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June 1, 1957American Journal of Physiology-Legacy Content550 citations

Venous Return at Various Right Atrial Pressures and the Normal Venous Return Curve

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AGArthur C. GuytonALA. W. LindseyBABerry Abernathy

Key Points

  • This research aims to delineate the relationship between right atrial pressure and venous return in dogs, highlighting the maximum venous return threshold.
  • Examined 12 open-chest dogs with intact circulatory reflexes and 14 open-chest areflex dogs.

Structured PICO

P
Population
26 open-chest dogs (12 with intact circulatory reflexes and 14 areflex dogs)
I
Intervention
Measurement of venous return at various right atrial pressures
O
Outcome
Venous return curve (relationship between venous return and right atrial pressure)surrogate

This foundational physiological study demonstrates that venous return plateaus at negative right atrial pressures and falls to zero when right atrial pressure equals mean circulatory pressure.

Abstract

The normal venous return curve has been determined in 12 open-chest dogs with intact circulatory reflexes and in 14 open-chest areflex dogs. These curves show that venous return reaches a maximum value when the right atrial pressure falls to –2 to –4 mm Hg and remains at this maximum value down to infinitely low negative pressures. As the right atrial pressure rises to positive values venous return falls and reaches zero when the right atrial pressure has risen to equal the mean circulatory pressure. A venous return curve for the normal, intact dog has been tentatively formulated on the basis of these studies and previous studies in which individual points on the venous return curves of intact dogs have been measured.

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Cite This Study

Guyton et al. (1957) studied this question.

synapsesocial.com/papers/69d56f7275589c71d767d8a0https://doi.org/10.1152/ajplegacy.1957.189.3.609
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