pulmonary stretch receptor (PSR) block with SO2 this increase disappeared in diaphragm and fell to 28.3 +/- 1.8% in PIM. During first inspiratory efforts under PSR block FR decreased by 11.3 +/- 2.2% in diaphragm and 18.3 +/- 1.6 in PIM relative to unblocked efforts. In open inspirations FR under block did not decrease significantly either in diaphragm or PIM relative to unblocked inspirations. Moving average electromyography of diaphragm and of PIM showed similar trends. These results suggest that PSR discharge at FRC activates a mechanism facilitating inspiratory activity while during inspiration it also activates a mechanism inhibiting this activity since early inspiration. Both effects are greater on PIM.

Animals↗

Apraxia in deep cerebral lesions.

In a series of 50 patients with cerebrovascular lesions (demonstrated with CT scan), seven patients had lesions located in the basal ganglia and/or thalamus. All these seven patients were apractic. Ideomotor apraxia was present in all patients; five also had constructional apraxia, and one had bucco-facial apraxia. None of the patients had utilisation apraxia. These observations indicated that apraxia is not only a "high cerebral (cortical) function", but may depend also on the integrity of subcortical circuits and structures.

Adult↗

Selective activation of parasternal muscle fibers according to breathing rate.

The activity of single parasternal intercostal muscle fibers of rabbits was recorded during control breathing and during heat tachypnea at near-constant tidal volume. In order to identify with high probability the type of fibers on the basis of available knowledge, differences in firing pattern were enhanced by occluding the airways during an inspiration or adding dead space. Under both conditions the percentage of fibers with relatively high values of peak firing rate (fp) and rising rate of firing frequency (delta f/delta t) was greater during tachypnea. Fibers with relatively low values of fp and delta f/delta t during control breathing showed little or no increase of these parameters during tachypnea. Fibers with low fp and delta f/delta t should be slow, and others fast. Hence, the greater percentage of fibers with high fp and delta f/delta t during tachypnea indicates a recruitment of fast fibers. these findings support our previous hypothesis of selective activation of inspiratory muscle fibers according to the speed of movements.

Animals↗

Decay of inspiratory muscle activity and breath timing in man.

Time required by moving average EMG of diaphragm and parasternal intercostal muscle to decay to 25% of its peak (T0.25) decreased of expiratory time (TE). Accordingly, relative decay rate (RDRI) of EMG increased of breathing frequency (f). This confirms conclusions based on decay of inspiratory muscle pressure under discontinuous inspiratory elastic load (DIL). Data were better fitted by power functions: only this combination of T0.25 vs. TE and RDRI vs. f equations provided a relationship fitting corresponding inspiratory time vs. TE data. For each timing, RDRI of EMG was higher under DIL than during unloaded breathing. Under DIL scattering of EMG data increased, coupling between diaphragm and parasternal muscle EMG decreased, and RDRI of EMG was higher than that of pressure, likely because of muscle intrinsic properties. This difference decreased with the increase of f: this could be due to recruitment of fast fibers at high f. Both during loaded and unloaded breathing T0.25 was proportional to time from peak to zero EMG, indicating that decay shape did not change with timing.

Action Potentials↗

Change pattern of pleural deformation pressure on varying lung height and volume.

Simultaneous measurements of pleural surface (Ppl) and liquid (Pliq) pressures were made at various lung heights in lateral and supine dogs on increasing lung volume from FRC to 80% TLC by decreasing abdominal pressure. The difference between Pliq and Ppl, /Pdef liq/, i.e. the pressure elicited by the deformation forces of the contacting pleurae over the areas of intervening liquid, was greater in the superior parts at all lung volumes. Previous data on pleural liquid thickness (9) and the present measurements show that an increase of /Pdef liq/ may occur either with a decrease or an increase of 9. delta Pdef liq/delta Ppl over a given range of Ppl, increases progressively from bottom up. For a given height the greater the initial /Pdef liq/, the greater delta Pdef liq/delta Ppl. When /Pdef liq/ was decreased by injecting liquid into the pleural space at FRC, delta Pdef liq/delta Ppl decreased. Hence, delta Pdef liq/delta Ppl depends on the initial Pdef liq, i.e. upon the initial tightness of fitting of the pleural membranes. A model interpretation of this relationship is provided.

Animals↗

Decay of inspiratory muscle activity in chronic airway obstruction.

Relative decay rate of inspiratory muscle electrical activity (RDRI) in patients with chronic airway obstruction increased with decreasing expiratory time (TE), being faster than in normal subjects for a given TE. Time course of decay was similar in shape to that of normal subjects, whereas persistence time of activity during expiration was about half. Hence, braking action of inspiratory muscles in patients was smaller than in normal subjects. No tonic activity of inspiratory muscles was found in patients, even when frequency was increased and hyperinflation enhanced. Hence tonic activity of inspiratory muscles found by others in asymptomatic asthmatic or normal subjects after histamine inhalation seems elicited by histamine. In normal subjects breathing under resistive load, RDRI became similar to that of patients for a given TE: tonic activity of extradiaphragmatic inspiratory muscles occurred only if frequency was voluntarily increased at least three times, an unphysiological condition with resistive load. Under discontinuous inspiratory elastic load, RDRI of patients decreased or did not change, whereas previously that of normal subjects was found to increase.

Adult↗

Pleural liquid and surface pressures at various lung volumes.

Simultaneous measurements of pleural surface (Ppl) and liquid (Pliq) pressures at similar lung height were performed in supine dogs from FRC to about 80% TLC. Lung volume was increased by lowering abdominal pressure so that pressure in the lung remained equal to atmospheric. The difference between Pliq and Ppl (i.e. the pressure elicited by the deformation forces of the contacting pleurae over the areas of intervening liquid) increased progressively with the increase of lung volume, being about -7 cm H2O at Ppl=-2.5 cm H2O and -30 at Ppl=-14. The relationship between Pliq and Ppl was similar in the 2nd and 5th intercostal spaces. From this relationship and previous data on pleural surface area, pleural liquid thickness and cells, and pleural microvilli an attempt was made to get indirect information on pleural contact area through cells and microvilli and pleural contact pressure at various lung volumes.

Animals↗

Decay rate of inspiratory muscle pressure during expiration in man.

Decay rate of inspiratory muscle pressure (PmusI) was studied in 4 subjects during post-inspiratory period of zero flow (TEz) occurring under discontinuous inspiratory elastic load (DIL). End-inspiratory pressure (PmuseI) was increased by dead spaces or exercises. Decay rate was related to PmuseI by a power function with exponent greater than 1. It was not directly affected by concomitant changes of PCO2. It did not increase when an expiratory resistive load was added, i.e. when braking action of inspiratory muscles was no longer required. Time course of PmusI during TEz was more straight than exponential. Relative decay rate increased with PmuseI and with decrease of inspiratory or expiratory time. Experiments with resistive loads suggest that relative rate is mainly related to timing factors. During voluntary inspiratory efforts with closed airways, relative decay rate was not related to PmuseI, while decay rate increased linearly with PmuseI.

Adult↗

Relative decay rate of inspiratory muscle pressure and breath timing in man.

The decay rate of inspiratory muscle pressure (PmusI) was measured during the postinspiratory period of zero flow (TEz) occurring under a discontinuous inspiratory elastic load with the following tests, (a) Voluntary changed breathing frequency (f) at similar end-inspiratory muscle pressure (PmuseI), (b) as above plus dead space, hence greater PmuseI, (c) breathing spontaneously through a dead space or during exercise to obtain different f at similar PmuseI. The decay rate of PmusI relative to PmuseI (RDRI) at increased f was similar to the corresponding relative decay rate of transdiaphragmatic pressure. Hence, the increase of f did not elicit phasic activity of expiratory muscles during TEz. RDRI increased proportionally to f: i.e. for a given f, the decay rate of PmusI was proportional to PmuseI. RDRI increased hyperbolically with decrease of expiratory time and was not directly related to inspiratory time. In each subject these relationships were unique for different tests. These findings show that increase of Pmusel alone does not shorten the persistence of PmusI during expiration, whereas a timing factor, by increasing RDRI, allows shortening of expiration without the intervention of expiratory muscles.

Diaphragm↗

Acid-base balance of pleural liquid in dogs.

Acid-base balance and electrolyte concentrations were measured in dogs on small artificial hydrothoraces and in vitro on bicarbonate buffered Ringer solution on serosal and interstitial side of specimens of parietal pleura. Under steady conditions, pleural liquid PCO 2 was similar to and pH higher (delta = 0.022 +/- 0.006 SE) than that in mixed venous blood. Computed pleural liquid [HCO-3] was similar to that in venous plasma and hence less than that set by the Donnan effect, with which Na+ and Cl- approximately complied. In vitro, pH, [Na+], [Cl-], and computed [HCO-3] were significantly lower (delta = 0.030 +/- 0.004; -2.6 +/- 0.5; -1.2 +/- 0.5 and -1.7 +/- 0.2 meq/L, respectively) on the serosal than on interstitial side of pleural specimens, PCO2 being 42 mm Hg on both sides . HCO-3 and Na+ were not distributed according to transpleural potential (-0.4 +/- 0.1 mV on serosal side), suggesting an active transport of Na+ and HCO-3 from pleural liquid to blood. This, however, does not seem to add to the absorption pressure of plasma proteins in setting pleural liquid pressure.

Acid-Base Equilibrium↗

Breathing pattern in men during inspiratory elastic loads.

Breathing pattern was studied in men during inspiratory elastic load applied throughout breathing cycle (CL) or inspiration only (DL). VT decreased similarly under both loads: 40% during 1st loaded breath (1st), 25% after 1 min (min); so did Ti (15% at 1st, 25% at min); Te decreased by 35% under CL, 25% under DL, at both times. Under DL expiratory flow started after a lag of about 0.4 sec, required to raise alveolar pressure above atmospheric. In all subjects the inspiratory muscles activity increased at 1st and in 6 out of 8 the ventilatory response at min was essentially neurogenic. At 1st all subjects recruited expiratory muscles, decreasing FRC by 100--300 ml under DL' in most this phenomenon was negligible at min. Rate of decrease of inspiratory muscle pressure during period of zero flow under DL was proportional to end-inspiratory muscle pressure (Pmuse.i.) and to Pmuse.i./Ti. At beginning of expiration dPmus/dt was greater under DL: under this period difference of Pmus between CL and DL seems mainly due to muscle intrinsic properties.

Adult↗

Effects of uneven elastic loads on breathing pattern of anesthetized and conscious men.

In anesthetized subjects rib cage strapping (RCS) did not change tidal volume (VT) and increased ventilation (V), whereas abdomen strapping (AS) markedly decreased VT and V. Both kinds of strapping decreased expiratory duration (TE), but did not change inspiratory duration (TI) and breathing rate. RCS and AS decreased lung volume by about 200 ml and increased the elastance of the repiratory system by 12 cm H2O/1 and 9 CM H20/l, repectively. The changes produced are mainly due to mechanical factors, although reflexes also seem to be operating in some cases. In conscious subjects RCS decreased VT, TI, TE and did not change V, whereas AS did not change these parameters. The different changes in conscious and anesthetized subjects show the effects of cortical influences, which also partly explain the differen effects elicited in conscious subjects by RCS and AS. The effects produced by RCS are mainly due to the sensation of hindrance to rib cage expansion, rather than to that of rib cage squeezing, as shown by experiments of RCS without reduction of rib cage volume.

Abdomen↗

The effect of limb movements on the regulation of depth and rate of breathing.

In anesthetized dogs and rabbits passive or active limb movements (1) shifted to the left the relationship between tidal volume (Vt) and inspiratory time (Ti), (2) lowered the relationship between expiratory time (Te) and Ti and decreased its slope, and (3) increased the output to the inspiratory muscles (Vt/Ti). These effects increased with increasing the frequency of movements. Similar effects were obtained after vagotomy. When the stimulus was started during expiration. Te was shorted in spite of the previous unaffected Ti, Arterial PCO2 during exercise was similar (active movements) or below (passive movements) control value. Since other chemical and physical humoral factors do not seem involved, the whole increase of ventilation should be produced by neurogenic stimuli. The time course of Te, Ti and VT/Ti at the onset and at the offset of limb movements indicates an abrupt and a slow component in the neurogenic drive. A single contraction of the limb during expiration of inspiration affected the timing and the VT/Ti of 3-8 breaths.

Animals↗

Effect of rib cage or abdomen compression at iso-lung volume on breathing pattern.

In anesthetized rabbits a small compression of the rib cage (RC) caused a marked increase of breathing frequency (f), a marked reduction of expiratory duration (Te), a reduction of inspiratory duration (Ti) and tidal volume (VT), while an equal decrease of lung volume produced by abdominal compression(AC) caused a smaller increase of f and no change of Ti, and a slight increase of VT. Similar results occurred when normal end-expiratory volume was maintained during compression. The phenomena disappeared after bilateral vagotomy, whereas persisted after cordotomy in T1. Similar results occurred in dogs (with the exception that VT decreased during AC), whereas in cats only RC increased f by shortening Te. RC caused a marked increase of discharge in 11 out of 19 irritant receptor fibers, whereas AC caused an increase only in 2. In most of the pulmonary stretch receptor fibers the change of activity produced by compression paralleled the lung volume change. The effects of vagal cooling on Ti, Te and the VT-Ti relationship with and without compression suggest irritant receptors as responsible for the different ventilatory pattern during RC and AC.

Abdomen↗

Immediate response to expiratory threshold load.

In anesthetized rabbits, cats and dogs the end-inspiratory volume referred to normal FRC (deltaVe.i.) of the first breath during expiratory threshold load (ETL) was greater than control deltaVe.i. The increase of deltaVe.i. was roughly proportional to the increase of end-expiratory volume relative to normal FRC (deltaVe.e.) caused by ETL. During squeezing of the rib cage or of the abdomen or after cordotomy at T1 the phenomenon occurred nearly to the same extent. This suggests that afferent impulses from the chest wall are not essential in determining the phenomenon. The first inspiration during ETL occurred after a delay that was roughly proportional to the increase of deltaVe.e: the arterial Pco2, however, was not significantly increased at the time of the first inspiration during ETL. After bilateral vagotomy the first inspiration during ETL was no longer increased. An explantation of the increased deltaVe.i. of the first inspiration during ETL is provided on the basis of the vagal dependent tidal volume-inspiratory duration characteristic of the respiratory center.

Animals↗

Tonic vagal influences on inspiratory duration.

The tidal volume (VT), inspiratory (Ti) and expiratory (Te) durations were determined in anesthetized rabbits, cats and dogs under normal conditions, during continuous positive or negative pressure breathing. Elastic loads up to complete occlusion of the airways were applied in order to determine the VT-Ti and Te-Ti relationships. The larger the end-expiratory lung volume the steeper the VT-Ti relationship, the smaller the increase of Ti and the greater the increase of Te produced by the load. Hence, the larger the end-expiratory lung volume the steeper the Te-Ti relationship. In vagotomized animals airways occlusion did not affect Ti and Te. Ti of occluded breaths in vagotomized animals was longer than that of occluded breaths in intact animals, whereas Te was similar at the resting volume of the respiratory system (FRC), shorter above FRC and longer below FRC. These results show that both phasic and tonic vagal discharges determine Ti and Te.

Animals↗