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从血液灌注的大鼠左心室的曲线性收缩末期压力-容积关系得出的线性氧耗-压力-容积面积关系。

Linear O2 use-pressure-volume area relation from curved end-systolic pressure-volume relation of the blood-perfused rat left ventricle.

作者信息

Hata Y, Sakamoto T, Hosogi S, Ohe T, Suga H, Takaki M

机构信息

Department of Physiology II, Okayama University Medical School, Okayama, 700-8558, Japan.

出版信息

Jpn J Physiol. 1998 Jun;48(3):197-204. doi: 10.2170/jjphysiol.48.197.

Abstract

We measured rat left ventricular pressure, volume, and oxygen consumption ( = arteriovenous oxygen content differencexcoronary flow) to establish a new evaluation of its mechanoenergetics in the whole heart preparation by using the cross-circulation method. We obtained a curved end-systolic pressure-volume relation in contrast to a linear end-systolic pressure-volume relation in dogs, rabbits, and humans. However, we obtained a linear oxygen consumption per beat (VO2)-systolic pressure-volume area (PVA, a measure of left ventricular total mechanical energy per beat) relation as in other species. Thus PVA can be a good index for assessing rat left ventricular mechanoenergetics. The VO2 intercept and slope of the linear VO2-PVA relation correspond to those in other species. Intracoronary calcium elevated the curved end-systolic pressure-volume relation and significantly increased PVA at 0.15 ml/g of left ventricular end-diastolic volume (PVA0.15) by 50%. Calcium also significantly increased the VO2 intercept of the VO2-PVA relation by 30% without a change in its slope. We conclude that the rat left ventricular end-systolic pressure-volume relation is curved, but the VO2-PVA relation is linear, and that the VO2 intercept is mainly composed of PVA-independent VO2, presumably VO2 for Ca2+ handling in the excitation-contraction coupling and basal metabolism. Therefore we propose PVA at an appropriate left ventricular volume and the VO2 intercept as good rat left ventricular mechanoenergetic indexes despite the nonlinearity of the end-systolic pressure-volume relation.

摘要

我们测量了大鼠左心室压力、容积和耗氧量(=动静脉氧含量差×冠状动脉血流量),以通过交叉循环法在全心制备中建立对其机械能量学的新评估。与犬、兔和人类的线性收缩末期压力-容积关系不同,我们获得了一条曲线形的收缩末期压力-容积关系。然而,与其他物种一样,我们获得了每搏耗氧量(VO2)-收缩期压力-容积面积(PVA,每搏左心室总机械能的一种度量)的线性关系。因此,PVA可以作为评估大鼠左心室机械能量学的一个良好指标。线性VO2-PVA关系的VO2截距和斜率与其他物种的相应值一致。冠状动脉内注射钙使曲线形的收缩末期压力-容积关系升高,并在左心室舒张末期容积为0.15 ml/g时使PVA(PVA0.15)显著增加50%。钙还使VO2-PVA关系的VO2截距显著增加30%,而斜率不变。我们得出结论,大鼠左心室收缩末期压力-容积关系是曲线形的,但VO2-PVA关系是线性的,并且VO2截距主要由与PVA无关的VO2组成,推测是兴奋-收缩偶联中Ca2+处理和基础代谢所需的VO2。因此,尽管收缩末期压力-容积关系是非线性的,我们仍建议将适当左心室容积下的PVA和VO2截距作为大鼠左心室良好的机械能量学指标。

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