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Pulmonary vascular impedance analysis of adaptation to chronically elevated blood flow in the awake dog.

Publication ,  Journal Article
Hopkins, RA; Hammon, JW; McHale, PA; Smith, PK; Anderson, RW
Published in: Circ Res
August 1979

Pulsatile pulmonary hemodynamics were analyzed in a chronic awake canine high flow model. Standard mean flow and pulsatile flow hemodynamics were measured and alterations in the proximal pulmonary vascular physical properties were quantified by the characteristic impedance (Zo). Pulmonary vascular resistance (PVR), which assesses arteriolar-capillary recruitment of perfusing radius and measures a more distal pulmonary vascular response to changing flows, also was calculated. Twelve control dogs were studied and had mean Qpa (pulmonary blood flow) = 2.02 +/- 0.15 liters/min, Zo = 193 +/- 20 dyne sec cm-5 and PVR = 416 +/- 32 dyne sec cm-5. Ten dogs were studied awake 20 weeks after creation of bilateral arteriovenous fistulae. Five of these shunted dogs, designated group A, developed Qpa = 3-4 liters/min (mean = 3.80 +/- 0.09, P less than 0.001 different from control group); the other five dogs (group B) developed Qpa = 4-8 liters/min (mean = 5.87 +/- 0.16, P less than 0.001). In group A, Zo = 143 +/- 8 (P less than 0.05) and PVR = 249 +/- 6 (P less than 0.10). In group B, Zo = 90 +/- 5 (P less than 0.005) and PVR = 126 +/- 14 (P less than 0.01). The total input power (potential and kinetic) was 125% above the controls for group A (P less than 0.001) and 264% for group B (P less than 0.001), but the mean energy components increased significantly more than did the pulsatile components. These data demonstrate a lower impedance to pulsatile flow during chronically elevated total flow which effects a reduction in both the work load of the right ventricle and the transmission of energy to the precapillary bed. Analysis of the alterations in characteristic impedance suggests a distinct proximal pulmonary vascular mechanism of decreased vessel stiffness (decreased elastic moduli) for adaptation to chronically elevated flow loads which is in addition to the two geometric alterations of proximal arterial dilation and distal vascular channel recruitment.

Duke Scholars

Published In

Circ Res

DOI

ISSN

0009-7330

Publication Date

August 1979

Volume

45

Issue

2

Start / End Page

267 / 274

Location

United States

Related Subject Headings

  • Vasodilation
  • Vascular Resistance
  • Rheology
  • Pulmonary Circulation
  • Pulmonary Artery
  • Myocardial Contraction
  • Mathematics
  • Hypertension, Pulmonary
  • Heart Rate
  • Fourier Analysis
 

Citation

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ICMJE
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Hopkins, R. A., Hammon, J. W., McHale, P. A., Smith, P. K., & Anderson, R. W. (1979). Pulmonary vascular impedance analysis of adaptation to chronically elevated blood flow in the awake dog. Circ Res, 45(2), 267–274. https://doi.org/10.1161/01.res.45.2.267
Hopkins, R. A., J. W. Hammon, P. A. McHale, P. K. Smith, and R. W. Anderson. “Pulmonary vascular impedance analysis of adaptation to chronically elevated blood flow in the awake dog.Circ Res 45, no. 2 (August 1979): 267–74. https://doi.org/10.1161/01.res.45.2.267.
Hopkins RA, Hammon JW, McHale PA, Smith PK, Anderson RW. Pulmonary vascular impedance analysis of adaptation to chronically elevated blood flow in the awake dog. Circ Res. 1979 Aug;45(2):267–74.
Hopkins, R. A., et al. “Pulmonary vascular impedance analysis of adaptation to chronically elevated blood flow in the awake dog.Circ Res, vol. 45, no. 2, Aug. 1979, pp. 267–74. Pubmed, doi:10.1161/01.res.45.2.267.
Hopkins RA, Hammon JW, McHale PA, Smith PK, Anderson RW. Pulmonary vascular impedance analysis of adaptation to chronically elevated blood flow in the awake dog. Circ Res. 1979 Aug;45(2):267–274.

Published In

Circ Res

DOI

ISSN

0009-7330

Publication Date

August 1979

Volume

45

Issue

2

Start / End Page

267 / 274

Location

United States

Related Subject Headings

  • Vasodilation
  • Vascular Resistance
  • Rheology
  • Pulmonary Circulation
  • Pulmonary Artery
  • Myocardial Contraction
  • Mathematics
  • Hypertension, Pulmonary
  • Heart Rate
  • Fourier Analysis