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The Coronary Pressure-Flow Determinants of Left Ventricular Compliance in Dogs
Journal article   Open access   Peer reviewed

The Coronary Pressure-Flow Determinants of Left Ventricular Compliance in Dogs

CRAIG Olsen, DAVID Attarian, ROBERT Jones, RONALD Hill, JAMES Sink, KERRY Lee and ANDREW Wechsler
Circulation research, v 49(4), pp 856-865
Oct 1981
PMID: 7273358
url
https://doi.org/10.1161/01.RES.49.4.856View
Published, Version of Record (VoR) Open

Abstract

Displacement of the left ventricular diastolic pressure-dimension relationship (change in compliance) has been observed with alterations in coronary perfusion pressure. The relative contribution of coronary (myocardial) blood flow, as compared with the perfusion pressure at which flow occurs, was studied in 10 dogs during diastolic relaxation by potassium arrest during cardiopulmonary bypass. The normalized left ventricular pressure-dimension relationships, obtained during passive, gradual filling of the left ventricle (0–20 mm Hg) were shifted progressively to the left as coronary perfusion pressure was Increased. Myocardial blood flow was 0.06 ml/mg per min ± 0.02 ml/mg per min (mean ± SEM) at a coronary perfusion pressure of 40 mm Hg and increased to 0.38 ml/mg per min ± 0.11 ml/mg per min as the coronary perfusion pressure was raised to 120 mm Hg. Addition of adenosine significantly Increased myocardial blood flow by 109% at a coronary perfusion pressure of 80 and by 147% at a coronary perfusion pressure of 120 mm Hg, but caused no additional significant shifts in the pressure-dimension relationships, compared to the same coronary perfusion pressures without adenosine. Coronary perfusion pressure, and not coronary blood flow, is a more direct determinant of cardiac diastolic properties.

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Collaboration types
Domestic collaboration
Web of Science research areas
Cardiac & Cardiovascular Systems
Hematology
Peripheral Vascular Disease
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