Elzinga G, Westerhof N
Circ Res. 1982 Oct;51(4):430-8. doi: 10.1161/01.res.51.4.430.
Isolated cat trabeculae were studied under conditions resembling those present for the muscle fibers in the wall of the left ventricle. To obtain such a situation experimental animals, perfusion fluid, temperature, stimulation frequency, peak stress values, contraction sequence, length, and force control were chosen with respect to that criterion. Results were compared with those described for the intact feline heart in previous studies. Special emphasis was placed on determinants of the pump function graph, i.e., the relationship between mean ventricular pressure and output. It was found that peak isometric stress values measured in the trabeculae were about twice as high as those existing on average at the base of the intact left ventricle in the circumferential direction. However, the duration of the mechanical activity, as measured in iso(volu)metric contractions, was in the isolated trabeculae (206 msec) significantly less (P less than 0.01) than found in intact right (292 msec) or intact left ventricle (344 msec). Furthermore the (maximum) output of the intact left ventricle at end-diastolic pressure could not be accounted for in a simple manner by the maximum amount of shortening found in isolated trabeculae. The points of the pump function graph obtained by varying the input impedance of the loading arterial system over a wide range of compliance and resistance values in the steady state deviated only little from the graph obtained from a series of constant pressure levels applied in a beat-to-beat fashion. Therefore, the insensitivity of the pump function graph to the nature of the arterial load is found in the intact heart as well as in isolated cardiac muscle.
在类似于左心室壁肌纤维所处的条件下,对分离出的猫小梁进行了研究。为达到这种情况,根据该标准选择了实验动物、灌注液、温度、刺激频率、峰值应力值、收缩顺序、长度和力控制。将结果与先前研究中描述的完整猫心脏的结果进行了比较。特别强调了泵功能图的决定因素,即平均心室压力与输出之间的关系。结果发现,小梁中测得的等长收缩峰值应力值约为完整左心室基部圆周方向平均存在值的两倍。然而,以等(容)收缩测量的机械活动持续时间,在分离的小梁中(206毫秒)明显短于完整右心室(292毫秒)或完整左心室(344毫秒)(P小于0.01)。此外,完整左心室在舒张末期压力下的(最大)输出不能简单地由分离小梁中发现的最大缩短量来解释。通过在稳态下在广泛的顺应性和阻力值范围内改变加载动脉系统的输入阻抗获得的泵功能图的点,与通过逐搏施加一系列恒定压力水平获得的图仅有微小偏差。因此,在完整心脏以及分离的心肌中都发现泵功能图对动脉负荷性质不敏感。