Can latissimus dorsi muscle stimulation benefit heart during training period after vascular delay?

被引:0
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作者
Kashem, M.A. [1 ]
Santamore, W.P. [1 ]
Chiang, B.Y. [2 ]
Slater, A.D. [2 ]
机构
[1] Temple University, Philadelphia, PA, United States
[2] University of Louisville, KY, United States
关键词
Cardiovascular system - Computer simulation - Hemodynamics - Kinematics - Muscle;
D O I
10.1097/00002480-200003000-00168
中图分类号
学科分类号
摘要
We hypothesized that a two-stage vascular delay procedure of the latissimus dorsi muscle (LDM) would enable LDM to provide significant cardiac assistance during the training period. In mongrel dogs (n=6), LV dysfunction was induced by intracoronary injections of latex microspheres [90±2μ diameter] and a vascular delay of the LDM were performed. After 2 weeks, CMP was performed followed by conditioning of LDM. At 5 weeks, LV function was evaluated by assessing peak aortic pressure (AoP), left ventricular pressure (LVP), LV +dP/dt, LV -dP/dt, stroke volume (SV), stroke work (SW), stroke power (SP), aortic flow (Qa). LDM assisted beats (ST) were compared to non-stimulated beats (NS). LDM assistance significantly increased pressures and flow. At 33Hz (n=6), the absolute increases were LVP (13.6 ± 1.3) mmHg, AoP (12.1 ± 2.4) mmHg, SV (2.7 ± 0.7) ml, SW (7.4 ± 1.4) gm&middotm, SP (72.7 ± 16.5) gm&middotm/sec, max LV dP/dt (294 ± 19) mmHg/sec, aortic flow (1.8 ± 0.5) l/min. LDM stimulation after a two-stage vascular delay resulted in marked increases of hemodynamics during training period.
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