![]() The SBT-CO2 is simple and potentially widely available and warrants further study as a routine technique for the diagnosis of PE.The homogeneity between ventilation and perfusion determines normal gas exchange. The other measurements, however, showed a substantial overlap between patients with PE and those with obstructive or interstitial lung disease. SBT-CO2 achieved a nearly complete separation between the patients with PE and those without. Previously suggested gas exchange measurements for the diagnosis of PE, ie, the physiologic deadspace fraction, VDphys/VT, and the arterial-to-end-tidal CO2 gradient, P(a-E')CO2, were also evaluated in the groups. It was also tested in a reference population consisting of patients with normal lung function, obstructive lung disease and interstitial lung disease. ![]() The test was evaluated in 38 patients with suspected PE where pulmonary angiography showed that nine had PE and 29 did not. An analysis of the single breath test (SBT) for CO2, SBT-CO2, focusing on the late tidal expirate, was made in order to evaluate the feasibility to use the SBT-CO2 for the diagnosis of PE. This feature of PE separates it from pulmonary diseases affecting the airways, which are characterized by nonsynchronous emptying of compartments with an uneven ventilation/perfusion relationship. Pulmonary embolism (PE) leads to an abnormal alveolar deadspace that is expired in synchrony with gas from normally perfused alveoli.
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