AJP - Heart Calcium Transients and Cell-Sarcomere
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Am J Physiol Heart Circ Physiol 279: H2927-H2938, 2000;
0363-6135/00 $5.00
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Vol. 279, Issue 6, H2927-H2938, December 2000

Effects of increased pressure inside or outside ventricles on total and regional myocardial blood flow

G. S. Aldea, H. Mori, W. K. Husseini, R. E. Austindagger, and J. I. E. Hoffman

Cardiovascular Research Institute and the Department of Pediatrics, University of California, San Francisco, California 94143-0544

Increasing pressures to 30 mmHg in right (RV) and left (LV) ventricles and surrounding heart (SH) in isolated, arrested, maximally vasodilated, blood-perfused dog hearts shifted pressure-flow (PF) curves rightward and increased zero flow pressure (Pzf) by an amount equal to the RV applied pressure, SH applied pressure, or two-thirds of the LV applied pressure. There were comparable increases in coronary venous pressures. Increasing LV or SH pressures decreased coronary blood flows, especially in the subendocardium. Decreases in driving pressure decreased flows in all layers, but even with driving pressure of 5 mmHg, a few subepicardial pieces had flow. We conclude with the following: 1) raising pressures inside or outside the heart shifts PF curves and raises Pzf by increasing coronary venous pressure; 2) the effects are most prominent in the subendocardial muscle layer; and 3) as driving pressures are decreased, there is a range of Pzf in the heart with the final Pzf recorded due to the last little piece of muscle to be perfused.

subendocardial flows; subepicardial flows; zero flow pressure, coronary venous pressure; pressure-flow curves


dagger Deceased 22 August 1998.




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