Article (Scientific journals)
Effects of increased afterload on left ventricular performance and mechanical efficiency are not baroreflex-mediated
Kolh, Philippe; Ghuysen, Alexandre; Tchana-Sato, Vincent et al.
2003In European Journal of Cardio-Thoracic Surgery, 24 (6), p. 912-919
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Keywords :
autonomic nervous system; baroreflex; hemodynamics; left ventricular function
Abstract :
[en] Objective: To assess baroreflex intervention during increase in left ventricular afterload, we compared the effects of aortic banding on the intact cardiovascular system and under hexamethonium infusion. Methods: Six open-chest pigs, instrumented for measurement of aortic pressure and flow, left ventricular pressure and volume, were studied under pentobarbital-sufentanil anesthesia. Vascular arterial properties were estimated with a four-element windkessel model. Left ventricular contractility was assessed by the slope of end-systolic pressure-volume relationship. Results: The effects of aortic banding on mechanical aortic properties were unaffected by autonomic nervous system inhibition. However, increase in peripheral arterial vascular resistance and in heart rate were prevented by hexamethonium. Aortic banding increased left ventricular contractility and stroke work. Left ventricular-arterial coupling remained unchanged, but mechanical efficiency was impaired. These ventricular changes were independent of baroreflex integrity. Conclusions: Our results demonstrate that an augmentation in afterload has a composite effect on left ventricular function. Left ventricular performance is increased, as demonstrated by increase in contractility and stroke work, but mechanical efficiency is decreased. These changes are observed independently of baroreflex integrity. Such mechanisms of autoregulation, independent of the autonomic nervous system, are of paramount importance in heart transplant patients. (C) 2003 Elsevier B.V. All fights reserved.
Disciplines :
Cardiovascular & respiratory systems
Author, co-author :
Kolh, Philippe  ;  Université de Liège - ULiège > Département des sciences biomédicales et précliniques > Service de Biochimie et de Physiologie humaines, normale et pathologique
Ghuysen, Alexandre ;  Université de Liège - ULiège > Département des sciences de la santé publique > Réanimation - Urgence extrahospitalière
Tchana-Sato, Vincent  ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie cardio-vasculaire
D'Orio, Vincenzo ;  Université de Liège - ULiège > Département des sciences cliniques > Médecine d'urgence - bioch. et phys. hum. normales et path.
Gérard, Paul ;  Université de Liège - ULiège > Département de mathématique > Statistique (aspects expérimentaux)
Morimont, Philippe ;  Centre Hospitalier Universitaire de Liège - CHU > Frais communs médecine
Limet, Raymond ;  Université de Liège - ULiège > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique
Lambermont, Bernard  ;  Centre Hospitalier Universitaire de Liège - CHU > Frais communs médecine
Language :
English
Title :
Effects of increased afterload on left ventricular performance and mechanical efficiency are not baroreflex-mediated
Publication date :
December 2003
Journal title :
European Journal of Cardio-Thoracic Surgery
ISSN :
1010-7940
eISSN :
1873-734X
Publisher :
Elsevier Science Bv, Amsterdam, Netherlands
Volume :
24
Issue :
6
Pages :
912-919
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 06 March 2010

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