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犬左心室射血时等容舒张期持续时间的缩短:残余容积钳夹法

Reduction of the duration of isovolumic relaxation in the ejecting left ventricle of the dog: residual volume clamping.

作者信息

Suga H, Yamakoshi K I

出版信息

J Physiol. 1977 May;267(1):63-74. doi: 10.1113/jphysiol.1977.sp011801.

Abstract
  1. The individual effects of stroke volume and speed of ejection on the duration of the isovolumic relaxation phase were analysed in the canine left ventricle with a constant end-systolic residual volume.2. A new technique was employed to maintain the ventricular end-systolic residual volume at a desired constant value regardless of wide changes in stroke volume and speed of ejection in a given inotropic background.3. The duration of isovolumic relaxation, which was defined to be the time taken for ventricular pressure to fall from its end-systolic level to its 75, 50 and 25% levels, markedly decreased with increases in stroke volume. The reduction amounted to as much as 30-50% when stroke volume was increased from zero (isovolumic) to 20-25 ml.4. The degree of shortening of the duration of isovolumic relaxation was largely independent of changes in speed of ejection which ranged from about 100-800 ml./sec at a constant stroke volume of 15 ml.5. It was therefore concluded that stroke volume itself could be a major determinant of the duration of isovolumic relaxation.6. It was speculated that the mechanism of the observed phenomenon might be a manifestation of the uncoupling effect of muscle shortening on contractile state.
摘要
  1. 在犬左心室中,在收缩末期残余容积恒定的情况下,分析了每搏量和射血速度对等容舒张期持续时间的个体影响。

  2. 采用了一种新技术,在给定的变力背景下,无论每搏量和射血速度发生多大变化,都能将心室收缩末期残余容积维持在所需的恒定值。

  3. 等容舒张期的持续时间定义为心室压力从收缩末期水平降至其75%、50%和25%水平所需的时间,随着每搏量的增加而显著缩短。当每搏量从零(等容)增加到20 - 25毫升时,减少幅度高达30 - 50%。

  4. 等容舒张期持续时间的缩短程度在很大程度上与射血速度的变化无关,在每搏量恒定为15毫升时,射血速度范围约为100 - 800毫升/秒。

  5. 因此得出结论,每搏量本身可能是等容舒张期持续时间的主要决定因素。

  6. 据推测,观察到的现象的机制可能是肌肉缩短对收缩状态的解耦效应的一种表现。

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2
Relaxation of ventricular cardiac muscle.心室心肌舒张。
J Physiol. 1978 Oct;283:469-80. doi: 10.1113/jphysiol.1978.sp012513.

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