多普勒法测量清醒家兔心输出量:验证研究、应用和局限性

Robert P. Hof , Akiko Hof , Rolf P. Stürm
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引用次数: 6

摘要

兔主动脉的血流速度非常快,接近某些脉冲定向多普勒血流仪的极限。因此,我们全面评估了20- mhz和10-MHz测量兔心输出量的装置。在升主动脉周围植入血流探头,在左心房(微球注射)、股动脉、静脉植入导管。约2周后,用多普勒法同时用示踪微球测定心输出量。静脉注射异丙肾上腺素、二羟嗪、胍法辛或阿利啶控制心输出量。使用20 mhz的设备,即使晶体植入角度为60°,也只能准确测量正常和减少的心排血量。10MHz的设备也在非常高的流量下产生精确的测量。令人惊讶的是,在主动脉流速高的情况下,10兆赫和20兆赫的设备都无法正确测量舒张血流,舒张血流接近于零。有必要手动调整舒张后期多普勒信号到电零线的位置。有了这种预防措施,10mhz的设备在平均多普勒信号和心输出量之间产生了很好的相关性。如果在植入后约2周,可以用独立、准确的方法在体内校准流量探针,则可以以绝对流量单位测量心输出量。压力反射不受植入血流探头的影响。在这些范围内,多普勒血流仪是评估药物对有意识家兔心输出量影响的好工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The doppler method for measuring cardiac output in conscious rabbits: Validation studies, uses, and limitations

The velocity of blood in the rabbit aorta is very fast, approaching the limits of some pulsed directional Doppler flow meters. Therefore, we thoroughly evaluated a 20- and a 10-MHz device for measuring cardiac output in rabbits. Flow probes were implanted around the ascending aorta and catheters were implanted into the left atrium (for microsphere injection), femoral artery, and vein. About 2 weeks later, cardiac output was determined with the Dopper method and simultaneously with tracer microspheres. Cardiac output was manipulated with isoproterenol, dihydralazine, guanfacine, or alinidine, intravenously.

With the 20-MHz device, only normal and decreased cardiac output could be measured accurately, even with a 60° implantation angle of the crystals. The 10MHz device yielded accurate measurements also at very high flow. Surprisingly, at high aortic flow rates, both the 10- and the 20-MHz devices were unable to measure correctly diastolic flow, which is close to zero. It was necessary to adjust the position of the late diastolic Doppler signal manually to the electrical zero line. With this precaution, the 10-MHz device yielded an excellent correlation between mean Doppler signal and cardiac output. Cardiac output can be measured in absolute flow units if the flow-probe can be calibrated in vivo with an independent, accurate method about 2 wk after implantation. The baroreflex was not affected by the implanted flow probes. Within these limits, Doppler flow meters are good tools to assess drug effects on cardiac output in conscious rabbits.

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