Abstract:
:Left ventricular (LV) output nearly triples at birth, in association with increases in serum catecholamines. Similar increases in catecholamines in utero, however, do not increase output. We hypothesized that catecholamines increase contractility in utero, but that output cannot increase until LV loading conditions are changed by oxygen ventilation. To address this hypothesis, we studied nine fetal sheep acutely placed in a warm water bath (40 degrees C). Conductance and manometric catheters were placed in the LV to generate pressure-volume loops during caval occlusion in the nonventilated and oxygen-ventilated states, each under control, dobutamine, and propranolol conditions. Contractility was estimated by the end-systolic pressure-volume relationship, preload by end-diastolic volume, and afterload by arterial elastance. Oxygen ventilation increased LV output 1.4-fold, despite a decrease in contractility to about three-fourths of the nonventilated value. Heart rate remained constant, whereas preload increased and afterload decreased significantly. During oxygen ventilation, dobutamine increased output to 2.3 times the control, nonventilated value, associated with increases in contractility and heart rate and no change in preload and afterload. Although dobutamine increased contractility and heart rate similarly in the nonventilated and oxygen ventilated states, output increased significantly more during ventilation. Similarly, propranolol decreased contractility and heart rate equally in both states, but output decreased far more during ventilation. Thus, oxygen ventilation is associated with advantageous changes in LV load such that the positive inotropic and chronotropic effects of dobutamine are translated into greater increases in LV output.
journal_name
Pediatr Resjournal_title
Pediatric researchauthors
Berning RA,Klautz RJ,Teitel DFdoi
10.1203/00006450-199701000-00009subject
Has Abstractpub_date
1997-01-01 00:00:00pages
57-64issue
1eissn
0031-3998issn
1530-0447journal_volume
41pub_type
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journal_title:Pediatric research
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abstract::Neonatal jaundice is a common condition that could potentially lead to severe neurotoxicity. In this electrophysiological study we observed the effects of a short-term bilirubin injection on evoked potentials (population spike, PS) and long-term potentiation (LTP) in the hippocampal CA3 region of Sprague Dawley rats i...
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journal_title:Pediatric research
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更新日期:2008-07-01 00:00:00
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journal_title:Pediatric research
pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章
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doi:10.1203/PDR.0b013e318191f7e4
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journal_title:Pediatric research
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更新日期:1984-08-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2016-01-01 00:00:00
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journal_title:Pediatric research
pub_type: 杂志文章
doi:10.1203/00006450-199207000-00004
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journal_title:Pediatric research
pub_type: 杂志文章
doi:10.1203/00006450-199809000-00012
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doi:10.1203/PDR.0b013e318187dd0e
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journal_title:Pediatric research
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更新日期:1993-08-01 00:00:00
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journal_title:Pediatric research
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journal_title:Pediatric research
pub_type: 杂志文章
doi:10.1203/00006450-198806000-00023
更新日期:1988-06-01 00:00:00
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journal_title:Pediatric research
pub_type: 杂志文章
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journal_title:Pediatric research
pub_type: 杂志文章
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journal_title:Pediatric research
pub_type: 杂志文章
doi:10.1203/00006450-199304000-00014
更新日期:1993-04-01 00:00:00
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journal_title:Pediatric research
pub_type: 杂志文章
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更新日期:2020-12-01 00:00:00