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犬与猪的阶段性冠状动脉血流模式:一项急性缺血性心脏病研究。

Phasic coronary blood flow patterns in dogs vs. pigs: an acute ischemic heart study.

作者信息

Ootaki Yoshio, Ootaki Chiyo, Kamohara Keiji, Akiyama Masatoshi, Zahr Firas, Kopcak Michael W, Dessoffy Raymond, Fukamachi Kiyotaka

机构信息

Department of Biomedical Engineering, Lerner Research Institute, The Cleveland Clinic, Cleveland, OH 44195, USA.

出版信息

Med Sci Monit. 2008 Oct;14(10):BR193-7.

Abstract

BACKGROUND

Canine and porcine hearts have been widely used to investigate diagnoses, interventions, and surgical therapies for ischemic heart disease. Dogs and pigs are known to vary with regard to the anatomic distribution of their coronary arteries. However, the mechanisms of these differences and the differing phasic coronary blood flow patterns between the two species are not well characterized.

MATERIAL/METHODS: Phasic coronary blood flow patterns and hemodynamic data were analyzed using three flow probes placed around the left anterior descending (LAD), left circumflex (LCX), and right coronary (RCA) arteries in both canine and porcine models.

RESULTS

Systolic left ventricular pressure, arterial pressure, and systemic vascular resistance in dogs were higher than in pigs. Likewise, total coronary blood flow, LAD flow, and LCX flow were higher in dogs than in pigs. LCX flow was higher in dogs, but RCA flow was higher in pigs. Diastolic fraction and diastolic/systolic peak velocity ratio of the LAD, LCX, and RCA showed no significant differences at baseline between dogs and pigs. Systolic LAD flow in dogs decreased after the creation of an LAD stenosis, whereas systolic LAD flow in pigs increased.

CONCLUSIONS

Coronary blood flow patterns in dogs and pigs are quite different. These findings are potentially relevant to understanding the physiology of myocardial blood perfusion in dogs and pigs with ischemic heart disease.

摘要

背景

犬类和猪的心脏已被广泛用于研究缺血性心脏病的诊断、干预措施及手术治疗。已知犬类和猪的冠状动脉解剖分布存在差异。然而,这两种差异的机制以及两种动物不同的冠状动脉血流时相模式尚未得到充分表征。

材料/方法:在犬类和猪模型中,使用三个血流探头分别置于左前降支(LAD)、左旋支(LCX)和右冠状动脉(RCA)周围,分析冠状动脉血流时相模式和血流动力学数据。

结果

犬类的收缩期左心室压力、动脉压和全身血管阻力高于猪。同样,犬类的总冠状动脉血流量、LAD血流量和LCX血流量高于猪。犬类的LCX血流量较高,但猪的RCA血流量较高。LAD、LCX和RCA的舒张期分数以及舒张期/收缩期峰值速度比在犬类和猪之间的基线时无显著差异。犬类在制造LAD狭窄后,收缩期LAD血流量减少,而猪的收缩期LAD血流量增加。

结论

犬类和猪的冠状动脉血流模式差异很大。这些发现可能与理解患有缺血性心脏病的犬类和猪的心肌血液灌注生理有关。

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