The effects of right ventricular (RV) systolic pressure (RVSP) load on feta
l myocyte size and maturation were studied. Pulmonary artery (PA) pressure
was increased by PA occlusion from mean 47.4 +/- 5.0 (+/-SD) to 71 +/- 13.6
mmHg (P < 0.0001) in eight RVSP-loaded near-term fetal sheep for 10 days.
The maximal pressure generated by the RV with acute PA occlusion increased
after RVSP load: 78 +/- 7 to 101 +/- 15 mmHg (P < 0.005). RVSP-load hearts
were heavier (44.7 +/- 8.4 g) than five nonloaded hearts (31.8 +/- 0.2 g; P
< 0.03); heart-to-body weight ratio (10.9 +/- 1.1 and 6.5 +/- 0.9 g/kg, re
spectively; P < 0.0001). RVSP-RV myocytes were longer (101.3 +/- 10.2 mm) t
han nonloaded RV myocytes (88.2 +/- 8.1 mu m; P, 0.02) and were more often
binucleated (82 +/- 13%) than nonloaded myocytes (63 +/- 7%; P, 0.02). RVSP
-loaded myocytes had less myofibrillar volume than did nonloaded hearts (44
.1 +/- 4.4% and 56.1 +/- 2.6%; P < 0.002). We conclude that RV systolic loa
d 1) leads to RV myocyte enlargement, 2) has minor effects on left ventricu
lar myocyte size, and 3) stimulates maturation (increased RV myocyte binucl
eation). Myocyte volume data suggest that RV systolic loading stimulates bo
th hyperplastic and hypertrophic growth.