Grant B J, Canty J M, Srinivasan G, Brody A S
Department of Medicine, State University of New York at Buffalo 14215.
J Appl Physiol (1985). 1993 Aug;75(2):840-8. doi: 10.1152/jappl.1993.75.2.840.
We measured the relationship between pulmonary arterial pressure (Ppa), diameter (D), and length of a segment of the main pulmonary artery (MPA) in chronically instrumented conscious dogs breathing spontaneously (CCC). There were no physiologically significant changes in Ppa or D in the CCC dogs postoperatively, and the cross-sectional MPA shape measured by fast computed tomography was nearly circular. These results suggest that the MPA was not distorted by chronic instrumentation. We compared measurements made in the CCC dogs with previous measurements in acutely instrumented anesthetized dogs with open chests (AAO). The elasticity of MPA in the CCC animals was frequency dependent between 1 and 14 Hz and was similar to that in the AAO dogs. Oscillations of D preceded Ppa at cardiac frequencies in the AAO animals, but the D and Ppa oscillations were in phase in the CCC animals. The oscillations of length relative to D were significantly less in the CCC than in the AAO dogs. We conclude that, with limitations, the hemodynamic properties of the MPA can be measured in the CCC subjects. We suggest that the discrepancies between the AAO and CCC dogs can be attributed to differences in extrinsic loading of the MPA.
我们测量了慢性植入仪器的清醒犬自主呼吸(CCC)时肺动脉压(Ppa)、主肺动脉(MPA)一段的直径(D)和长度之间的关系。术后CCC犬的Ppa或D没有生理上的显著变化,通过快速计算机断层扫描测量的MPA横截面形状接近圆形。这些结果表明,慢性植入仪器并未使MPA变形。我们将CCC犬的测量结果与先前对开胸急性植入仪器的麻醉犬(AAO)的测量结果进行了比较。CCC动物中MPA的弹性在1至14赫兹之间与频率相关,且与AAO犬相似。在AAO动物中,心脏频率下D的振荡先于Ppa,但在CCC动物中D和Ppa的振荡是同步的。CCC犬中相对于D的长度振荡明显少于AAO犬。我们得出结论,尽管存在局限性,但可以在CCC受试者中测量MPA的血流动力学特性。我们认为,AAO犬和CCC犬之间的差异可归因于MPA外部负荷的不同。