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Acta Physiologica 2008; Volume 192, Supplement 661
Belgian Society for Fundamental and Clinical Physiology and Pharmacology, Spring Meeting 2007
4/21/2007-4/24/2007
University of Antwerp, Antwerp, Belgium


COMPARATIVE EFFECTS ON LV PERFORMANCE, ARTERIAL HEMODYNAMICS AND VENTRICULO-ARTERIAL COUPLING OF TWO PORCINE MODELS OF CORONARY ARTERY OCCLUSION
Abstract number: O-02

Kolh1 P., Rolin2 S., Tchana-Sato1 V., Ghuysen1 A., Lambermont1 B., D'Orio1 V., Limet1 R., Dogne2 JM.

1University of Lige, Belgium
2University of Namur, Belgium.

Objective: To evaluate the hemodynamic effects of two models of coronary artery occlusion in pigs. Methods: LV function was assessed by the slope (Ees) of ESPVR and stroke work (SW), and systemic arterial properties, including peripheral resistance (R2), compliance (C), and arterial elastance (Ea) with a windkessel model. Ventriculo-arterial (VA) coupling was defined as Ees/Ea, and mechanical efficiency as SW/pressure-volume area (PVA). After baseline, the pigs were randomised in 2 groups: in group LIG (n = 6), LAD coronary artery was ligated, while in group FeCl3 (n = 6), it was wrapped for 45 minutes with a strip satured with FeCl3. Results: LAD coronary artery flow dropped immediately to zero in group LIG, but progressively decreased in group FeCl3 (occlusion time 23.2  1.2 min). In group LIG, mean aortic pressure (Pmean) and flow (Qmean) decreased abruptly, between baseline and T60, from 101  3 to 78  6 mmHg and from 56.4  5.4 to 34.9  3.8 ml/sec, respectively, while HR was unchanged; R2 and Ea increased from 1.77  0.33 to 2.33  0.22 mmHg.sec/ml, and from 3.12  0.22 to 4.24  0.28 mmHg/sec, respectively, while Ees dropped from 2.7  0.3 to 1.7  0.4 mmHg/sec. VA coupling falled from 0.90  0.19 to 0.41  0.12, while SW/PVA dropped from 0.85  0.12 to 0.59  0.06. Most significant hemodynamic changes were observed in the first 30 min after the LAD ligation. In group FeCl3, Pmean remained constant, while Qmean progressively decreased from 57.8  6.6 to 47.3  5.5 ml/sec, and HR increased from 107  10 to 142  13 beats/min, between baseline and T180; R2 and Ea increased from 1.72  0.22 to 1.95  0.28 mmHg.sec/ml, and from 2.99  0.33 to 3.55  0.22 mmHg/sec, respectively, while Ees decreased from 2.7  0.4 to 2.2  0.3 mmHg/sec. VA coupling falled from 0.90  0.16 to 0.63  0.18, while SW/PVA dropped from 0.85  0.07 to 0.72  0.07. Most hemodynamic changes observed in the FeCl3 were progressive. Conclusion: Progressive coronary artery occlusion, as obtained by topical FeCl3 application, is responsible for a less impaired hemodynamic condition. This model, closer to the clinical condition of coronary artery thrombus formation, could be more suitable to assess pharmaceutical or mechanical cardiac support during acute myocardial ischemia.

To cite this abstract, please use the following information:
Acta Physiologica 2008; Volume 192, Supplement 661 :O-02

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