Figure 77-10
Effects of semistarvation on metabolic rate and hypoxic
and hypercapnic ventilatory responses. The hypoxic response is quantitated by A,
defined in the equation VE = Vo
+ A/(PaO2
− 32),
in which VE is minute ventilation, PaO2
is alveolar oxygen tension, and Vo
is the asymptote for ventilation obtained
by extrapolation. The hypercapnic response is quantitated by S, defined in the equation
VE = S(PaCO2
− B), in which PaCO2
is end-tidal CO2
tension, and B is the extrapolated intercept on the abscissa
(PaCO2
axis). ψO2
and ψCO2
declined, reaching the lowest
level by the 10th day, as did the hypoxic response. The hypercapnic response declined
slightly but not significantly. The asterisk denotes
a significant difference from the control (P <
.05), and brackets indicate ± SEM. (Adapted from Doekel RC Jr, Zwillich
CW, Scoggin CH, et al: Clinical semi-starvation: Depression of hypoxic ventilatory
response. N Engl J Med 295:358, 1976.)