首页   按字顺浏览 期刊浏览 卷期浏览 End‐systolic measures of regional ventricular performance
End‐systolic measures of regional ventricular performance

 

作者: THOMAS AVERSANO,   W. MAUGHAN,   WILLIAM HUNTER,   DAVID KASS,   LEWIS BECKER,  

 

期刊: Circulation  (OVID Available online 1986)
卷期: Volume 73, issue 5  

页码: 938-950

 

ISSN:0009-7322

 

年代: 1986

 

出版商: OVID

 

数据来源: OVID

 

摘要:

ABSTRACTDimension change measures of regional ventricular function, such as absolute or percent wall thickening (▵T or %▵T) or segmental shortening (▵L or ▵L), are highly load dependent. In 16 anesthetized mongrel dogs we assessed use of the end-systolic pressure-thickness and endsystolic pressure-length relationships (ESPTR,ESPLR) as more load-independent measures of regional function. We found that the ESPTR and ESPLR could be measured without detectable baroreceptormediated reflex changes in cardiac contractile state. Systemic administration of dobutamine shifted the ESPTR to the right and the ESPLR to the left of control, mainly due to a change in the slope (Ees) of the relationships. Both ▵T,%▵T and ▵L,▵L failed to detect the positive inotropic effect of dobutamine because of an associated reduction in preload. With systemic administration of propranolol, ESPTR, ESPLR, ▵T,%▵T, and ▵L,▵L detected the negative inotropic effect. Thus systemic propranolol shifted the ESPTR to the left and the ESPLR to the right of control, mainly due to a change in Ees. Regional administration of dobutamine shifted the ESPTR and the ESPLR in the direction of positive contractility in the region receiving the drug, whereas simple dimension change measures of regional function failed to detect the inotropic effect because preload fell and the timing of regional end-systole was altered. With regional propranolol both the ESPTR,ESPLR and simple dimension change measures detected the negative inotropic effect. Thus the ESPTR,ESPLR is a reliable measure of regional ventricular function and may be better than simple dimension change measures of regional function, particularly when loading conditions or the timing of regional systole is altered by an intervention.

 

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