Sm. Torrance et C. Wittnich, Postischemic functional recovery in immature hearts is influenced by performance index and assessment technique, AM J P-HEAR, 281(6), 2001, pp. H2446-H2455
Citations number
36
Categorie Soggetti
Cardiovascular & Hematology Research
Journal title
AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY
In the in vivo immature heart, conflicting results are reported for postisc
hemic functional recovery. This study determines whether interpretations of
functional recovery are influenced by the contractile performance index (s
ystolic pressure, developed pressure, and maximum rate of systolic pressure
increase per unit time) reported or the assessment technique (isovolumetri
c and variable-volume) utilized. In neonatal pigs (n=6) on cardiopulmonary
bypass, each performance index was examined using both assessment technique
s before myocardial ischemia and at 15, 30, and 60 min of reperfusion. With
the use of the isovolumetric technique, all performance indexes had signif
icantly different recovery. With the use of the variable-volume assessment
technique, recovery of systolic pressure was significantly better than the
other indexes. When recovery was compared between the two assessment techni
ques, systolic pressure recovered significantly better when assessed using
the variable-volume technique. For each performance index, the correlation
between isovolumetric and variable-volume techniques was positive before is
chemia but negative during reperfusion, suggesting that the assessment tech
niques identified conflicting postischemic contractile performances. Thus b
oth the contractile performance index reported and the assessment technique
employed are ultimately important in interpreting postischemic functional
recovery in the immature heart.