Effect of the mechanical ventilatory cycle on thermodilution right ventricular volumes and cardiac output.

The purpose of this study was to evaluate right ventricular (RV) loading and cardiac output changes, by using the thermodilution technique, during the mechanical ventilatory cycle. Fifteen critically ill patients on mechanical ventilation, with 5 cmH(2)O of positive end-expiratory pressure, mean respiratory frequency of 18 breaths/min, and mean tidal volume of 708 ml, were studied with help of a rapid-response thermistor RV ejection fraction pulmonary artery catheter, allowing 5-ml room-temperature 5% isotonic dextrose thermodilution measurements of cardiac index (CI), stroke volume (SV) index, RV ejection fraction (RVEF), RV end-diastolic volume (RVEDV), and RV end-systolic volume (RVESV) indexes at 10% intervals of the mechanical ventilatory cycle. The ventilatory modulation of CI and RV volumes varied from patient to patient, and the interindividual variability was greater for the latter variables. Within patients also, RV volumes were modulated more by the ventilatory cycle than CI and SV index. Around a mean value of 3.95 +/- 1.18 l. min(-1). m(-2) (= 100%), CI varied from 87.3 +/- 5.2 (minimum) to 114.3 +/- 5.1% (maximum), and RVESV index varied between 61.5 +/- 17.8 and 149.3 +/- 34.1% of mean 55.1 +/- 17.9 ml/m(2) during the ventilatory cycle. The variations in the cycle exceeded the measurement error even though the latter was greater for RVEF and volumes than for CI and SV index. For mean values, there was an inspiratory decrease in RVEF and increase in RVESV, whereas a rise in RVEDV largely prevented a fall in SV index. We conclude that cyclic RV afterloading necessitates multiple thermodilution measurements equally spaced in the ventilatory cycle for reliable assessment of RV performance during mechanical ventilation of patients.     

Electrical and mechanical response in biventricular mechanical alternans.

Mechanical alternans of various degrees is produced by rapid heart rates, slower rates in failing hearts and can be brought about by a single extra systole. It has also been shown that the two ventricles may exhibit different degrees of mechanical alternation. The present study was planned to clarify the possible mechanism inducing this latter phenomenon. For this reason myocardial tension was recorded simultaneously from the two ventricles as well as through a miniature strain gage capable of measuring electrogram and myocardial tension of a small area -- just adjacent to a stimulating electrode. The heart was driven at a steady heart rate through one electrode and very late premature beats were applied at various coupling times at another site through an electrode attached to the miniature strain gage. It was found that the degree of mechanical alternans is markedly different at the sites of measurements in either ventricle. These changes could be related to the time interval elapsed between the application of the electrical stimulus and the occurrence of the mechanical response.     

Life cycle of Sarcocystis tenella in sheep and dog

For Sarcocystis tenella, the second microscopic sarcocyst in sheep, the dog was shown to act as final host shedding sporocysts measuring 13.75-15.8 (14.8 +/- 0.8) X 9.7-10.8 (10.1 +/- 0.4) micron after a prepatent period of 8-13 days. The clinical signs and the course of experimental infections in sheep were most similar to S. ovicanis. After high doses of sporocysts sheep had temperatures up to 42 degrees C, anaemia, and paresis; they finally died from haemorrhagic diathesis. The development of S. tenella in sheep was studied and it resulted in microscopic cysts in the musculature that measured 300-650 X 20-50 micron. They showed hair-like delicate protrusions of the cyst wall measuring 6-8 X less than 0.5 micron, by which S. tenella could be clearly differentiated from S. ovicanis from day 60 p.i. onwards. The decreasing number of S. tenella through degeneration of cysts is suggested to be a self-cleaning process.     

Electrical coupling in the circular muscles of dog jejunum.

Two distinct layers of circular muscle have previously been demonstrated in dog jejunum, the main circular layer containing many gap junction contacts, and an inner dense muscle layer where no gap junctions have been found. Length constants were determined for these muscle layers and no significant difference was found between these values. The main circular muscle cells had lower membrane potentials and may have had abnormally low space constants owing to injury. It was concluded that the absence of gap junctions in the inner dense layer does not reduce the spread of passive current as might be expected of electrically isolated cells, and it is suggested that an alternate pathway for passive current exists in this layer.     

The estrous cycle in the dog: a review

Clinical, morphologic and hormonal changes throughout the estrous cycle in the dog are discussed in relation to the well established stages in this species — proestrus, estrus, metestrus and anestrus. Although most efforts in the past have been devoted to the period of reproduction, events throughout the remaining months of the cycle are presented to characterize the dog as a monocyclic animal in contrast to polycyclic species.     

Dopamine-beta-hydroxylase in dog lymph--effect of sympathetic activation

In anesthetized dogs baroreceptor denervation and electrical stimulation of the left stellate ganglion caused marked arterial hypertension and tachycardia. These were associated with a 4-10-fold increase in the total output of dopamine-β-hydroxylase (DβH) in the thoracic duct lymph. Serum DβH activity was lower than that in man and changes during sympathetic activation were inconsistent. These results suggest that a major portion of DβH released from adrenergic nerve terminals is transported in the lymph before it enters the circulating blood.     

Electrical and mechanical changes in immobilized human muscle

After forearm fracture, the human thumb was unilaterally immobilized in eight subjects for 6 wk in a standard plaster cast. Changes of contraction properties were studied in the adductor pollicis muscle. The contralateral muscle remained unrestrained and served as control. After immobilization, the maximal voluntary contraction was reduced by 55% (P less than 0.05), and the electrically evoked maximal tetanic contraction (Po) was reduced by 33% (P less than 0.05). The decrease of Po was associated with increased maximal rate of tension development (10%) and decreased maximal rate of tension relaxation (22%). The twitch times to peak and to half relaxation were increased by 16 and 14%, respectively, but the twitch tension (Pt) was not significantly changed and the Pt/Po ratio was increased by 43% after immobilization. The muscle surface action potential presented an increase of its duration (19%) and a decrease of the amplitude and the total area (15 and 26%, respectively). The comparison of the electrical and mechanical alterations recorded during voluntary contractions, and in contractions evoked by electrical stimulation of the motor nerve, suggests that immobilization not only modifies the peripheral processes associated with contraction but also changes central and/or neural command of the contraction. At peripheral sites, it is proposed that the intracellular processes of contraction play the major role in the contractile impairment recorded during immobilization.     

Electrical activation of mouse oocytes

Activation of the oocyte is the least efficient step in nuclear transplantation in the rabbit. We report the influence of age of oocytes, field strength, pulse duration and number, and shape of field on the rate of activation of mouse oocytes by electrical pulses. Regardless of oocyte age, activation rates were similar over a wide range of field strengths and pulse durations. Aged oocytes activated at a higher rate than recently ovulated oocytes (32 vs 3%), which lysed more frequently (13 vs 2%). Fragmentation rate was also higher among aged oocytes (42 vs 6%). The rate of activation increased with the number of pulses, from 9% with a single pulse, to 61% with six pulses. It also increased with the interval between pulses. Comparison of activation chamber geometries showed that the rate of activation was higher in a nonuniform field than in a uniform field and, for a particular field strength, varied from one electrode gap to another. These observations indicate that the rate of activation can be greatly increased by multiple electrical pulses. The activation rate also varied with consistent field strength in chambers with different electrode configurations.     

Atrial granules in the dog heart after cardiac denervation

Summary Because the increase in sodium excretion during left atrial distension in conscious dogs is abolished after chronic cardiac denervation, we have investigated whether this is a result of the disappearance of specific atrial granules. Electron microscopy and light-microscopical and ultrastructural immunohistochemistry of canine atria show that atrial granules displaying immunoreactivity for cardiac hormones of the cardiodilatin/atrial natriuretic polypeptide (CDD/ANP) family are still present in denervated left and right atria, although reduced in quantity. It is concluded that the atrial-induced natriuresis is not only related to the existence of specific atrial granules. The functional link between atrial-induced natriuresis provoked by atrial distension and the release of atrial polypeptide hormones remains uncertain because the denervated heart can secrete CDD although the diuretic-natriuretic effect is altered.