Different left ventricular relaxation parameters in isolated working rat and guinea pig hearts. Influence of preload, afterload, temperature, and isoprenaline.

S F Langer, H D Schmidt
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引用次数: 14

Abstract

In isolated ejecting rat and guinea pig hearts, the sensitivity of the time constant tau of left ventricular isovolumic pressure fall, the maximum pressure fall velocity min LVdP/dt, and the relaxation time to different hemodynamic conditions, temperature, and isoprenaline were investigated. Tau was obtained by fitting the isovolumic pressure fall three-parametrically to the exponential p(t) = p infinity + (p0-p infinity) exp (-t/tau) which was found to be superior to semilogarithmic estimation. The influence of different working conditions on the relaxation parameters was tested by a rank correlation test and quantified by calculating standardized regression coefficients. Hemodynamic conditions were altered by changing left ventricular end-diastolic pressure (increasing inflow to the heart) and peak pressure (max LVP, varying aortic outflow resistance), and by atrial pacing (variation of interbeat interval). Lusitropic sensitivity was investigated by changing temperature and by applying isoprenaline. All regression parameters were only moderately sensitive to changes in end-diastolic pressure, max LVP, or heart rate, with the exception of a considerable afterload dependence of min LVdP/dt in rat hearts. This dependence, however, can be overcome to a large extent by dividing min LVdP/dt by mean aortic pressure. Isoprenaline strongly influenced all relaxation parameters, and so did temperature, except for relaxation time in guinea pig hearts. We conclude that tau serves as a reliable relaxation parameter, also in the hearts of small animals with heart rates up to 450 beats/min. In isolated hearts, min LVdP/dt, corrected for afterload dependence, is also suitable as a complementary index of the early relaxation phase.

离体工作大鼠和豚鼠心脏左心室舒张参数的差异。预负荷、后负荷、温度和异丙肾上腺素的影响。
以离体大鼠和豚鼠为实验对象,观察左室等容压下降时间常数tau、最大压降速度min LVdP/dt和舒张时间对不同血流动力学条件、温度和异丙肾上腺素的敏感性。将等容压降的三参数拟合为指数p(t) = p∞+ (p -p∞)exp (-t/ Tau),得到的Tau值优于半对数估计。通过秩相关检验检验不同工况对松弛参数的影响,并通过计算标准化回归系数进行量化。血流动力学条件通过左室舒张末压(心脏流入增加)和峰值压(最大LVP,主动脉流出阻力变化)以及心房起搏(心跳间隔变化)的改变而改变。通过改变温度和施加异丙肾上腺素来研究lusittropic sensitivity。所有回归参数对舒张末压、最大LVP或心率的变化仅中等敏感,除了大鼠心脏最小LVdP/dt有相当大的负荷后依赖性。然而,这种依赖性可以在很大程度上通过用平均主动脉压除以最小LVdP/dt来克服。异丙肾上腺素对豚鼠心脏除松弛时间外的所有松弛参数都有强烈影响,温度也有影响。我们得出结论,tau蛋白是一个可靠的松弛参数,在心率高达450次/分钟的小动物心脏中也是如此。在离体心脏中,校正后负荷依赖性的最小LVdP/dt也适合作为早期松弛期的补充指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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