Journal article
Myocardial Blood Flow Distribution in Concentric Left Ventricular Hypertrophy
The Journal of clinical investigation, v 62(2), pp 379-386
01 Aug 1978
PMID: 149800
Abstract
Regional myocardial blood flow during both control conditions and ischemia-induced vasodilatation was studied in eight chronically instrumented awake dogs. Seven of these animals had coarctation-banding of the ascending aorta performed at 6 wk of age, and the other dog had congenital subvalvular aortic stenosis. The mean left ventricular weight for the group was 157±7.6 g, and the left ventricular body weight ratio was 8.76±0.47 g/kg. None of the animals exhibited signs of congestive heart failure.
During the control state, the mean left ventricular systolic pressure was 249±12 mm Hg and the left ventricular end-diastolic pressure was 11.5±0.5 mm Hg. The aortic diastolic pressure was 74±6 mm Hg. Mean left circumflex coronary artery blood flow was 71±6 cm
3
/min. In the animals with coarctation-banding, 52±6% of the flow occurred during systole. In the dog with congenital subvalvular aortic stenosis, 5% of the coronary flow was systolic. Mean transmural blood flow during resting conditions was 0.97±0.08 cm
3
/min per g, and the ratio of endocardial to epicardial flow (endo/epi) was 0.88±0.07. During reactive hyperemia, the mean transmural blood flow increased to 3.5±0.30 cm
3
/min per g; however, the endo/epi decreased to 0.52±0.06.
These studies document a difference in transmural blood flow distribution between the normal and the hypertrophied left ventricle: during resting conditions, in the normal ventricle, the highest flow occurs in the endocardial layer, whereas in the hypertrophied ventricle, the highest flow is in the middle layers with the endocardial flow less than the epicardial flow. During ischemia-induced vasodilatation, the abnormal endo/epi becomes accentuated markedly. These data demonstrate that, in situations requiring high flow, the endocardial layer of a heart with marked concentric left ventricular hypertrophy may not be perfused adequately.
Metrics
Details
- Title
- Myocardial Blood Flow Distribution in Concentric Left Ventricular Hypertrophy
- Creators
- Judith C. Rembert - Department of Medicine (Cardiology), Veterans Administration Hospital, Durham, North Carolina 27705 Department of Surgery, Veterans Administration Hospital, Durham, North Carolina 27705 Duke University Medical Center, Durham, North Carolina 27710Leonard H. Kleinman - Duke University HospitalJohn M. Fedor - Department of Medicine (Cardiology), Veterans Administration Hospital, Durham, North Carolina 27705 Department of Surgery, Veterans Administration Hospital, Durham, North Carolina 27705 Duke University Medical Center, Durham, North Carolina 27710Andrew S. Wechsler - Duke Medical CenterJoseph C. Greenfield - Department of Medicine (Cardiology), Veterans Administration Hospital, Durham, North Carolina 27705 Department of Surgery, Veterans Administration Hospital, Durham, North Carolina 27705 Duke University Medical Center, Durham, North Carolina 27710
- Publication Details
- The Journal of clinical investigation, v 62(2), pp 379-386
- Publisher
- American Society for Clinical Investigation
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine; [Retired Faculty]
- Web of Science ID
- WOS:A1978FJ36200020
- Scopus ID
- 2-s2.0-0018095618
- Other Identifier
- 991020705449404721