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Chronic heart failure modifies respiratory mechanics in rats: a randomized controlled trial
Pacheco, Deise M; Silveira, Viviane D; Thomaz, Alex; Nunes, Ramiro B; Elsner, Viviane R; Dal Lago, Pedro.
  • Pacheco, Deise M; Universidade Federal de Ciências da Saúde de Porto Alegre. Laboratório de Fisiologia Cardiovascular. Porto Alegre. BR
  • Silveira, Viviane D; Universidade Federal de Ciências da Saúde de Porto Alegre. Laboratório de Fisiologia Cardiovascular. Porto Alegre. BR
  • Thomaz, Alex; Universidade Federal de Ciências da Saúde de Porto Alegre. Laboratório de Fisiologia Cardiovascular. Porto Alegre. BR
  • Nunes, Ramiro B; Universidade Federal de Ciências da Saúde de Porto Alegre. Laboratório de Fisiologia Cardiovascular. Porto Alegre. BR
  • Elsner, Viviane R; Universidade Federal de Ciências da Saúde de Porto Alegre. Laboratório de Fisiologia Cardiovascular. Porto Alegre. BR
  • Dal Lago, Pedro; Universidade Federal de Ciências da Saúde de Porto Alegre. Laboratório de Fisiologia Cardiovascular. Porto Alegre. BR
Braz. j. phys. ther. (Impr.) ; 20(4): 320-327, July-Aug. 2016. tab, graf
Article in English | LILACS | ID: lil-792720
ABSTRACT
ABSTRACT Objective To analyze respiratory mechanics and hemodynamic alterations in an experimental model of chronic heart failure (CHF) following myocardial infarction. Method Twenty-seven male adult Wistar rats were randomized to CHF group (n=12) or Sham group (n=15). Ten weeks after coronary ligation or sham surgery, the animals were anesthetized and submitted to respiratory mechanics and hemodynamic measurements. Pulmonary edema as well as cardiac remodeling were measured. Results The CHF rats showed pulmonary edema 26% higher than the Sham group. The respiratory system compliance (Crs) and the total lung capacity (TLC) were lower (40% and 27%, respectively) in the CHF rats when compared to the Sham group (P<0.01). There was also an increase in tissue resistance (Gti) and elastance (Hti) (28% and 45%, respectively) in the CHF group. Moreover, left ventricular end-diastolic pressure was higher (32 mmHg vs 4 mmHg, P<0.01), while the left ventricular systolic pressure was lower (118 mmHg vs 130 mmHg, P=0.02) in the CHF group when compared to the control. Pearson’s correlation coefficient showed a negative association between pulmonary edema and Crs (r=–0.70, P=0.0001) and between pulmonary edema and TLC (r=–0.67, P=0.0034). Pulmonary edema correlated positively with Gti (r=0.68, P=0.001) and Hti (r=0.68, P=0.001). Finally, there was a strong positive relationship between pulmonary edema and heart weight (r=0.80, P=0.001). Conclusion Rats with CHF present important changes in hemodynamic and respiratory mechanics, which may be associated with alterations in cardiopulmonary interactions.
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Full text: Available Index: LILACS (Americas) Main subject: Respiratory Mechanics / Heart Failure / Hemodynamics Limits: Animals Language: English Journal: Braz. j. phys. ther. (Impr.) Journal subject: MEDICINA FISICA E REABILITACAO Year: 2016 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal de Ciências da Saúde de Porto Alegre/BR

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Full text: Available Index: LILACS (Americas) Main subject: Respiratory Mechanics / Heart Failure / Hemodynamics Limits: Animals Language: English Journal: Braz. j. phys. ther. (Impr.) Journal subject: MEDICINA FISICA E REABILITACAO Year: 2016 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal de Ciências da Saúde de Porto Alegre/BR