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背阔肌的线性性能特征:心脏辅助的潜力。

Linear performance characteristics of latissimus dorsi muscle: potential for cardiac assistance.

作者信息

Gustafson Kenneth J, Guilbeau Eric J, Sweeney James D

机构信息

Bioengineering Program, Arizona State University, Tempe, Arizona, USA.

出版信息

ASAIO J. 2003 Sep-Oct;49(5):572-7. doi: 10.1097/01.mat.0000084103.26533.19.

Abstract

Knowledge of the quantitative performance capabilities of skeletal muscle in a linear geometry is necessary to predict the performance and to optimize the design of linearly configured, skeletal muscle powered cardiac assist devices (MCADs). This study determined the performance characteristics of goat latissimus dorsi muscle (LDM) using a linear, ex vivo experimental apparatus. In five goats, the LDM (130.6 +/- 18.8 g) was dissected free of its distal attachments, connected to a series of weights (500 to 2250 g), and maximal tetanic contractions were elicited via thoracodorsal nerve stimulation. Second order polynomial equations were derived to represent each of the following variables versus load: muscle prestretch (range 1.5 to 5.4 cm), contraction duration (220 to 360 milliseconds), contraction shortening distance (13.5 to 10.9 cm), contraction velocity (60 to 31 cm/s), generated stroke power (3 to 7 W), and stroke work (0.7 to 2.4 J). Analysis of the potential stroke volumes obtained with a linearly configured, cylindrically shaped MCAD directly coupled to the circulation indicate that a feasible MCAD operating region exists based on the LDM performance data across a range of device geometries and mean ejection pressures.

摘要

了解线性几何结构中骨骼肌的定量性能能力对于预测性能以及优化线性配置的骨骼肌动力心脏辅助装置(MCAD)的设计至关重要。本研究使用线性离体实验装置确定了山羊背阔肌(LDM)的性能特征。在五只山羊中,将LDM(130.6 +/- 18.8克)从其远端附着处游离出来,连接到一系列重物(500至2250克),并通过胸背神经刺激引发最大强直收缩。推导了二阶多项式方程来表示以下每个变量与负荷的关系:肌肉预拉伸(范围1.5至5.4厘米)、收缩持续时间(220至360毫秒)、收缩缩短距离(13.5至10.9厘米)、收缩速度(60至31厘米/秒)、产生的冲程功率(3至7瓦)和冲程功(0.7至2.4焦耳)。对直接与循环系统耦合的线性配置圆柱形MCAD获得的潜在冲程容积进行分析表明,基于LDM在一系列装置几何形状和平均射血压力下的性能数据,存在一个可行的MCAD工作区域。

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