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Comparison of the Distribution of Intramyocardial Pressure across the Canine Left Ventricular Wall in the Beating Heart during Diastole and in the Arrested HeartEvidence of Epicardial Muscle Tone during Diastole

 

作者: PAUL STEIN,   HANI SABBAH,   MARIO MARZILLI,   EDWARD BLICK,  

 

期刊: Circulation Research  (OVID Available online 1980)
卷期: Volume 47, issue 2  

页码: 258-267

 

ISSN:0009-7330

 

年代: 1980

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Computations of compliance of the left ventricle (LV) during diastole assume passive tissue characteristics. To evaluate this assumption, we measured diastolic LV intramyocardial pressure simultaneously in the subepicardium and subendocardium in 18 open-chest dogs, using 1-mm in diameter micromanometers. Subepicardial pressure, 26 ± 1 mm Hg (mean ± SKM) exceeded subendo-cardial pressure, 14 ± 1 mm Hg (P< 0.001), and it exceeded left ventricular end-diastolic pressure (LVEDP) (9 ± 1 mm Hg) (P <0.001). After an infusion of dextran-40 (10 dogs), subepicardial diastolic pressure increased to 42 ± 4 mm Hg which was higher than diastolic subendocardial pressure, 26 ± 2 mm Hg (P< 0.001) and LVEDP, 24 ± 2 mm Hg (P< 0.001). Following cardiac arrest (12 dogs) with the intramyocardial probes unchanged in position, LV intracavitary pressure, 9 ± 1 mm Hg, and suben-docardial pressure, 13 ± 3 mm Hg, did not differ significantly from the pressures in the beating heart. Subepicardial pressure, 9 ± 1 mm Hg, was lower than in the beating heart (P< 0.001). Following distension of the arrested LV (12 dogs), subepicardial pressure, 31 ± 7 mm Hg, was lower than both subendocardial pressure, 58 ± 12 mm Hg (P< 0.001) and LV intracavitary pressure, 54 ± 11 mm Hg (P< 0.001). These observations indicate that tone is maintained by the subepicardium during diastole. Furthermore, the LV wall does not appear to behave as a passive shell during ventricular filling.Circ Res 47: 258-267, 1980

 

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