The effect of atrial pacing-induced tachycardia on left ventricular contractile function in conscious newborn and adult sheep.

In order to determine if an increase in heart rate is associated with an increase of left ventricular contractile function during the neonatal period we recorded phasic and mean aortic blood pressure, left atrial mean or left ventricular end diastolic pressure, phasic left ventricular blood pressure, aortic blood flow velocity and the instantaneous first derivatives of left ventricular blood pressure (dP/dt) and aortic blood flow velocity (dV/dt) during pacing-induced tachycardia in conscious newborn and adult sheep. There was a significant positive linear correlation between heart rate and both indices of contractility (dP/dt and dV/dt) in both age groups. Left ventricular end diastolic pressure was unchanged except for a decrease at the most rapid heart rate in the newborns. There was no change in aortic mean blood pressure during the study. Our data demonstrate that an increase of heart rate is associated with an increase of left ventricular contractile function in conscious neonatal and adult sheep. Investigations of the effects of potential inotropic agents on left ventricular contractile performance in newborns and adults must evaluate the independent effect of any simultaneously occurring increase in heart rate.