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The Journal of Thoracic and Cardiovascular Surgery, Vol 103, 514-520, Copyright © 1992 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
H Yaku, Y Goto, S Futaki, Y Ohgoshi, O Kawaguchi and H Suga
We studied whether ventricular fibrillation depresses ventricular
contractility in a blood-perfused heart. In 12 excised, cross- circulated
dog hearts, we measured left ventricular pressure and myocardial oxygen
consumption at a middle left ventricular volume as control and induced
ventricular fibrillation electrically. Six hearts were subjected to 20
minutes of ventricular fibrillation (group A), and the other six hearts
were subjected to 40 minutes of ventricular fibrillation (group B). Then we
defibrillated the heart with direct current shock and measured left
ventricular pressure, left ventricular volume, and myocardial oxygen
consumption immediately, 10 minutes, 20 minutes, and 30 minutes after the
defibrillation. Coronary perfusion pressure was maintained normal (around
100 mm Hg) by the arterial pressure of the support dog throughout each
experiment. Ventricular contractility was quantified by the maximum value
for the instantaneous pressure/volume ratio (Emax). Pooled data of both
groups A and B showed that Emax immediately after defibrillation increased
to 116% +/- 28% (p less than 0.05) of control level and Emax 10 minutes
after defibrillation decreased to 84% +/- 17% (p less than 0.05) of control
level. Then Emax recovered to the control level: 95% +/- 18% (p greater
than 0.05) of control level at 20 minutes and 100% +/- 20% (p greater than
0.05) of control level at 30 minutes after defibrillation. Emax of group A
was not different from that of group B at comparable measurement times
after defibrillation. Changes in myocardial oxygen consumption per beat
were in proportion to the changes in Emax. We conclude that ventricular
fibrillation per se for 20 to 40 minutes does not depress postfibrillatory
contractility when coronary blood perfusion is maintained normal in the dog
left ventricle.
ARTICLES
Ventricular fibrillation does not depress postfibrillatory contractility in blood-perfused dog hearts
Department of Cardiovascular Dynamics, National Cardiovascular Center Research Institute, Osaka, Japan.
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