Document Detail


Impact of baroreflex on venous return surface.
MedLine Citation:
PMID:  22255289     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Background: Although Guyton's concept of venous return (VR) revolutionized circulatory physiology, the pulmonary circulation is invisible in its original framework. Since the pulmonary circulation is critical in left heart failure, we characterized the VR as a surface described by right (P(RA)) and left atrial (P(LA)) pressures and demonstrated that the VR surface was capable of representing mechanics of pulmonary as well as systemic circulation. However how baroreflex impacts the VR surface remains unknown. Methods/Results: In 8 dogs, we isolated the carotid sinuses and replaced both ventricles with pumps. We varied cardiac output, shifted blood distribution between the systemic and pulmonary circulation at carotid sinus pressures (CSP) of 100 or 140 mmHg. The coefficient of determination of the VR surface ranged 0.96-0.99 indicating how flat the surface is. Increasing CSP decreased maximum VR (233±27 vs. 216±33 ml/kg/min, p<0.05), whereas did not change the slopes of VR along P(RA) or P(LA) axes. Conclusions: Baroreflex parallel shifts the VR surface, thereby stressed volume, without changing its slopes.
Authors:
Takafumi Sakamoto; Yoshinori Murayama; Atsushi Tanaka; Kazuo Sakamoto; Tomoyuki Tobushi; Keita Saku; Kazuya Hosokawa; Ken Onitsuka; Takeo Fujino; Kenji Sunagawa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Conference     Volume:  2011     ISSN:  1557-170X     ISO Abbreviation:  Conf Proc IEEE Eng Med Biol Soc     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2012-01-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101243413     Medline TA:  Conf Proc IEEE Eng Med Biol Soc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  4295-6     Citation Subset:  IM    
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