Baudouin S V, Bateman N T
Department of Medicine, United Medical School, St. Thomas's Campus, London.
Thorax. 1989 Oct;44(10):808-11. doi: 10.1136/thx.44.10.808.
The effects of chronic respiratory failure (hypoxia and hypercapnia) on the contractile properties of cardiac muscle are not established. A study was performed of the isometric contractile properties of isolated papillary muscle removed from rats exposed in a normobaric environmental chamber to 28 days of hypoxia (fractional inspired oxygen (FIO2) 10%, fractional inspired carbon dioxide (FICO2) less than 1%), hypercapnia (FIO2 21%, FICO2 5%), and hypoxia with hypercapnia (FIO2 10%, FICO2 5%). Rats exposed to both hypoxia and hypoxia with hypercapnia developed selective right ventricular hypertrophy. Exposure to hypercapnia alone did not alter right ventricular weight. No change in right ventricular papillary muscle contractility per unit muscle mass was observed as measured by maximum active tension, maximum rate of rise or fall of tension, or time to peak tension. Rat cardiac muscle adapts successfully to the altered acid-base environment and increased work load associated with prolonged exposure to hypoxia and mild hypercapnia.
慢性呼吸衰竭(缺氧和高碳酸血症)对心肌收缩特性的影响尚未明确。本研究对从在常压环境舱中暴露于28天缺氧(吸入氧分数(FIO2)10%,吸入二氧化碳分数(FICO2)小于1%)、高碳酸血症(FIO2 21%,FICO2 5%)以及缺氧合并高碳酸血症(FIO2 10%,FICO2 5%)的大鼠身上取出的离体乳头肌的等长收缩特性进行了研究。暴露于缺氧以及缺氧合并高碳酸血症的大鼠出现了选择性右心室肥大。单独暴露于高碳酸血症并未改变右心室重量。通过最大主动张力、张力上升或下降的最大速率或达到峰值张力的时间测量,未观察到单位肌肉质量的右心室乳头肌收缩力有变化。大鼠心肌成功适应了与长期暴露于缺氧和轻度高碳酸血症相关的酸碱环境改变和工作负荷增加。