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慢性仪器植入及其对清醒犬血流动力学和局部心肌血流量的影响缺乏研究。

Chronic instrumentation and its lack of effect on the hemodynamics and regional myocardial blood flow of conscious dogs.

作者信息

Inou T, Tomoike H, Watanabe K, Mizukami M, Kikuchi Y, Nakamura M

出版信息

Jpn Heart J. 1985 Mar;26(2):259-70. doi: 10.1536/ihj.26.259.

Abstract

The effects of chronic instrumentation on regional myocardial performance and regional myocardial blood flow were studied in 8 mongrel dogs. Regional segment lengths were measured by an ultrasonic dimension gauge technique at two areas of the left anterior descending coronary artery (LAD) and left circumflex coronary artery (LCX). Regional myocardial blood flow was measured by a tracer microsphere technique. These measurements were repeated while the animals were conscious on the 4th, 11th, 21st and 28th days after instrumentation. On the 4th day, the heart rate was rather high and regional shortening at both the LAD and LCX areas remained suppressed. After the 11th day, hemodynamic variables such as heart rate, left ventricular pressure and regional wall motion were fairly constant. Regional myocardial blood flow and its distribution were also constant throughout the experimental period. Fibrosis of the epicardium invariably induced by surgical procedures did not affect the distribution of regional blood flow as compared with that of the interventricular septum. Thus, a stable hemodynamic state was recorded after the 11th day following surgical manipulation and the implantation of sensors and catheters did not affect the level of regional myocardial blood flow or its distribution at rest. Such long term reproducible measurements of regional wall motion and regional myocardial blood flow may facilitate chronic studies of cardiovascular physiology.

摘要

在8只杂种犬身上研究了慢性植入仪器对局部心肌功能和局部心肌血流的影响。通过超声尺寸测量技术在左前降支冠状动脉(LAD)和左旋支冠状动脉(LCX)的两个区域测量局部节段长度。通过示踪微球技术测量局部心肌血流。在植入仪器后的第4、11、21和28天,在动物清醒状态下重复这些测量。在第4天,心率相当高,LAD和LCX区域的局部缩短仍受到抑制。在第11天之后,诸如心率、左心室压力和局部壁运动等血流动力学变量相当稳定。在整个实验期间,局部心肌血流及其分布也保持恒定。与室间隔相比,手术操作始终引起的心外膜纤维化并未影响局部血流的分布。因此,在手术操作后的第11天之后记录到了稳定的血流动力学状态,并且传感器和导管的植入并未影响静息时局部心肌血流的水平或其分布。这种对局部壁运动和局部心肌血流的长期可重复测量可能有助于心血管生理学的慢性研究。

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