LEFT AND RIGHT VENTRICULAR PRESSURE DIAMETER RELATIONSHIPS DURING VENTRICULAR STANDSTILL IN THE DOG
スポンサーリンク
概要
- 論文の詳細を見る
It has been assumed that ventricular standstill induces left ventricular dilation because filling continues without emptying. Left and right ventricular diameters by echocardiography and pressures were monitored continuously in 21 intact dogs before and during ventricular standstill induced by coronary embolization (E), potassium infusion (K^+), or calcium infusion (Ca^<++>) in 7 dogs respectively. At the onset of ventricular standstill, left ventricular pressure rose from an end-diastolic of 4.6±2.2 to 16.6±3.6 mmHg after E, 5.4±3.2 to 18.0±3.3 mmHg after K^+, and 6.3±2.1 to 16.6±3.6 mmHg after Ca^<++> (all p<0.001). Left ventricular dimension rose from and end-diastolic of 44.6±8.0 to 49.4±8.5 mm after E, 43.1±5.1 to 46.3±4.6 mm after K^+ but fell from 40.6±5.1 to 33.9±3.4 mm after Ca^<++> before ventricular standstill occurred. During the first 5 min of ventricular standstill, left ventricular pressure gradually fell from 16.6±3.6 to 5.4±1.1 mmHg (E), 18.0±3.3 to 5.9±2.0 (K^+), 16.6±3.6 to 5.5±1.7 (Ca^<++>) (all p<0.001) while left ventricular diameter gradually fell to 40.7±7.0 mm (E), 35.0±5.1 (K^+), 29.6±3.6 (Ca^<++>) (all p<0.001). Right ventricular pressure initially rose from 2.9±1.6 mmHg to 12.1±3.1 (E), from 2.7±1.3 to 12.0±2.0 (K^+) from 2.7±1.0 to 12.6±2.6 (Ca^<++> within 15 sec, then gradually fell to 6.6±1.1 (E), 6.1±1.9 (K^+), and 7.9±1.8 (Ca^<++>) in 5 min whereas right ventricular diameter rose progressively from 4.4±3.0 mm to 21.0±1.7 (E), 4.7±2.6 to 20.3±1.3 (K^+), 4.2±1.1 to 18.1±2.8 (Ca^<++>) in 60 sec (all p<0.001). Thus ventricular standstill is characterized by early left ventricular emptying and inhibited left ventricular filling despite continued right ventricular filling, a finding that might reflect the different intrinsic properties of the two ventricles.
- 社団法人日本循環器学会の論文
- 1982-03-20
著者
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Kinoshita Masahiko
The First Department of Internal Medicine, Shiga University of Medical Science
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KAWAKITA SEIICHI
The First Department of Internal Medicine, Shiga University of Medical Science
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MITSUNAMI KENICHI
The First Department of Internal Medicine
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Kinoshita Masahiko
The First Department Of Internal Medicine Shiga University Of Medical Science
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Kinoshita Masahiko
The First Department Of Internal Medicine Shiga Medical College
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MASHIRO IWAO
The First Department of internal Medicine, Shiga University of Medical Science
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Kawakita Seiichi
The First Department Of Internal Medicine Shiga University Of Medical Science
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Mitsunami Kenichi
Department Of Family Medicine Shiga University Of Medical Science
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Mashiro Iwao
Second Okamoto General Hospital
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Mashiro I
Daini Okamoto General Hospital
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Iwao Mashiro
Department Of Medicine Shiga University Of Medical Science And Ohtsu Municipal Hospital
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Yamazaki Gyozan
Research Center Shiga University Of Medical Science Otsu Japan
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Cohn Jay
The Cardiovascular Division Department Of Medicine University Of Minnesota Medical School And The Ve
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HECKEL RICHARD
The Cardiovascular Division, Department of Medicine, University of Minnesota Medical School and the
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FRANCIOSA JASEPH
The Cardiovascular Division, Department of Medicine, University of Minnesota Medical School and the
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Kinoshita M
First Department Of Internal Medicine Shiga University Of Medical Science
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Franciosa Jaseph
The Cardiovascular Division Department Of Medicine University Of Minnesota Medical School And The Ve
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Heckel Richard
The Cardiovascular Division Department Of Medicine University Of Minnesota Medical School And The Ve
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Klnoshita Masahiko
First Department Of Internal Medicine Shiga University Of Medical Science
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Kinoshita Masahiko
The 3rd Division Department Of Internal Medicine School Of Medicine Kyoto University
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Kinoshita Masahiko
The First Department Of Internal Medicine
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Kawakita S
The 1st Department Of Internal Medicine Shiga University Of Medical Science
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Mitsunami K
First Department Of Internal Medicine Shiga University Of Medical Science
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