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June 1, 1961American Journal of Physiology-Legacy Content

Compensations of cardiac output and other circulatory functions in areflex dogs with large A-V fistulas

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Why the study?

Does opening large A-V fistulas affect cardiac output in areflex dogs compared to dogs with intact reflexes?

Population

20 dogs (10 made areflex by administration of total anesthesia, 10 with intact reflexes)

Comparison

Opening large A-V fistulas with flows equal to… vs Dogs with intact reflexes

Design

Preclinical

Follow-up

15-30 seconds

Authors

AGArthur C. GuytonEmory UniversityKSK SagawaGeneral Cardiology

Discussion

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Implication

Nonreflex mechanisms sustain most CO rise after A-V fistula in dogs; extends compensatory physiology but leaves human translation open.

Structured PICO

Does opening large A-V fistulas affect cardiac output in areflex dogs compared to dogs with intact reflexes?

P
Population
20 dogs (10 made areflex by administration of total anesthesia, 10 with intact reflexes)
I
Intervention
Opening large A-V fistulas with flows equal to the control cardiac output
C
Comparator
Dogs with intact reflexes
O
Outcome
Change in cardiac outputsurrogate

The circulation can compensate for most A-V fistula flow through nonreflex mechanisms such as increased venous return and Starling's principle, even in the complete absence of circulatory reflexes.

Cite This Study

Guyton et al. (1961) studied this question.

synapsesocial.com/papers/6a72edbd0659c579cd60d8bahttps://doi.org/10.1152/ajplegacy.1961.200.6.1157
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1EFFECT OF CARDIAC OUTPUT ON CIRCULATORY BLOOD VOLUME1977 · 21 citations
  2. 2Autoregulation of cardiac output by passive elastic characteristics of the vascular capacitance system.1990 · 48 citations
  3. 3The effect of chronic cardiac volume overload on regional myocardial blood flow in the dog1975 · 7 citations
  4. 4Effects of arteriovenous fistula on systemic and pulmonary circulations1964 · 38 citations
  5. 5Effect of Arteriovenous Fistula on Mean Arterial Blood Pressure, Coronary Blood Flow, Cardiac Output, Oxygen Consumption, Work and Efficiency1958 · 19 citations