INFLUENCE OF PRELOAD AND AFTERLOAD ON GENIOGLOSSUS MUSCLE LENGTH IN AWAKE GOATS

Citation
Mj. Brennick et al., INFLUENCE OF PRELOAD AND AFTERLOAD ON GENIOGLOSSUS MUSCLE LENGTH IN AWAKE GOATS, American journal of respiratory and critical care medicine, 155(6), 1997, pp. 2010-2017
Citations number
26
Categorie Soggetti
Emergency Medicine & Critical Care","Respiratory System
ISSN journal
1073449X
Volume
155
Issue
6
Year of publication
1997
Pages
2010 - 2017
Database
ISI
SICI code
1073-449X(1997)155:6<2010:IOPAAO>2.0.ZU;2-3
Abstract
The genioglossus is an upper airway dilator muscle, the length of whic h is directly related to patency in the oropharyngeal region. We hypot hesized that genioglossal length (Lgg) is dynamically influenced by th e afterload exerted by negative upper airway pressure during inspirati on and by the intrinsic length-tension characteristics of the muscle ( preload). Seven awake goats were chronically instrumented with electro des for EMCgg and sonomicrometry for Lgg. We examined the Lgg-EMGgg re lationship during hypercapnia and inspiratory resistive loading (18 cm H2O/L/s). The goats breathed through the upper airway (TC) or airflow was diverted through a tracheostomy (TO). We found that: (1) passive inspiratory lengthening was observed with negative upper airway pressu re (UAP) but not when UAP = 0 (TO breathing), (2) Lgg shortening for a given EMCgg was significantly decreased with negative inspiratory UAP , and (3) phasic Lgg shortening per unit EMCgg was greatest when Lgg w as near optimal length (Lo). We conclude that genioglossal length is s ubstantially influenced by afterload exerted by negative UAP and that genioglossal active shortening may be limited if the muscle operates a t a length significantly greater or less than the optimal length.