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Related Experiment Videos

Force-frequency relations during heart failure in pigs

G P Eising1, H K Hammond, G A Helmer

  • 1Department of Medicine, University of California, San Diego, La Jolla 92093-0613.

The American Journal of Physiology
|December 11, 1994
PubMed
Summary

In severe heart failure (HF), the basal force-frequency relation (FFR) in the intact heart is not negative. Beta-adrenergic stimulation does not enhance FFR in HF, unlike in healthy hearts.

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Area of Science:

  • Cardiology
  • Physiology
  • Heart Failure Research

Background:

  • The force-frequency relation (FFR) describes how heart muscle contractility changes with heart rate.
  • In isolated cardiac muscle from severe heart failure (HF) patients, FFR is often negative.
  • FFR characteristics in the intact, failing heart and its response to adrenergic stimulation remain understudied.

Purpose of the Study:

  • To investigate the basal FFR in an intact, failing heart model.
  • To determine the effect of adrenergic stimulation on FFR in severe HF.
  • To compare FFR in healthy vs. failing hearts under varying conditions.

Main Methods:

  • Severe HF was induced in pigs via rapid ventricular pacing.
  • Left ventricular (LV) pressure and dP/dtmax were measured at various atrial pacing rates before and after HF induction.

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  • The impact of dobutamine (adrenergic stimulant) and a sinus node inhibitor on FFR was assessed.
  • Main Results:

    • Before HF, the FFR was flat, but dobutamine induced a positive slope.
    • After HF, basal FFR was depressed, and dobutamine did not increase its slope.
    • Responses to heart rate reduction confirmed the absence of a negative basal FFR in HF.

    Conclusions:

    • The basal LV FFR in conscious pigs with severe HF is not negative.
    • Unlike in normal hearts, beta-adrenergic stimulation does not amplify FFR in HF.
    • This blunted FFR response to adrenergic stimulation may contribute to impaired exercise capacity in HF patients.