Phelan C M, Hughes S F, Benson D W
Children's Memorial Hospital, Division of Pediatric Cardiology, Chicago, Illinois, USA.
Pediatr Res. 1995 Mar;37(3):289-93. doi: 10.1203/00006450-199503000-00007.
The contributions of the early (passive) and late (active) components of ventricular filling have been reported to decrease and increase, respectively, during chick embryo cardiac development. We hypothesized that the observed changes in ventricular filling during early cardiac development results from a decrease in cycle length. We studied the effect of development and cycle length on atrioventricular inflow in 28 chick embryos, Hamilton-Hamburger stages 17, 24, and 26. Cycle length was perturbed (range 240-1040 ms) in ovo by transiently heating or cooling the sinus venosus. Atrioventricular inflow and dorsal aortic velocities were obtained by 20-MHz pulsed Doppler flow-meter and digitally recorded at 500 samples per second. Stroke volume was calculated from dorsal aortic velocity and cross-sectional area. The atrioventricular inflow wave form was integrated and partitioned by area and percentage of total into early (passive) and late (active) components using three methods. Regardless of method, the proportion of filling volume due to the early and late components was cycle length and stage dependent (p < 0.05). The early and late filling volumes were large in the older embryos, and during cycle length decrease (heart rate increase) the early filling volume decrease was greater than the late filling volume decrease. When compared with the percentage of intrinsic heart rate, the percentage of stroke volume due to early filling decreased as heart rate increased and was greater in younger embryos at all heart rates. That due to late filling increased as the percentage of intrinsic heart rate increased. Ventricular filling characteristics are both developmentally determined and cycle length dependent.
据报道,在鸡胚心脏发育过程中,心室充盈的早期(被动)成分和晚期(主动)成分的贡献分别减少和增加。我们假设,在心脏发育早期观察到的心室充盈变化是由于心动周期长度缩短所致。我们研究了发育和心动周期长度对28个处于汉密尔顿-汉堡分期17、24和26期的鸡胚房室流入的影响。通过短暂加热或冷却静脉窦在体内扰动心动周期长度(范围为240 - 1040毫秒)。通过20兆赫脉冲多普勒流量计获取房室流入和背主动脉速度,并以每秒500个样本进行数字记录。根据背主动脉速度和横截面积计算每搏输出量。使用三种方法对房室流入波形进行积分,并按面积和占总量的百分比划分为早期(被动)和晚期(主动)成分。无论采用何种方法,早期和晚期成分导致的充盈量比例均依赖于心动周期长度和分期(p < 0.05)。在较老的胚胎中,早期和晚期充盈量较大,并且在心动周期长度缩短(心率增加)期间,早期充盈量的减少幅度大于晚期充盈量的减少幅度。与固有心率百分比相比,早期充盈导致的每搏输出量百分比随心率增加而降低,并且在所有心率下,年轻胚胎中的该百分比更高。晚期充盈导致的每搏输出量百分比随固有心率百分比增加而增加。心室充盈特征既由发育决定,也依赖于心动周期长度。