@article{3091590, title = "Unevenness of ventilation assessed by the expired CO2 gas volume versus V-T curve in asthmatic patients", author = "Koulouris, NG and Latsi, P and Stavrou, E and Chroneou, A and Gaga, M and and Jordanoglou, J", journal = "Respiratory Physiology & Neurobiology", year = "2004", volume = "140", number = "3", pages = "293-300", publisher = "Elsevier", issn = "1569-9048", doi = "10.1016/j.resp.2004.01.005", keywords = "disease; COPD; gas exchange; CO2 expirogram; heterogeneity; ventilation; mammals; humans; ventilation; alveolar; uneven", abstract = "Recently, we have shown that the expired CO2 gas volume versus tidal volume (V-CO2-V-T) curve is a useful tool for assessing unevenness of ventilation because it allows the separation of tidal volume into three functional compartments: (a) the CO2-free expired air (V-0), (b) the transitional volume (V-tr), (c) the alveolar volume (V-A) and the measurement of alveolar F-CO2 during resting breathing in normal subjects and patients with COPD. In this paper, we have investigated whether changes pertaining to unevenness of ventilation taking place immediately after the administration of methacholine can be assessed using the V-CO2-V-T curve in asthmatic patients. The V-CO2-V-T curve was obtained during tidal breathing from 16 stable asthmatic patients who underwent a methacholine challenge test. It has been found that the V-tr, and hence Bohr’s dead space (V-D,V-Bohr = V-0 + V-tr), over tidal volume ratios were significantly increased immediately after the methacholine administration, whilst the V-0 over tidal volume ratio was not affected. The change of the above ratios was not related to the percentage decrease of FEV1.0 following methacholine administration. (C) 2004 Elsevier B.V. All rights reserved." }