Sato T, Shishido T, Kawada T, Miyano H, Miyashita H, Inagaki M, Sugimachi M, Sunagawa K
Department of Cardiovascular Dynamics, National Cardiovascular Center Research Institute, Osaka, Japan.
Am J Physiol. 1998 May;274(5):H1429-34. doi: 10.1152/ajpheart.1998.274.5.H1429.
We developed a miniaturized conductance catheter for in situ rat left ventricular (LV) volumetry. After the validation study of the conductance volumetry in 11 rats, we characterized the end-systolic pressure-volume relationship (ESPVR) in 24 sinoaortic-denervated, vagotomized and urethan-anesthetized rats. Stroke volume (SV) measured with the conductance catheter correlated closely with that measured by electromagnetic flowmetry (r > 0.95). No significant difference was found between the in situ LV end-diastolic volumes measured by conductance volumetry and postmortem morphometry; a linear regression analysis indicated that the correlation coefficient was 0.934, that the slope was not significantly different from 1, and that the intercept was not significantly different from 0. During cardiac sympathotonic conditions, the ESPVR was curvilinear. The estimated slope of ESPVR (end-systolic elastance, Ees) by quadratic curve fitting at end-systolic pressure of 100 mmHg was 2,647 +/- 846 mmHg/ml. Bilateral cervical and stellate ganglionectomy depressed contractility and made the ESPVR linear; a quadratic equation did not improve the fit. Ees was 946 +/- 55 mmHg/ml with the volume-axis (V0) intercept of 0.076 +/- 0.007 ml. Administration of propranolol (1 mg/kg) further reduced Ees (573 +/- 61 mmHg/ml, P < 0.001) and increased V0 slightly (0.091 +/- 0.011 ml). We conclude that the conductance catheter method is useful for the assessment of the ESPVR of the in situ rat left ventricle and that the ESPVR displays contractility-dependent curvilinearity.
我们研发了一种用于大鼠左心室(LV)原位容积测量的小型化电导导管。在对11只大鼠进行电导容积测量的验证研究后,我们对24只经窦主动脉去神经、迷走神经切断并使用乌拉坦麻醉的大鼠的收缩末期压力 - 容积关系(ESPVR)进行了表征。用电导导管测量的每搏输出量(SV)与通过电磁流量计测量的结果密切相关(r > 0.95)。通过电导容积测量法测量的原位左心室舒张末期容积与死后形态测量结果之间未发现显著差异;线性回归分析表明,相关系数为0.934,斜率与1无显著差异,截距与0无显著差异。在心脏交感神经兴奋状态下,ESPVR呈曲线形。在收缩末期压力为100 mmHg时,通过二次曲线拟合估计的ESPVR斜率(收缩末期弹性,Ees)为2647±846 mmHg/ml。双侧颈神经节和星状神经节切除术降低了心肌收缩力并使ESPVR呈线性;二次方程并不能改善拟合效果。Ees为946±55 mmHg/ml,容积轴(V0)截距为0.076±0.007 ml。给予普萘洛尔(1 mg/kg)进一步降低了Ees(573±61 mmHg/ml,P < 0.001)并使V0略有增加(0.091±0.011 ml)。我们得出结论,电导导管法可用于评估大鼠原位左心室的ESPVR,且ESPVR表现出与收缩力相关的曲线特性。