Document Detail


Coronary hemodynamics and regional myocardial metabolism in experimental aortic insufficiency.
MedLine Citation:
PMID:  4830224     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Acute aortic valvular insufficiency was induced in open chest dogs by employing a special intravascular cannula, or by rupturing an aortic valve leaflet. Phasic and mean coronary flow were assessed in some animals, while in others data were obtained on arterial and coronary sinus blood lactate, pyruvate, P(O2), P(CO2), and pH, and on myocardial tissue lactate, pyruvate, and water content in the outer and inner halves of the free wall of the left ventricle. Results showed that in acute aortic insufficiency diastolic coronary flow decreased as a function of aortic diastolic pressure, but systolic coronary flow increased in such proportion that mean coronary flow did not decrease. With moderate reductions in aortic diastolic pressure due to aortic insufficiency, myocardial blood flow was judged to be nutritionally adequate in both the outer and inner regions of the left ventricle. With more severe reductions in aortic diastolic pressure, the inner region exihibited biochemical signs of anaerobic metabolism. The presence of these metabolic changes could be correlated with either of two previously described pressure indexes. These findings suggest that the reduced coronary perfusion pressure and the intramyocardial tissue pressure gradient can be compensated for by autoregulation in some cases of aortic insufficiency, but in others such compensation may be incomplete, in which case oxygen delivery to the subendocardium will be inadequate to meet local tissue oxygen needs.
Authors:
D M Griggs; C C Chen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of clinical investigation     Volume:  53     ISSN:  0021-9738     ISO Abbreviation:  J. Clin. Invest.     Publication Date:  1974 Jun 
Date Detail:
Created Date:  1974-07-20     Completed Date:  1974-07-20     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7802877     Medline TA:  J Clin Invest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1599-606     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Anaerobiosis
Animals
Aorta / physiopathology
Aortic Valve Insufficiency / metabolism*
Blood
Blood Pressure
Carbon Dioxide / blood
Coronary Circulation*
Coronary Vessels / physiopathology*
Dogs
Heart Rate
Heart Ventricles / analysis,  physiopathology
Hemodynamics*
Hydrogen-Ion Concentration
Lactates / analysis,  blood
Myocardium / analysis,  metabolism*
Oxygen / analysis,  blood
Perfusion
Pressure
Pyruvates / analysis,  blood
Regional Blood Flow
Water / analysis
Chemical
Reg. No./Substance:
0/Lactates; 0/Pyruvates; 124-38-9/Carbon Dioxide; 7732-18-5/Water; 7782-44-7/Oxygen
Comments/Corrections

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