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1 Cardiology Section, Department of Medicine, University of Chicago, Chicago, Illinois 60637; and 2 Department of Biomedical Engineering, Rutgers University, Piscataway, New Jersey 08854
In isovolumically beating hearts, the speed of
left ventricular (LV) relaxation is uniquely determined by peak active
stress (
max). In contrast,
such a succinct description of relaxation is lacking for the ejection
beats, although ejection is generally thought to hasten relaxation. We
set out to determine how ejection modifies the
relaxation-
max relationship
obtained in the isovolumically beating hearts. Experiments were
performed on five isolated rabbit hearts subjected to various loading
conditions. Instantaneous LV pressure and volume were recorded and
converted to active stress, from which isovolumic relaxation time
(Tr) was
defined as the time for stress to fall from 75 to 25% of
max (isovolumic beats) or its
end-ejection value (ejection beats). Steady-state and transient isovolumic beat and steady-state ejection beat data were used to
develop a multiple regression model. This model identified stress,
current beat ejection, and previous beat ejection history as
independent predictor variables of
Tr and fit the
data well in all hearts
(r2 > 0.98).
Furthermore, this model could predict relaxation in transient ejection
beats (r2 = 0.80 for all hearts). Whereas the coefficient for the current beat ejection
was negative (i.e., negative effect or hastening relaxation), the
ejection history coefficient was positive (i.e., positive effect or
slowing relaxation). The sum of these two coefficients was negative,
corresponding to the commonly observed net negative effect of ejection
on relaxation. The expected positive inotropic effect of ejection was
also observed. The dissipations of both positive inotropic and
relaxation effects were slow, suggesting a nonmechanical underlying
mechanism(s). We postulate that these two effects are linked and caused
by ejection-mediated changes in myofilament
Ca2+ sensitivity.
isolated heart; ventricular function; lusitropy; load and relaxation
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