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Parasternal intercostal function during sustained hypoxia.

Michael Ji1, Tetsunori Ikegami2, Estifanos Debru1

  • 1Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.

Journal of Applied Physiology (Bethesda, Md. : 1985)
|February 3, 2022
PubMed
Summary

Sustained hypoxia causes a biphasic ventilatory response in canines, with parasternal intercostal muscle activity initially increasing then decreasing. This suggests reduced respiratory drive extends to chest wall muscles during prolonged low oxygen.

Keywords:
EMG activityhypoxiahypoxic ventilatory responseparasternal intercostalrespiratory muscle

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Area of Science:

  • Respiratory Physiology
  • Neuroscience

Background:

  • The ventilatory response to hypoxia is biphasic, with reduced diaphragm drive.
  • The role of chest wall muscles, like the parasternal intercostal, during sustained hypoxia is poorly understood.
  • Parasternal intercostal muscles are clinically relevant as surrogates for diaphragm function.

Purpose of the Study:

  • To investigate parasternal intercostal muscle function during sustained isocapnic hypoxia.
  • To determine if hypoxia-induced attenuation of respiratory drive affects chest wall muscles.

Main Methods:

  • Simultaneous recording of parasternal intercostal muscle length, shortening, and electromyogram (EMG) activity in awake canines.
  • Measurements were taken during sustained moderate isocapnic hypoxia (20-25 min).
  • Breathing patterns were monitored alongside muscle activity.

Main Results:

  • Parasternal intercostal muscle exhibited phasic inspiratory shortening and EMG activity during both room air and hypoxic conditions.
  • Muscle shortening and EMG activity significantly increased with initial hypoxia.
  • These parameters markedly declined with sustained hypoxia, mirroring the biphasic ventilatory response.

Conclusions:

  • Attenuation of central neural respiratory drive during sustained hypoxia extends to the parasternal intercostal muscle.
  • This decline in parasternal intercostal activity directly contributes to the biphasic changes in ventilation.
  • Findings highlight the parasternal intercostal's role in the complex respiratory response to prolonged hypoxia.