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Bungo, M. W.

Publications and source records attributed to Bungo, M. W..

21 records · Page 2

Discordance of exercise thallium testing with coronary arteriography in patients with atypical presentations

Eighty-one patients with diagnostically difficult clinical presentations suggesting coronary artery disease underwent symptom-limited maximal-exercise treadmill testing (ETT) and exercise radionuclide scanning with thallium-201 followed by coronary angiography. Results showed that in nearly half of the patients (47%) these tests were in agreement, while either exercise thallium or ETT was positive in 94% of patients with coronary artery disease. It was found that agreement between exercise thallium and ETT tests predicted disease in 92% of the instances or excluded disease in 82% of the instances. It is concluded that despite frequent discord between these two tests in 53% of the cases, a significant gain in exclusive diagnostic capability is realized when applied to a patient population anticipated to have a disease prevalence equal to the 67% encountered in this study.

Bungo, M. W.

Measurement of cardiopulmonary performance during acute exposure to a 2440-m equivalent atmosphere

Each of 20 subjects (ranging in age from 18 to 38 years, 15 being male, five female) was given two Bruce Protocol symptom-limited maximum treadmill stress tests, breathing sea-level compressed air (20.9% O2) for one test and a 2440-m equivalent (15.5% O2) for the other. A significant difference was found to exist between measured VO2 max (p less than 0.0002) and exercise time (p less than 0.0004) for the two conditions. No significant differences were observed in heart rate or the recovery time to a respiratory quotient of less than 1. Hemoglobin saturation, as measured by an ear oximeter, averaged 95% for sea-level and 91% for the 2440-m equivalent gases. These results support a 2440-m equivalent contingency atmosphere in the Space Shuttle prior to donning a low-pressure suit for the purpose reducing nitrogen washout times.

Levitan, B. M.

Investigation of the combined effects of bedrest and mild hypoxia

Subjects were exposed to an 8-h mild hypoxia exposure (8000 ft. equivalent, 2438 m) with and without a 28-h period of 6 deg headdown bedrest. Anticipated responses to the bedrest and the hypoxia were observed. There was no indication that bedrest affected the arterial oxygenation or the oxygen gradient across the lungs of the subjects undergoing mild hypoxia. It is concluded that there is no evidence that would preclude an alveolar O2 pressure as low as 69 torr during contingency spacecraft operation.

Waligora, J. M.