Abstract:
:Controversy exists whether positive end-expiratory pressure (PEEP) ventilation lowers cardiac output by reducing left ventricular preload, or by a combination of mechanisms. Sixteen open-chest dogs were instrumented for measurement of left and right ventricular pressure, aortic flow, and left ventricular dimensions. With the pericardium intact, PEEP caused the interventricular septum to bulge toward the left ventricular chamber, increased right and left ventricular end-diastolic pressures, but decreased the average of the three left ventricular dimensions. When right ventricular filling pressure was suddenly reduced, the interventricular septum moved back toward the right ventricle, and left ventricular filling pressure fell. With the pericardium removed, PEEP was associated with a decrease in all three left ventricular end-diastolic dimensions but no significant change in left ventricular filling pressure. Although several indices of contractility were decreased during PEEP, all returned to baseline values when left ventricular preload was normalized during PEEP by a rapid infusion of heparinized blood into the left atrium. In conclusion, PEEP decreases preload and significantly alters the shape and compliance of the left ventricle with the pericardium intact. With the pericardium removed, PEEP produces proportional decreased in major and minor axis dimensions, does not appear to affect left ventricular contractility independent of preload, and alters left ventricular compliance to only a small degree.
journal_name
Circ Resjournal_title
Circulation researchauthors
Darsee JR,Mikolich JR,Walter PF,Schlant RCdoi
10.1161/01.res.49.4.1017subject
Has Abstractpub_date
1981-10-01 00:00:00pages
1017-28issue
4eissn
0009-7330issn
1524-4571journal_volume
49pub_type
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journal_title:Circulation research
pub_type: 杂志文章,评审
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doi:10.1161/01.res.40.3.238
更新日期:1977-03-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2006-06-23 00:00:00
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pub_type: 杂志文章
doi:10.1161/01.res.46.4.470
更新日期:1980-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:1983-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2007-04-13 00:00:00
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pub_type: 杂志文章
doi:10.1161/01.res.75.2.268
更新日期:1994-08-01 00:00:00
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更新日期:2007-04-27 00:00:00
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journal_title:Circulation research
pub_type: 杂志文章
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更新日期:1990-03-01 00:00:00
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journal_title:Circulation research
pub_type: 杂志文章
doi:10.1161/01.res.64.5.882
更新日期:1989-05-01 00:00:00
abstract::To test the ability of regenerated endothelium to evoke endothelium-dependent relaxations, male Yorkshire pigs underwent balloon endothelial denudation of the proximal left anterior descending coronary artery. Endothelium-dependent responses were examined in vitro, in rings of coronary segments taken from the denuded ...
journal_title:Circulation research
pub_type: 杂志文章
doi:10.1161/01.res.61.2.256
更新日期:1987-08-01 00:00:00
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journal_title:Circulation research
pub_type: 杂志文章
doi:10.1161/01.res.70.2.430
更新日期:1992-02-01 00:00:00
abstract::We designed this study to test the hypothesis that in acute mitral regurgitation the mitral regurgitant area (MRA) is a dynamic quantity which varies with the time variation of ventricular volume. Mitral insufficiency was created in five open-chest dogs in which a portion of the anterior leaflet was excised. Phasic ao...
journal_title:Circulation research
pub_type: 杂志文章
doi:10.1161/01.res.45.5.677
更新日期:1979-11-01 00:00:00
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journal_title:Circulation research
pub_type: 杂志文章
doi:10.1161/01.res.49.1.141
更新日期:1981-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2003-01-10 00:00:00
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journal_title:Circulation research
pub_type: 杂志文章
doi:10.1161/CIRCRESAHA.108.178384
更新日期:2008-08-29 00:00:00
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pub_type: 杂志文章
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更新日期:2010-04-16 00:00:00
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pub_type: 杂志文章
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更新日期:2006-08-04 00:00:00
abstract::We determined whether local bradykinin production modulates cardiac adrenergic activity. Depolarization of guinea pig heart sympathetic nerve endings (synaptosomes) with 1 to 100 mmol/L K+ caused the release of endogenous norepinephrine (10% to 50% above basal level). This release was exocytotic, because it depended o...
journal_title:Circulation research
pub_type: 杂志文章
doi:10.1161/01.res.81.5.774
更新日期:1997-11-01 00:00:00
abstract::We examined the late coronary vascular response to carotid chemoreceptor reflex activation in normal, conscious dogs instrumented for the measurement of right main and left circumflex coronary artery blood flows, arterial and right ventricular pressures, and arterial and coronary sinus blood gases and O2 contents. Wit...
journal_title:Circulation research
pub_type: 杂志文章
doi:10.1161/01.res.54.1.96
更新日期:1984-01-01 00:00:00
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更新日期:2004-12-10 00:00:00
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pub_type: 杂志文章
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更新日期:1988-02-01 00:00:00
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更新日期:2001-06-22 00:00:00