右心房和心室适应慢性右心室压力过载
Sydney L Gaynor1, Hersh S Maniar, Jeffrey B Bloch
1Division of Cardiothoracic Surgery, Washington University School of Medicine, St Louis, MO 63110-1013, USA.
Circulation
|September 15, 2005
概括
慢性右心室压力过载会损害透缩功能,但保留心缩功能. 右心室通过增加收缩性和延展性来适应,以保持右心室填充,并防止肺高血压失败.
科学领域:
- 心脏病学 心脏病学
- 身体生理学 身体生理学
- 肺高血压研究 肺高血压研究
背景情况:
- 右心房压升高与肺高血压死亡率有关.
- 对右心室压力过载对右心房和心室动态的影响的理解有限.
- 右心房在维持右心室填充方面适应机制尚不清楚.
研究的目的:
- 为了研究慢性右心室压力过载对右心房和心室动态的影响.
- 阐明右心室在压力过载条件下保持右心室填充的适应性反应.
主要方法:
- 使用了一种狗模型,在3个月内逐渐形成肺动脉带.
- 使用导电导管导管测量右心房和心室压力和体积.
- 计算了右心房和心室弹性和透静硬度;量化了右心房储和导管功能.
主要成果:
- 慢性肺动脉带状动脉显著增加了缩右心室压力,但保持了心脏输出.
- 右心室弹性和硬度增加,表明心缩功能得到保护,心缩功能受损.
- 右心房收缩性得到改善,心房变得更加可伸缩,增强了储功能,减少了导管功能.
结论:
- 慢性右心室压力过载可以保持心缩功能,但会损害心缩功能.
- 右心室通过增加收缩性和延展性来补偿,以确保充足地填充硬的心室.
- 右心房适应性反应对于预防慢性肺高血压临床失败至关重要.
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