Wagman A J, Hu N, Clark E B
Department of Pediatrics, University of Iowa Hospitals and Clinics, Iowa City.
Circ Res. 1990 Jul;67(1):187-92. doi: 10.1161/01.res.67.1.187.
We studied the hemodynamic effects of changing volume loading in the chick embryo, before autonomic innervation, to test the hypothesis that the Frank-Starling mechanism functions in the embryonic myocardium. Dorsal aortic blood velocity was measured by pulsed Doppler. Heart rate and aortic diameter were also measured to calculate cardiac output and stroke volume index. Vitelline arterial and ventricular pressures were measured with a servo-null micropressure system in stage 24 embryos. Infusing isotonic solution intravenously resulted in linear increases in stroke volume index for stages 18 (y = 388x + 6.89), 24 (y = 466x + 7.86), and 29 (y = 549x + 4.96). The slopes and intercepts were statistically the same for all three stages. Similar volume loading in stage 24 embryos initially increased mean arterial pressure linearly, but at higher loading conditions, the rate of rise lessens. Thus, volume loading resulted in a decrease in vascular resistance. Withdrawing blood from stage 24 embryos resulted in a decrease in ventricular peak systolic and end-diastolic pressures. With reinfusion of the blood, systolic and end-diastolic pressures initially rose above baseline levels and later returned to normal. We conclude that a length-tension relation is present in the preinnervated embryonic heart and that vascular resistance changes inversely with loading conditions. We speculate that these mechanisms are the primary hemodynamic control mechanism in the early chick embryo.
我们研究了在自主神经支配之前改变鸡胚容量负荷的血流动力学效应,以检验Frank-Starling机制在胚胎心肌中起作用的假说。通过脉冲多普勒测量背主动脉血流速度。还测量了心率和主动脉直径,以计算心输出量和每搏量指数。在第24阶段胚胎中,使用伺服零位微压系统测量卵黄动脉和心室压力。静脉输注等渗溶液导致第18阶段(y = 388x + 6.89)、第24阶段(y = 466x + 7.86)和第29阶段(y = 549x + 4.96)的每搏量指数呈线性增加。所有三个阶段的斜率和截距在统计学上相同。在第24阶段胚胎中进行类似的容量负荷最初会使平均动脉压呈线性升高,但在较高的负荷条件下,升高速率会降低。因此,容量负荷导致血管阻力降低。从第24阶段胚胎中抽血会导致心室收缩期峰值和舒张末期压力降低。重新输注血液后,收缩压和舒张末期压力最初会升至基线水平以上,随后恢复正常。我们得出结论,在未受神经支配的胚胎心脏中存在长度-张力关系,并且血管阻力随负荷条件呈反向变化。我们推测这些机制是早期鸡胚主要的血流动力学控制机制。