Document Detail


Perfusion-induced changes in cardiac O2 consumption and contractility are based on different mechanisms.
MedLine Citation:
PMID:  8853332     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Increased cardiac perfusion results in increased oxygen consumption (VO2) and increased contractility (Gregg phenomenon) in the isolated heart. We investigated whether these two aspects of the Gregg phenomenon are related to coronary flow or arterial pressure. Coronary flow and, thus, arterial pressure were changed in the reference state and during vasoconstriction (3 nM vasopressin) in the Langendorff-perfused rat heart contracting isovolumically (ventricular balloon) at 27 degrees C (n = 5). All hearts showed an increase in developed isovolumic left ventricular pressure (measure of contractility) and in VO2 with increased perfusion. Developed left ventricular pressure depended primarily on arterial pressure, so its relationship with coronary flow was shifted by vasoconstriction. Conversely, VO2 primarily depended on coronary flow, so its relationship with arterial pressure was shifted with vasoconstriction. By use of vasoconstriction (decreased vascular radii), the effects of arterial pressure and wall shear stress (proportional to arterial pressure x radius) should be separable, but the results did not reach significance. Thus contractility is related to arterial pressure or shear stress, whereas VO2 is related to coronary flow. We conclude that the two aspects of the Gregg phenomenon are based on different mechanisms.
Authors:
M A Dijkman; J W Heslinga; P Sipkema; N Westerhof
Publication Detail:
Type:  In Vitro; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of physiology     Volume:  271     ISSN:  0002-9513     ISO Abbreviation:  Am. J. Physiol.     Publication Date:  1996 Sep 
Date Detail:
Created Date:  1996-12-05     Completed Date:  1996-12-05     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0370511     Medline TA:  Am J Physiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  H984-9     Citation Subset:  IM    
Affiliation:
Laboratory for Physiology, Vrije Universiteit, Amsterdam, The Netherlands. m.dijkman.physiol@med.vu.nl
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MeSH Terms
Descriptor/Qualifier:
Animals
Biomechanics
Coronary Circulation
Male
Myocardial Contraction*
Myocardium / metabolism*
Oxygen Consumption*
Perfusion*
Pressure
Rats
Rats, Wistar
Vascular Resistance
Vasoconstrictor Agents / pharmacology
Vasopressins / pharmacology
Ventricular Function, Left
Grant Support
ID/Acronym/Agency:
HL-44399-01/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Vasoconstrictor Agents; 11000-17-2/Vasopressins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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