Lack of effect of an in-line filter on cardiopulmonary exercise testing variables in healthy subjects
Purpose Pathogen transmission during cardio-pulmonary exercise testing (CPET) is caused by carrier aerosols generated during respiration. Methods Ten healthy volunteers (age range: 34 ± 15; 4 females) were recruited to see if the physiological reactions to ramp-incremental CPET on a cycle ergometer...
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| Published in: | European journal of applied physiology Vol. 124; no. 3; pp. 1027 - 1036 |
|---|---|
| Main Authors: | , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Berlin/Heidelberg
Springer Berlin Heidelberg
01.03.2024
Springer Nature B.V |
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| ISSN: | 1439-6319, 1439-6327, 1439-6327 |
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| Abstract | Purpose
Pathogen transmission during cardio-pulmonary exercise testing (CPET) is caused by carrier aerosols generated during respiration.
Methods
Ten healthy volunteers (age range: 34 ± 15; 4 females) were recruited to see if the physiological reactions to ramp-incremental CPET on a cycle ergometer were affected using an in-line filter placed between the mouthpiece and the flow sensor. The tests were in random order with or without an in-line bacterial/viral spirometer filter. The work rate aligned, time interpolated 10 s bin data were compared throughout the exercise period.
Results
From rest to peak exercise, filter use increased only minute ventilation (
V
˙
E
) (Δ
V
˙
E
= 1.56 ± 0.70 L/min,
P
< 0.001) and tidal volume (
V
T
) (Δ
V
T
= 0.10 ± 0.11 L,
P
= 0.014). Over the entire test, the slope of the residuals for
V
˙
CO
2
was positive (0.035 ± 0.041 (Δ
L
/L),
P
= 0.027). During a ramp-incremental CPET in healthy subjects, an in-line filter increased
V
˙
E
and
V
T
but not metabolic rate.
Conclusion
In conclusion, using an in-line filter is feasible, does not affect appreciably the physiological variables, and may mitigate risk of aerosol dispersion during CPET. |
|---|---|
| AbstractList | Pathogen transmission during cardio-pulmonary exercise testing (CPET) is caused by carrier aerosols generated during respiration.PURPOSEPathogen transmission during cardio-pulmonary exercise testing (CPET) is caused by carrier aerosols generated during respiration.Ten healthy volunteers (age range: 34 ± 15; 4 females) were recruited to see if the physiological reactions to ramp-incremental CPET on a cycle ergometer were affected using an in-line filter placed between the mouthpiece and the flow sensor. The tests were in random order with or without an in-line bacterial/viral spirometer filter. The work rate aligned, time interpolated 10 s bin data were compared throughout the exercise period.METHODSTen healthy volunteers (age range: 34 ± 15; 4 females) were recruited to see if the physiological reactions to ramp-incremental CPET on a cycle ergometer were affected using an in-line filter placed between the mouthpiece and the flow sensor. The tests were in random order with or without an in-line bacterial/viral spirometer filter. The work rate aligned, time interpolated 10 s bin data were compared throughout the exercise period.From rest to peak exercise, filter use increased only minute ventilation ([Formula: see text]E) (Δ[Formula: see text]E = 1.56 ± 0.70 L/min, P < 0.001) and tidal volume (VT) (ΔVT = 0.10 ± 0.11 L, P = 0.014). Over the entire test, the slope of the residuals for [Formula: see text]CO2 was positive (0.035 ± 0.041 (ΔL/L), P = 0.027). During a ramp-incremental CPET in healthy subjects, an in-line filter increased [Formula: see text]E and VT but not metabolic rate.RESULTSFrom rest to peak exercise, filter use increased only minute ventilation ([Formula: see text]E) (Δ[Formula: see text]E = 1.56 ± 0.70 L/min, P < 0.001) and tidal volume (VT) (ΔVT = 0.10 ± 0.11 L, P = 0.014). Over the entire test, the slope of the residuals for [Formula: see text]CO2 was positive (0.035 ± 0.041 (ΔL/L), P = 0.027). During a ramp-incremental CPET in healthy subjects, an in-line filter increased [Formula: see text]E and VT but not metabolic rate.In conclusion, using an in-line filter is feasible, does not affect appreciably the physiological variables, and may mitigate risk of aerosol dispersion during CPET.CONCLUSIONIn conclusion, using an in-line filter is feasible, does not affect appreciably the physiological variables, and may mitigate risk of aerosol dispersion during CPET. PurposePathogen transmission during cardio-pulmonary exercise testing (CPET) is caused by carrier aerosols generated during respiration.MethodsTen healthy volunteers (age range: 34 ± 15; 4 females) were recruited to see if the physiological reactions to ramp-incremental CPET on a cycle ergometer were affected using an in-line filter placed between the mouthpiece and the flow sensor. The tests were in random order with or without an in-line bacterial/viral spirometer filter. The work rate aligned, time interpolated 10 s bin data were compared throughout the exercise period.ResultsFrom rest to peak exercise, filter use increased only minute ventilation (V˙E) (ΔV˙E = 1.56 ± 0.70 L/min, P < 0.001) and tidal volume (VT) (ΔVT = 0.10 ± 0.11 L, P = 0.014). Over the entire test, the slope of the residuals for V˙CO2 was positive (0.035 ± 0.041 (ΔL/L), P = 0.027). During a ramp-incremental CPET in healthy subjects, an in-line filter increased V˙E and VT but not metabolic rate.ConclusionIn conclusion, using an in-line filter is feasible, does not affect appreciably the physiological variables, and may mitigate risk of aerosol dispersion during CPET. Pathogen transmission during cardio-pulmonary exercise testing (CPET) is caused by carrier aerosols generated during respiration. Ten healthy volunteers (age range: 34 ± 15; 4 females) were recruited to see if the physiological reactions to ramp-incremental CPET on a cycle ergometer were affected using an in-line filter placed between the mouthpiece and the flow sensor. The tests were in random order with or without an in-line bacterial/viral spirometer filter. The work rate aligned, time interpolated 10 s bin data were compared throughout the exercise period. From rest to peak exercise, filter use increased only minute ventilation ([Formula: see text] ) (Δ[Formula: see text] = 1.56 ± 0.70 L/min, P < 0.001) and tidal volume (V ) (ΔV = 0.10 ± 0.11 L, P = 0.014). Over the entire test, the slope of the residuals for [Formula: see text]CO was positive (0.035 ± 0.041 (ΔL/L), P = 0.027). During a ramp-incremental CPET in healthy subjects, an in-line filter increased [Formula: see text] and V but not metabolic rate. In conclusion, using an in-line filter is feasible, does not affect appreciably the physiological variables, and may mitigate risk of aerosol dispersion during CPET. Purpose Pathogen transmission during cardio-pulmonary exercise testing (CPET) is caused by carrier aerosols generated during respiration. Methods Ten healthy volunteers (age range: 34 ± 15; 4 females) were recruited to see if the physiological reactions to ramp-incremental CPET on a cycle ergometer were affected using an in-line filter placed between the mouthpiece and the flow sensor. The tests were in random order with or without an in-line bacterial/viral spirometer filter. The work rate aligned, time interpolated 10 s bin data were compared throughout the exercise period. Results From rest to peak exercise, filter use increased only minute ventilation ( V ˙ E ) (Δ V ˙ E = 1.56 ± 0.70 L/min, P < 0.001) and tidal volume ( V T ) (Δ V T = 0.10 ± 0.11 L, P = 0.014). Over the entire test, the slope of the residuals for V ˙ CO 2 was positive (0.035 ± 0.041 (Δ L /L), P = 0.027). During a ramp-incremental CPET in healthy subjects, an in-line filter increased V ˙ E and V T but not metabolic rate. Conclusion In conclusion, using an in-line filter is feasible, does not affect appreciably the physiological variables, and may mitigate risk of aerosol dispersion during CPET. |
| Author | Casaburi, Richard Abbasi, Asghar Porszasz, Janos Soriano, April Ahmad, Khadije Rossiter, Harry B. Ferguson, Carrie Calmelat, Robert Stringer, William W. |
| Author_xml | – sequence: 1 givenname: Asghar orcidid: 0000-0003-3034-0068 surname: Abbasi fullname: Abbasi, Asghar email: asghar.abbasi@lundquist.org organization: Division of Respiratory and Critical Care Physiology and Medicine, Department of Medicine, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center – sequence: 2 givenname: Khadije surname: Ahmad fullname: Ahmad, Khadije organization: Division of Cardiology, Department of Medicine, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center – sequence: 3 givenname: Carrie surname: Ferguson fullname: Ferguson, Carrie organization: Division of Respiratory and Critical Care Physiology and Medicine, Department of Medicine, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center – sequence: 4 givenname: April surname: Soriano fullname: Soriano, April organization: Division of Respiratory and Critical Care Physiology and Medicine, Department of Medicine, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center – sequence: 5 givenname: Robert surname: Calmelat fullname: Calmelat, Robert organization: Division of Respiratory and Critical Care Physiology and Medicine, Department of Medicine, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center – sequence: 6 givenname: Harry B. surname: Rossiter fullname: Rossiter, Harry B. organization: Division of Respiratory and Critical Care Physiology and Medicine, Department of Medicine, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center – sequence: 7 givenname: Richard surname: Casaburi fullname: Casaburi, Richard organization: Division of Respiratory and Critical Care Physiology and Medicine, Department of Medicine, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center – sequence: 8 givenname: William W. surname: Stringer fullname: Stringer, William W. organization: Division of Respiratory and Critical Care Physiology and Medicine, Department of Medicine, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center – sequence: 9 givenname: Janos surname: Porszasz fullname: Porszasz, Janos organization: Division of Respiratory and Critical Care Physiology and Medicine, Department of Medicine, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center |
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| ContentType | Journal Article |
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| Keywords | COVID-19 Respiratory viruses Ventilation In-line filter Cardiopulmonary exercise testing Aerosol-generating procedures |
| Language | English |
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| Snippet | Purpose
Pathogen transmission during cardio-pulmonary exercise testing (CPET) is caused by carrier aerosols generated during respiration.
Methods
Ten healthy... Pathogen transmission during cardio-pulmonary exercise testing (CPET) is caused by carrier aerosols generated during respiration. Ten healthy volunteers (age... PurposePathogen transmission during cardio-pulmonary exercise testing (CPET) is caused by carrier aerosols generated during respiration.MethodsTen healthy... Pathogen transmission during cardio-pulmonary exercise testing (CPET) is caused by carrier aerosols generated during respiration.PURPOSEPathogen transmission... |
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| SubjectTerms | Aerosols Biomedical and Life Sciences Biomedicine Carbon dioxide Human Physiology Metabolic rate Occupational Medicine/Industrial Medicine Original Article Physiology Sports Medicine |
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| Title | Lack of effect of an in-line filter on cardiopulmonary exercise testing variables in healthy subjects |
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