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完整犬心左心室中压力衍生的无负荷收缩成分最大缩短速度(Vmax)的自动计算。

The automatic computation of pressure-derived maximal shortening velocity (Vmax) of the unloaded contractile element in the intact canine heart left ventricle.

作者信息

Kettunen R, Timisjärvi J, Kouvalainen E, Rämö P, Linnaluoto M

出版信息

Acta Physiol Scand. 1986 Aug;127(4):467-75. doi: 10.1111/j.1748-1716.1986.tb07930.x.

Abstract

Estimation of the maximum velocity (Vmax) of the contractile element of the intact left ventricular wall muscle demands extrapolation of the force-velocity curve to zero load. The present paper describes our on-line computation system for measuring and analysing pressure derived Vmax using both linear (Vmax-lin) and exponential (Vmax-exp) extrapolation methods. The developed pressure during isovolumetric phase of systole was used as an equivalent of the force. Testing on anaesthetized artificially ventilated dogs showed the exponential function to fit pressure-velocity data better than the straight line did. The Vmax-exp attained 15-35% greater values than Vmax-lin, but both responded almost equally when considered on the basis of linear regression analysis (r = 0.991, n = 725). Changes of contractility caused by i.v. infusion of isoproterenol, calcium chloride or propranolol were practically similar when assessed by either method of Vmax computation, or by dP/dtmax. Volume loading by dextran infusion increased not only dP/dtmax, by 33 +/- 13%, but also Vmax, up to 24 +/-. When arterial pressure was raised by phenylephrine infusion, or heart rate by atrial pacing, dP/dtmax increased significantly while Vmax remained unaltered. Hence, the linear and exponential dP/dtmax increased significantly while Vmax remained unaltered. Hence, the linear and exponential extrapolation procedures provided comparable values for Vmax, but the linear one due to its simplicity is more suited for on-line computation. The Vmax thus obtained is, however, not independent of the changes in preload.

摘要

估算完整左心室壁肌肉收缩元件的最大速度(Vmax)需要将力-速度曲线外推至零负荷。本文描述了我们用于测量和分析压力衍生Vmax的在线计算系统,该系统使用线性(Vmax-lin)和指数(Vmax-exp)外推方法。将收缩期等容相期间产生的压力用作力的等效值。在麻醉的人工通气犬身上进行的测试表明,指数函数比直线更能拟合压力-速度数据。Vmax-exp比Vmax-lin的值高15%-35%,但基于线性回归分析时两者的反应几乎相同(r = 0.991,n = 725)。通过静脉注射异丙肾上腺素、氯化钙或普萘洛尔引起的收缩性变化,无论采用哪种Vmax计算方法或通过dP/dtmax评估,实际上都是相似的。输注右旋糖酐进行容量负荷不仅使dP/dtmax增加了33±13%,也使Vmax增加了24±。当通过注射去氧肾上腺素升高动脉压或通过心房起搏提高心率时,dP/dtmax显著增加而Vmax保持不变。因此,线性和指数dP/dtmax显著增加而Vmax保持不变。因此,线性和指数外推程序为Vmax提供了可比的值,但线性方法由于其简单性更适合在线计算。然而,由此获得的Vmax并非独立于前负荷的变化。

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