Jr. Fioretto et al., THE RATE OF FORCE GENERATION BY THE MYOCARDIUM IS NOT INFLUENCED BY AFTERLOAD, Brazilian journal of medical and biological research, 30(12), 1997, pp. 1471-1477
The influence of afterload on the rate of force generation by the myoc
ardium was investigated using two types of preparations: the in situ d
og heart (dP/dt) and isolated papillary muscle of rats (dT/dt). Thirte
en anesthetized, mechanically ventilated and thoracotomized dogs were
submitted to pharmacological autonomic blockade (3.0 mg/kg oxprenolol
plus 0.5 mg/kg atropine). A reservoir connected to the left atrium per
mitted the control of left ventricular end-diastole pressure (LVEDP).
A mechanical constriction of the descending thoracic aorta allowed to
increase the systolic pressure in two steps of 20 mmHg (conditions H-1
and H-2) above control values (condition C). After arterial pressure
elevations (systolic pressure C: 119 +/- 8.1; H-1: 142 +/- 7.9; H-2: 1
66 +/- 7.7 mmHg; P<0.01), there were no significant differences in hea
rt rate (C: 125 +/- 13.9; H-1: 125 +/- 13.5; H-2: 123 +/- 14.1 bpm; P>
0.05) or LVEDP (C: 6.2 +/- 2.48; H-1: 6.3 +/- 2.43; H-2: 6.1 +/- 2.51
mmHg; P>0.05). The values of dP/dt did not change after each elevation
of arterial pressure (C: 3,068 +/- 1,057; H-1: 3,112 +/- 996; H-2: 3,
086 +/- 980 mmHg/s; P>0.05). In isolated rat papillary muscle, an afte
rload corresponding to 50% and 75% of the maximal developed tension di
d not alter the values of the maximum rate of tension development (100
%: 78 +/- 13; 75%: 80 +/- 13; 50%: 79 +/- 11 g mm(-2) s(-1), P>0.05).
The results show that the rise in afterload per se does not cause chan
ges in dP/dt or dT/dt.