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左心室心肌壁内的舒张。

Relaxation within the left ventricular myocardial wall.

作者信息

Aubert A E, Denys B G, De Geest H

机构信息

UZ Gasthuisberg, KU, Leuven, Belgium.

出版信息

Cardiology. 1994;85(3-4):175-83. doi: 10.1159/000176673.

Abstract

To evaluate relaxation mechanics in the wall of the left ventricle needle mounted miniature pressure transducers were inserted at the subendocardial (ENDO) and subepicardial (EPI) level of the anterior wall of the left ventricle during acute open-chest experiments in 10 mongrel dogs. Pressures were recorded during control, volume load and after verapamil administration. The relaxation time constant (tau) was determined by fitting a monoexponential with offset to the isovolumic relaxation period of the ENDO, EPI and left ventricular pressure (LVP) tracings: p = p0e-t/tau + p1. Mean tau-values for LVP, ENDO and EPI during control were (mean +/- 1 SD, ms): 38 +/- 5, 60 +/- 12, 83 +/- 5; during volume overload: 55 +/- 10, 72 +/- 20, 85 +/- 31 and after verapamil administration: 58 +/- 13, 60 +/- 17 and 73 +/- 15, respectively. Relaxation time constants of ENDO and EPI were significantly longer than those of LVP during control and volume loading but not after verapamil when only EPI was significantly different from LVP. These results demonstrate that relaxation indices obtained from LVP may not always reflect intramyocardial mechanics.

摘要

为评估左心室壁的舒张力学,在10只杂种犬的急性开胸实验中,将针式微型压力传感器插入左心室前壁的心内膜下(ENDO)和心外膜下(EPI)水平。在对照、容量负荷和维拉帕米给药后记录压力。通过将带有偏移的单指数曲线拟合到ENDO、EPI和左心室压力(LVP)曲线的等容舒张期来确定舒张时间常数(tau):p = p0e-t/tau + p1。对照期间LVP、ENDO和EPI的平均tau值(均值±1标准差,毫秒)分别为:38±5、60±12、83±5;容量超负荷期间:55±10、72±20、85±31;维拉帕米给药后:分别为58±13、60±17和73±15。对照和容量负荷期间,ENDO和EPI的舒张时间常数显著长于LVP,但维拉帕米给药后,仅EPI与LVP有显著差异。这些结果表明,从LVP获得的舒张指数可能并不总是反映心肌内力学。

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