Electromyographic study of the cat's diaphragm during oesophageal distension

In 10 cats, under acute experimental conditions, the effects of distension of the oesophagus on diaphragmatic activity were studied. Bipolar recording electrodes were implanted in the diaphragmatic dome muscular fibres and crura muscular fibres. Electrodes similar to those in the diaphragm were inserted in the oesophageal muscular wall above the hiatus and in the rectus abdominis muscle. Changes in the intrathoracic pressure and blood pressure were recorded by catheters placed in the pleural cavity and carotid artery respectively. Distension of the lower part of the thoracic oesophagus (at the level between the heart and the hiatus, 5 to 7 cm from the hiatus) by inflating a balloon with 10 to 15 ml of air produced a partial or total inhibition of the inspiratory electrical activity of the inner hiatal muscular fibres, while the inspiratory electrical activity of the dome muscular fibres was generally unchanged. This inhibition was increasingly pronounced as the distension volume increased and as the balloon was positioned nearer to the hiatus. During the distension period, only electrocardiographic potentials were recorded on the oesophageal muscular wall and rectus abdominis muscle traces and no significant changes were observed from intrathoracic pressure or blood pressure channels. Distension by means of a balloon either inflated with up to 5 ml of air when placed 5 to 7 cm cranial to the hiatus or inflated with 15 ml of air when localised in the cervical oesophagus and intrahiatally produced no effect. All areas of the diaphragm were silent during expiration.