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Blood oxygen parameters in patients with chronic obstructive pulmonary disease. An evaluation of measured and calculated 2,3-diphosphoglycerate concentrations.

Abstract
48 simultaneous arterial and venous blood samples from 15 patients with chronic obstructive pulmonary disease (COPD) were evaluated for calculated p50 and measured and calculated 2,3-diphosphoglycerate (DPG) concentration. 23 samples (48%) demonstrated a leftward shift in the calculated in vivo p50, whereas both measured and calculated DPG showed 5% below and 28% above reference range. Measured DPG was significantly higher than calculated DPG in the leftshifted group, whereas there was no significant difference in the non-leftshifted group. Mean arterial pH was alkalotic in the leftshifted group and significantly higher than mean pH in the non-leftshifted group. It is concluded that DPG concentration cannot be calculated by the algorithm in patients with COPD and a leftward shift in the oxygen dissociation curve.
AuthorsC Nielsen, K B Hindsholm, E M Nielsen, B Dahl
JournalScandinavian journal of clinical and laboratory investigation. Supplementum (Scand J Clin Lab Invest Suppl) Vol. 203 Pg. 91-5 ( 1990) ISSN: 0085-591X [Print] Norway
PMID2128563 (Publication Type: Journal Article)
Chemical References
  • Diphosphoglyceric Acids
  • 2,3-Diphosphoglycerate
  • Carbon Dioxide
  • Oxygen
Topics
  • 2,3-Diphosphoglycerate
  • Arteries
  • Blood
  • Carbon Dioxide (blood)
  • Diphosphoglyceric Acids (blood)
  • Humans
  • Hydrogen-Ion Concentration
  • Lung Diseases, Obstructive (blood)
  • Mathematics
  • Oxygen (blood)
  • Veins

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