Dijkman M A, Heslinga J W, Allaart C P, Sipkema P, Westerhof N
Laboratory for Physiology, Free University, Amsterdam, Netherlands.
Cardiovasc Res. 1997 Jan;33(1):45-53. doi: 10.1016/s0008-6363(96)00173-3.
We determined, via a bioassay, if inotropic factors are released in the coronary circulation of the rat heart and if changes in cardiac perfusion change papillary muscle inotropy.
An isolated isometrically contracting rat papillary muscle (n = 5, acceptor) was superfused with Tyrode or with reoxygenated coronary venous effluent from an isolated isovolumically beating rat heart (donor) at 27 degrees C, which was perfused with Tyrode according to Langendorff. The superfusion solution in the muscle bath was exchanged completely in 90 s. During coronary venous effluent superfusion, the flow of the heart (donor) was changed in steps.
The peak force of the papillary muscle (acceptor) was unaffected by a change from Tyrode to coronary venous effluent superfusion, but time to half relaxation (RT 1/2) significantly increased by 23.0 +/- 9.0% (mean +/- s.d.) and positive dF/dtmax significantly decreased by 14.6 +/- 4.7%. These twitch characteristics were unaffected by changes in coronary perfusion while in the heart isovolumic developed left ventricular pressure did increase with perfusion (the Gregg phenomenon).
Factors that affected papillary muscle contractility are released into the coronary circulation, but their effect is independent of the magnitude of coronary perfusion.
我们通过生物测定法确定了变力因子是否在大鼠心脏的冠脉循环中释放,以及心脏灌注的变化是否会改变乳头肌的收缩力。
将一只等长收缩的离体大鼠乳头肌(n = 5,受体)在27℃下用台氏液或来自一只等容跳动的离体大鼠心脏(供体)的复氧冠脉静脉流出液进行灌流,供体心脏按Langendorff法用台氏液灌注。肌肉浴中的灌流液在90秒内完全更换。在冠脉静脉流出液灌流期间,逐步改变心脏(供体)的血流量。
乳头肌(受体)的峰值力不受从台氏液灌流改为冠脉静脉流出液灌流的影响,但半松弛时间(RT 1/2)显著增加23.0±9.0%(平均值±标准差),正dF/dtmax显著降低14.6±4.7%。在心脏等容收缩期,左心室压力随灌注增加(格雷格现象),而这些收缩特性不受冠脉灌注变化的影响。
影响乳头肌收缩力的因子释放到冠脉循环中,但其作用与冠脉灌注量无关。