Aortic bulb-aortic orifice hemodynamics in left ventricle-systemic arterial interaction.

Experiments were conducted in open-chest dogs in which ascending aortic blood flow (Q) was measured with an electromagnetic flow probe, and pressure was measured in the left ventricle (LV) and ascending aorta. The aorta just distal to the flow probe was occluded suddenly, causing the aortic bulb (AB) to be the only part of the arterial system to be in communication with the LV during clamped beats. Pressure and flow data from preocclusion, occlusion, and occlusion-release periods were analyzed to assess AB compliance (CAB) and the longitudinal impedance properties of inertance (LVO) and resistance (RVO) in the AB-aortic orifice region. In five dogs (avg wt 24.2 kg), the mean and range of values were as follows: CAB = 45 (31-55) X 10(-4) cm5/dyn; LVO = 1.86 (0.76-2.88) dyn X s2 X cm-5, RVO = 4.07 (0.66-8.55) dyn X s X cm-5. The volume-accommodating actions of CAB caused actual LV outflow to be characteristically different from Q and aortic-clamped beats to be nonisovolumic. Actions of the AB were found to be important in the estimation of arterial characteristic impedance as a component of LV afterload and in the estimation of the LV pump properties of time-varying elastance and internal resistance.

Mechanical determinants of transient changes in stroke volume.

To better define beat-to-beat regulation of stroke volume (SV), the several-beat transient response of the left ventricle (LV) to sudden changes in hydraulic loading impedance was studied. Data were collected from eight canine isolated heart-lung preparations with controlled LV loading impedance. At a selected diastolic interval, a sudden increase in hydraulic loading resistance was induced. The resulting transient response in SV, end-diastolic pressure (EDP), and end-systolic pressure (ESP) was analyzed by comparing the relative predictive capability of six competing models, each incorporating different degrees of complexity in the relationship between SV and EDP and ESP. The basic model assumed linear LV pressure-volume relationships at both end diastole and end systole. Incorporation of nonlinear, end-state interaction or coronary perfusion pressure effects into the basic model did not improve predictive performance. Models incorporating SV and ESP of the preceding beat as well as ejecting beat ESP and EDP were consistently superior to all other models. The ranking of the relative influence of the determinants of SV was 1) ejecting beat ESP, 2) preceding beat ESP, 3) ejecting beat EDP, and 4) preceding beat SV.

Arterial baroreflex control of heart rate in the horse, pig, and calf.

The heart rate (HR) response to stepwise changes in mean arterial pressure (MAP) produced by methoxamine and sodium nitroprusside was studied in conscious horses, pigs, and calves. The respective steady-state arterial baroreflex sensitivities (delta HR/delta MAP expressed as beats min-1 . mm of Hg-1) were -1.20, -1.21, and -0.39 for decreasing MAP and -0.08, -0.91, and -0.56 for increasing MAP. After parasympathetic nervous system (PNS) blockade with atropine, the reflex sensitivity to decreasing MAP in horses and the pigs decreased to -0.62 and -0.65, respectively (P less than 0.05), whereas the sensitivity in calves was not significantly different from the calves' base-line sensitivity (P greater than 0.05). In pigs, the sensitivity to increasing MAP decreased to -0.43 after PNS blockade (P less than 0.05). Horses and calves had a response to small increases in MAP similar to that observed in the absence of PNS blockade. There was no additional change in HR with larger increases in MAP in these 2 species. These responses indicate that varying degrees of mixed PNS and sympathetic nervous system activity changes mediate the baroreflex change in HR seen for increasing and decreasing MAP in pigs and for decreasing MAP in horses. Predominantly PNS activity is responsible for the response to increasing MAP in the horses and calves, whereas predominantly sympathetic nervous system activity is responsible for the response to decreasing MAP in calves. Comparisons were made between the observations in these 3 species and other mammalian species.

Internal capacitance and resistance allow prediction of right ventricle outflow.

The relationship between right ventricle afterloading pressure (P) and outflow (Q) was studied in three isolated canine right ventricle (RV) preparations. Right atrial pressure was held constant while graded elevations in P were induced with stepwise occlusions of the right and left branches of the pulmonary artery. P and Q signals were collected and analyzed using a digital computer system. Data were analyzed by assuming a model structure for the RV and comparing resultant model predictions of Q with actual observations. The model structure was modified in accordance with the discrepancy between prediction and observation to improve the model's predictive capability. The initial model tested was the time-varying linear relationship between ventricular volume and pressure. Utilizing this model, accurate predictions of RV outflow in the face of varying pressure afterloads could not be made. The addition of a series resistance to this elementary model resulted in marked improvement in predictive performance. The addition of greater complexity to the model gave only marginal improvement to the model's predictive capability. It was concluded that a time-varying capacitance and series resistance adequately model internal properties of the RV that relate outflow to afterloading pressure.

Surgical implantation of cardiovascular devices in the thorax of the horse.

A surgical thoracotomy and implantation of an electromagnetic flow probe around the ascending aorta and catheters in the left ventricular (LV) apex of the horse were evaluated. Sixteen operations were done: 4 horses were used for acute experiments, 4 horses died from surgical manipulation, and 8 horses were studied chronically for 18 to 57 days. The electromagnetic flow probe allowed continuous measurement of stroke volume and heart rate. The LV apical catheters, in conjunction with thermal dilution techniques and pressure-sensitive devices, allowed measurement and calculation of mean arterial blood pressure, total peripheral vascular resistance, LV residual fraction, LV and diastolic volume, and LV end systolic volume.

Hemodynamic effects of xylazine in the calf.

The hemodynamic effects of sedative level doses of xylazine in five chronically instrumented calves were studied. These effects included immediate and prolonged reductions in heart rate, cardiac output, arterial blood pressure, and left ventricular dp/dt max. Stroke volume showed an initial decrease in value with a return in 15 minutes to base-line values. Total peripheral resistance, end-diastolic left ventricular pressure, end-diastolic left ventricular volume, and left ventricular residual fraction were increased after drug administration. The results indicate that a depressed myocardium results from xylazine administration. With one exception (the absence of a hypertensive response), these effects largely parallel, both quantitatively and qualitatively, those seen with this drug in other species. Sedation by xylazine is produced in cattle at doses which are small compared to those which is required for sedation in other species. These same small doses in cattle also cause hemodynamic changes.

Pharmacokinetics of ketamine in the horse.

Ketamine HCl was administered IV to xylazine HCl-treated horses. The plasma concentration of ketamine was measured several times after administration of the drug and these data were used to develop a two-compartment pharmacokinetic model. The distribution and the elimination phase half-lives averaged 2.9 and 42 minutes. The volume of the central compartment averaged 212 ml/kg of body weight and the volume of the peripheral compartment was approximately threefold larger. The total body clearance of ketamine averaged 26.6 ml/minute/kg. Plasma protein binding of ketamine averaged 50% over the concentration limits of 0.3 to 20 microgram/ml. The duration of anesthesia from a single 2.2 mg/kg IV bolus dose of ketamine HCl appeared to be determined largely by distribution; 40% of this dose was predicted to remain in the horse at the time of its recovery from anesthesia.