Burkhoff D, Yue D T, Franz M R, Hunter W C, Sunagawa K, Maughan W L, Sagawa K
Circ Res. 1984 Apr;54(4):468-73. doi: 10.1161/01.res.54.4.468.
We quantitatively compared the extrasystolic and postextrasystolic responses of the right ventricle and left ventricle of the same heart, which have vastly different geometries, architectures, and muscle masses. We studied nine isolated, supported canine hearts whose right and left ventricles were made to contract isovolumically with balloons placed in both chambers. The ventricles were paced with the following pattern: 20 regularly timed priming stimulations, followed by a test stimulation at a variable test pulse interval, and, finally, by a second test stimulation which was always delivered 1200 msec after the first test pulse. In each heart, approximately 15 different test pulse intervals between 300 and 1200 msec were investigated. Both the maximum developed pressure and maximum rate of pressure development, expressed as a percentage of their steady state values during the priming period were used to quantify the extra- and postextrasystolic responses. For each extrasystolic and postextrasystolic test beat, the normalized response of the right ventricle was plotted vs. that of the left ventricle. The regression line and correlation coefficient between the two were determined. The average result from nine hearts gave a slope of 0.96 +/- 0.05, an intercept of 4.52 +/- 4.05% and a correlation coefficient of 0.995 +/- 0.004. This analysis indicated that, despite the differences in right and left ventricular geometry, architecture, and mass, their force-interval behaviors were nearly identical.
我们定量比较了同一心脏的右心室和左心室的期前收缩及期前收缩后反应,这两个心室在几何形状、结构和肌肉质量上有很大差异。我们研究了9个离体的、有支持装置的犬心,通过在两个心腔内放置气球使右心室和左心室进行等容收缩。心室按照以下模式起搏:20次定时规律的起始刺激,随后以可变的测试脉冲间期进行一次测试刺激,最后在第一次测试脉冲后1200毫秒总是给予第二次测试刺激。在每个心脏中,研究了300至1200毫秒之间大约15个不同的测试脉冲间期。最大收缩压和最大压力上升速率均以起始期稳态值的百分比表示,用于量化期前收缩及期前收缩后反应。对于每次期前收缩和期前收缩后测试搏动,将右心室的标准化反应与左心室的标准化反应进行绘图。确定两者之间的回归线和相关系数。来自9个心脏的平均结果得出斜率为0.96±0.05,截距为4.52±4.05%,相关系数为0.995±0.004。该分析表明,尽管右心室和左心室在几何形状、结构和质量上存在差异,但其力-间期行为几乎相同。