[Usefulness of Vmax and time constant in the evaluation of left ventricular function immediately after cardiac operation].
It is difficult to evaluate the cardiac function accurately, immediately after cardiac operation, because of the restriction of measurements and the variations of loading. To evaluate the exact cardiac function during and after cardiac surgery, we examined the usefulness of unloaded maximal shortening velocity of contractile element (Vmax) and time constant of isovolumic pressure fall (TC) in the condition of hasty changing of preload and afterload. In our experiment, we used canines as our subject. Following the sedation of the canines, the left ventricular pressure (LVP) curve was recorded by using the catheter-tip manometer which was introduced into the apex of the heart. The LVP was measured in the following instances: 1) at control condition, 2) 5 minutes after the administration of dobutamine of 2 or 5 micrograms/kg/min, 3) 5, 10, 15, and 30 minutes interval after the ligation of the left anterior descending artery (LAD). In every situations, preload and afterload were changed by the temporary occlusion of the inferior vena cava or descending thoracic aorta. Vmax and TC were analyzed easily only from the LVP by the personal computer. We used Grunkemeier's method to calculate Vmax which was analyzed only from the LVP curve. We presumed that the mean value of Vmax analyzed by Grunkemeier's method was almost the same as the data by Mason's method by calculating the mean value from the given number of heart beats. Because the correlation of two methods was linear, and furthermore the slope of this regression line was 0.97 and the Y-intercept was 0.19. Vmax was the index that was comparatively independent from the loading condition.(ABSTRACT TRUNCATED AT 250 WORDS)
Hashimoto
R
R
Second Department of Surgery, Yamanashi Medical College, Japan.
Hosaka
S
S
Suzuki
S
S
Kato
J
J
Sasaki
H
H
Yoshii
S
S
Matsukawa
T
T
Tada
Y
Y
D000818:Animals; D006348:Cardiac Surgical Procedures; D004280:Dobutamine / Q000494:pharmacology; D004285:Dogs; D005069:Evaluation Studies as Topic; D006334:Heart Function Tests / Q000379:methods*; D009200:Myocardial Contraction; D016277:Ventricular Function, Left
D004280:Dobutamine