Decreased 2,3-Diphosphoglycerate Concentration in Low Cardiac Output Patients and Its Influence on the Determination of In Vivo P50

:  We investigated whether 2,3‐diphosphoglycerate (2,3‐DPG) is altered in patients with low cardiac output and the influence of its concentration on the calculation of in vivo P50. Biochemical and blood gas analysis were performed along with the measurement of cardiac output and body temperature in...

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Veröffentlicht in:Artificial organs 2003-08, Vol.27 (8), p.676-680
Hauptverfasser: Piccioni, Marilde A., Cestari, Idágene A., Strunz, Célia M.C., Auler, José O.
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container_end_page 680
container_issue 8
container_start_page 676
container_title Artificial organs
container_volume 27
creator Piccioni, Marilde A.
Cestari, Idágene A.
Strunz, Célia M.C.
Auler, José O.
description :  We investigated whether 2,3‐diphosphoglycerate (2,3‐DPG) is altered in patients with low cardiac output and the influence of its concentration on the calculation of in vivo P50. Biochemical and blood gas analysis were performed along with the measurement of cardiac output and body temperature in 13 patients submitted to cardiopulmonary bypass surgeries without the use of donor blood. In vivo P50 was calculated using the measured (P50m) and the estimated 2,3‐DPG (P50e). 2,3‐DPG concentration was lower in these patients when compared to the values obtained in normal volunteers (6.9 ± 2.2 vs. 11.9 ± 2.4 μmol/gHb). P50m was lower than P50e (21.6 ± 1.1 vs. 30.1 ± 1.2 mm Hg) at all time points. Our data show that in patients with low cardiac output, 2,3‐DPG concentration is reduced. Therefore, in these patients, the use of standard values for this variable may introduce an error in the calculation of in vivo P50.
doi_str_mv 10.1046/j.1525-1594.2003.07272.x
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Biochemical and blood gas analysis were performed along with the measurement of cardiac output and body temperature in 13 patients submitted to cardiopulmonary bypass surgeries without the use of donor blood. In vivo P50 was calculated using the measured (P50m) and the estimated 2,3‐DPG (P50e). 2,3‐DPG concentration was lower in these patients when compared to the values obtained in normal volunteers (6.9 ± 2.2 vs. 11.9 ± 2.4 μmol/gHb). P50m was lower than P50e (21.6 ± 1.1 vs. 30.1 ± 1.2 mm Hg) at all time points. Our data show that in patients with low cardiac output, 2,3‐DPG concentration is reduced. 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Biochemical and blood gas analysis were performed along with the measurement of cardiac output and body temperature in 13 patients submitted to cardiopulmonary bypass surgeries without the use of donor blood. In vivo P50 was calculated using the measured (P50m) and the estimated 2,3‐DPG (P50e). 2,3‐DPG concentration was lower in these patients when compared to the values obtained in normal volunteers (6.9 ± 2.2 vs. 11.9 ± 2.4 μmol/gHb). P50m was lower than P50e (21.6 ± 1.1 vs. 30.1 ± 1.2 mm Hg) at all time points. Our data show that in patients with low cardiac output, 2,3‐DPG concentration is reduced. Therefore, in these patients, the use of standard values for this variable may introduce an error in the calculation of in vivo P50.</description><subject>2,3-Diphosphoglycerate - blood</subject><subject>2,3‐Diphosphoglycerate</subject><subject>3-Diphosphoglycerate</subject><subject>Adult</subject><subject>Algorithms</subject><subject>Blood Gas Analysis</subject><subject>Cardiac Output, Low - blood</subject><subject>Cardiopulmonary Bypass</subject><subject>Case-Control Studies</subject><subject>Female</subject><subject>Humans</subject><subject>In vivo P50</subject><subject>Male</subject><subject>Partial Pressure</subject><issn>0160-564X</issn><issn>1525-1594</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkU9v00AQxVcIREPhK6A9ccLu_l_7wKFyoI0IpKqgcFttdsd0g2MHr90mZ744a1LKYfRGer83h3kIYUpySoQ62-RUMplRWYqcEcJzoplm-f4Jmj0aT9GMUEUyqcT3E_Qixg0hRAuinqMTykpKOS9n6PccXA82gsfsLc_mYXfbxTQ_moOD3g6Aq6510A5pD12LQ4uX3T2ubO-DdXg1DrtxwFfJTEzEtvV4kXTR1s0IKYhTZrgFPIcB-m1oj1e6OhH4Jtx1-EqSl-hZbZsIrx70FH398P5LdZktVxeL6nyZBUYFy5gQhQZdKKLXDriS3hVelHytBXNW0DIpd5aK2jnlfCFV7QnjYl1STr0FforeHO_u-u7XCHEw2xAdNI1toRuj0VwKQoVK4OsHcFxvwZtdH7a2P5h_b0vAuyNwHxo4_PeJmeoxGzO1YKYWzFSP-VuP2Zvz1fW0pXx2zIc4wP4xb_ufRmmupfn2-cJ8-nhZievixgj-B-7jki0</recordid><startdate>200308</startdate><enddate>200308</enddate><creator>Piccioni, Marilde A.</creator><creator>Cestari, Idágene A.</creator><creator>Strunz, Célia M.C.</creator><creator>Auler, José O.</creator><general>Blackwell Science Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200308</creationdate><title>Decreased 2,3-Diphosphoglycerate Concentration in Low Cardiac Output Patients and Its Influence on the Determination of In Vivo P50</title><author>Piccioni, Marilde A. ; Cestari, Idágene A. ; Strunz, Célia M.C. ; Auler, José O.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-i2142-24487e78607bce365dc8d493b742ca4197423ca14fcc6cd856fd0234b9131dae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>2,3-Diphosphoglycerate - blood</topic><topic>2,3‐Diphosphoglycerate</topic><topic>3-Diphosphoglycerate</topic><topic>Adult</topic><topic>Algorithms</topic><topic>Blood Gas Analysis</topic><topic>Cardiac Output, Low - blood</topic><topic>Cardiopulmonary Bypass</topic><topic>Case-Control Studies</topic><topic>Female</topic><topic>Humans</topic><topic>In vivo P50</topic><topic>Male</topic><topic>Partial Pressure</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Piccioni, Marilde A.</creatorcontrib><creatorcontrib>Cestari, Idágene A.</creatorcontrib><creatorcontrib>Strunz, Célia M.C.</creatorcontrib><creatorcontrib>Auler, José O.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Artificial organs</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Piccioni, Marilde A.</au><au>Cestari, Idágene A.</au><au>Strunz, Célia M.C.</au><au>Auler, José O.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Decreased 2,3-Diphosphoglycerate Concentration in Low Cardiac Output Patients and Its Influence on the Determination of In Vivo P50</atitle><jtitle>Artificial organs</jtitle><addtitle>Artif Organs</addtitle><date>2003-08</date><risdate>2003</risdate><volume>27</volume><issue>8</issue><spage>676</spage><epage>680</epage><pages>676-680</pages><issn>0160-564X</issn><eissn>1525-1594</eissn><abstract>:  We investigated whether 2,3‐diphosphoglycerate (2,3‐DPG) is altered in patients with low cardiac output and the influence of its concentration on the calculation of in vivo P50. 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subjects 2,3-Diphosphoglycerate - blood
2,3‐Diphosphoglycerate
3-Diphosphoglycerate
Adult
Algorithms
Blood Gas Analysis
Cardiac Output, Low - blood
Cardiopulmonary Bypass
Case-Control Studies
Female
Humans
In vivo P50
Male
Partial Pressure
title Decreased 2,3-Diphosphoglycerate Concentration in Low Cardiac Output Patients and Its Influence on the Determination of In Vivo P50
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