Effects of Drugs on the Hypoxic Contraction of the Isolated Human Pulmonary Artery : SYMPOSIUM ON COR PULMONALE

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概要

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• The flow reserve of the right coronary artery (RCA) and myocardial oxygen extraction are important tractors in any investigation of the mechanisms of impaired right ventricular function. The present study induced brief coronary occlusions and examined the effect on right coronary blood flow in normal dogs, and the effect on myocardial oxygen metabolism in dogs with right ventricular hypertrophy (RVH). Right coronary flow reserve, represented by occlusion duration causing a half maximum dilatation (T1/2), was greater in the RCA than in the left anterior descending coronary artery of normal dogs; 11.3±2.3 sec vs 5.9±1.4 sec. Myocardial oxygen extraction ratio (EO_2) of the right ventricle (RV), 51.3±1.6%, was significantly (p<0.05) lower than the index of the left ventricle (LV), 60.6±1.0%, and the extraction of the RV increased significantly in association with an increase of myocardial oxygen demand. In dogs with RVH caused by chronic banding of the pulmonary artery, this dominant oxygen reserve was lost: the EO_2 of the hypertrophied RV was high compared with the EO_2 of the normal RV (57.3±3.4% vs 51.3±1.6%, p<0.05), and no further increase in EO_2 was observed in the hypertrophied RV in response to the elevation of the myocardial oxygen requirement. Oxygen usage per 100g of the RV for a certain level of overall RV work, rate-pressure product, was significantly (p<0.02) lower in the hypertrophied RV (0.00054 mlO_2/beat・mmHg) than in the normal RV (0.0012 mlO_2/beat-mmHg). These \findings suggest that the normal RV had the dominant reserve of oxygen supply through both the greater capacity of flow increment and ability to increase oxygen uptake from blood. This advantage was lost in the hypertrophied RV, but improved oxygen efficacy to overall RV mechanical work would contribute to maintain the normal function in the hypertrophied RV.

• 社団法人日本循環器学会の論文
• 1989-10-20

著者

• Takishima T

  Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine

• Takii Toru

  東北大学 医学系研究科循環器病態学分野

• Shirato Kunio

  The First Department Of Internal Medicine Tohoku University School Of Medicine

• Ohe Masatoshi

  The First Department Of Internal Medicine Tohoku University School Of Medicine

• Ohe Masatoshi

  First Department Of Internal Medicine Tohoku University School Of Medicine

• Ogata Masahiko

  The First Department Of Internal Medicine Tohoku University School Of Medicine

• Takishima Tamotsu

  The First Department Of Internal Medicine

• TAKKISHIMA TAMOTSU

  The First Department of Internal Medicine, Tohoku University School of Medicine

• Takamura Takeshi

  Department Of Cardiology Matsusaka Central Hospital

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