Department of Biological Sciences, University of North Texas, Denton, Texas.
Department of Biology-Zoophysiology, Aarhus University, Aarhus C, Denmark.
Am J Physiol Regul Integr Comp Physiol. 2022 May 1;322(5):R389-R399. doi: 10.1152/ajpregu.00004.2022. Epub 2022 Feb 24.
Most animals elevate cardiac output during exercise through a rise in heart rate (), whereas stroke volume (V) remains relatively unchanged. Cardiac pacing reveals that elevating alone does not alter cardiac output, which is instead largely regulated by the peripheral vasculature. In terms of myocardial oxygen demand, an increase in is more costly than that which would incur if V instead were to increase. We hypothesized that must increase because any substantial rise in V would be constrained by the pericardium. To investigate this hypothesis, we explored the effects of pharmacologically induced bradycardia, with ivabradine treatment, on V at rest and during exercise in the common snapping turtle () with intact or opened pericardium. We first showed that, in isolated myocardial preparations, ivabradine exerted a pronounced positive inotropic effect on atrial tissue but only minor effects on ventricle. Ivabradine reduced in vivo, such that exercise tachycardia was attenuated. Pulmonary and systemic V rose in response to ivabradine. The rise in pulmonary V largely compensated for the bradycardia at rest, leaving total pulmonary flow unchanged by ivabradine, although ivabradine reduced pulmonary blood flow during swimming (exercise × ivabradine interaction, < 0.05). Although systemic V increased, systemic blood flow was reduced by ivabradine both at rest and during exercise, despite ivabradine's potential to increase cardiac contractility. Opening the pericardium had no effect on , V, or blood flows before or after ivabradine, indicating that the pericardium does not constrain VS in turtles, even during pharmacologically induced bradycardia.
大多数动物在运动时通过提高心率来增加心输出量(),而每搏输出量(V)相对保持不变。心脏起搏表明,仅升高并不能改变心输出量,心输出量主要由外周血管调节。就心肌需氧量而言,与 V 增加相比,增加会带来更大的成本。我们假设必须增加,因为 V 的任何大幅增加都会受到心包的限制。为了验证这一假设,我们在具有完整或打开的心包的普通 snapping 龟()中,研究了药物诱导的心动过缓(用伊伐布雷定治疗)对静息和运动时 V 的影响。我们首先表明,在分离的心肌标本中,伊伐布雷定对心房组织表现出明显的正性变力作用,但对心室的作用较小。伊伐布雷定降低了体内的,从而减弱了运动时的心动过速。肺动脉和体循环 V 在伊伐布雷定的作用下上升。肺动脉 V 的升高在很大程度上补偿了静息时的心动过缓,使总肺动脉流量不因伊伐布雷定而改变,尽管伊伐布雷定在游泳时降低了肺动脉血流量(运动×伊伐布雷定相互作用,<0.05)。尽管体循环 V 增加,但伊伐布雷定降低了静息和运动时的体循环血流量,尽管伊伐布雷定有可能增加心肌收缩力。打开心包在心包切开前后对、V 或血流均无影响,表明心包在龟类中并不限制 VS,即使在药物诱导的心动过缓期间也是如此。