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舒张期心肌再伸展后的力量衰减

Post-reextension force decay of relaxing cardiac muscle.

作者信息

Sys S U, Paulus W J, Claes V A, Brutsaert D L

出版信息

Am J Physiol. 1987 Aug;253(2 Pt 2):H256-61. doi: 10.1152/ajpheart.1987.253.2.H256.

Abstract

Residual active cardiac muscle force during ventricular filling causes deviations of the pressure-volume and pressure-segment length relations from passive left ventricular compliance curves. A possible interaction at the myocardial level between muscle reextension and subsequent active force decay has not yet been investigated. We therefore studied the relation between isolated cat papillary muscle reextension, load during reextension, and isometric force decay after isotonic reextension. Both timing and extent of the isotonic muscle reextension phase were altered while load during reextension was lowered, subsequent residual isometric force was decreased. The extent of reextension or the final muscle length did not alter residual active isometric force after isotonic reextension at an identical load. Moreover, irrespective of the loading history of the shortening phase of the contraction, equal loads during reextension resulted in superimposable subsequent isometric force decay traces. From these results it therefore appears that residual isometric force after isotonic reextension is determined by the load during reextension. Extrapolation of these results to the filling ventricle implies the existence of a dynamic interaction between instantaneous extent of filling, wall stress, and residual force development.

摘要

心室充盈期间残留的主动心肌力会导致压力-容积关系和压力-节段长度关系偏离被动左心室顺应性曲线。心肌再伸展与随后的主动力衰减之间在心肌水平上可能存在的相互作用尚未得到研究。因此,我们研究了离体猫乳头肌的再伸展、再伸展期间的负荷以及等张再伸展后的等长力衰减之间的关系。在降低再伸展期间的负荷时,等张肌肉再伸展阶段的时间和程度均发生改变,随后的残余等长力降低。在相同负荷下,再伸展的程度或最终肌肉长度不会改变等张再伸展后的残余主动等长力。此外,无论收缩缩短阶段的负荷历史如何,再伸展期间相等的负荷都会导致随后可叠加的等长力衰减轨迹。因此,从这些结果看来,等张再伸展后的残余等长力由再伸展期间的负荷决定。将这些结果外推至充盈的心室意味着在瞬时充盈程度、壁应力和残余力发展之间存在动态相互作用。

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