Developmental changes in diastolic ventricular interaction

Document Type

Article

Publication Date

1988

Abstract

Developmental changes in the myocardial diastolic ventricular interaction of hearts excised from 12 preterm (126 ± 0.8 SE days gestation; term = 147 days) and eight newborn (2.5 ± 0.2 SE days postnatal age) lambs were evaluated in vitro. The excised hearts were immersed in a cold cardioplegic solution during which time compliant balloon catheters were inserted into the right and left ventricles through the pulmonary artery and aorta, respectively. The catheters were alternately connected to an infusion pump and appropriate transducers in order to obtain simultaneous biventricular pressure and volume measurements as the volume of each ventricle was varied. Computerized analysis of the pressure and volume recordings was used to determine right and left ventricular free wall compliance, ventricular septal compliance, and pressure and volume transfer functions. Ventricular septal compliance was significantly less than the free wall compliances within both groups. Ventricular septal compliance (p < 0.05) and transfer functions (p < 0.05) in the preterm were significantly lower than in the newborn. No significant differences in ventricular free wall compliances were found between or within age groups. These findings demonstrate an increase in ventricular coupling and functional interaction with development, potentially attributable to an increase in septal complicance with development.

Publication Title

Pediatric research

Volume

23

Issue

5

First Page

466

Last Page

469

Comments

This article was published in Pediatric research, Volume 23, Issue 5, Pages 466-469.

The published version is available at http://dx.doi.org/10.1203/00006450-198805000-00006 .

Copyright © 1988 SPG.

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