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September 1, 1960Circulation Research325 citationsOpen Access

Homeometric Autoregulation in the Heart

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SSStanley J. SarnoffJMJ. H. MitchellJGJ. P. Gilmore

Key Result

Increasing ventricular tension development per unit of time leads to increased contractility (homeometric autoregulation), a phenomenon that is independent of changes in coronary flow.

Key Points

  • To investigate how increased ventricle activity affects its contractility and the mechanisms involved.
  • Examined contractility changes following increased tension development in the ventricle.
  • Measured work output and pressure development from end-diastolic pressure and fiber length.
  • Discussed potential mechanisms underlying observed changes in autoregulation.
  • Increased contractility observed with higher tension development per unit of time.
  • Demonstrated rapid pressure development from a given end-diastolic pressure or fiber length.
  • Changes in coronary flow were not found to be essential for this phenomenon.

Structured PICO

P
Population
Ventricle model (specifics not detailed in abstract)
I
Intervention
Increasing the activity of the ventricle (increasing the amount of tension developed per unit of time)
O
Outcome
Contractility (work and rate of pressure development from a given end-diastolic pressure or fiber length)surrogate

Describes homeometric autoregulation, demonstrating that increased ventricular tension development leads to increased contractility independent of end-diastolic fiber length or coronary flow.

Abstract

The effect of increasing the activity of the ventricle on its contractility was investigated. Several beats after the ventricle increases the amount of tension it develops per unit of time, it exhibits an increased contractility as shown by the increase in work and the more rapid development of pressure from a given end-diastolic pressure or fiber length. This has been termed homeometric autoregulation in contradistinction to the Frank-Starling or heterometric type of autoregulation. It was found that changes in coronary flow are not essential to the exhibition of this phenomenon. Possible mechanisms and the physiologic significance of the findings are discussed.

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Cite This Study

Sarnoff et al. (1960) studied this question. Increasing ventricular tension development was evaluated on Ventricular contractility (work and rate of pressure development). Increasing ventricular tension development per unit of time leads to increased contractility (homeometric autoregulation), a phenomenon that is independent of changes in coronary flow.

synapsesocial.com/papers/6a0908b2bee8d5ab8a92dba8https://doi.org/10.1161/01.res.8.5.1077
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