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April 1, 1978Circulation ResearchOpen Access

Regulation of cardiac output by stroke volume and heart rate in conscious dogs.

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Why the study?

How do stroke volume and heart rate mediate increases in cardiac output in response to elevations in preload, inotropic state, or exercise in conscious dogs?

Population

15 conscious dogs with low, physiological heart rates

Comparison

Elevations in preload, hemorrhage, inotropic… vs Baseline/control state

Design

Preclinical

Authors

SVStephen F. VatnerHeart Failure & TransplantDBD BoettcherBrigham and Women's Hospital

Discussion

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Overview

Questions reliance on stroke volume for cardiac output rises in conscious states; challenges anesthetized-model assumptions and leaves open human translation.

Structured PICO

How do stroke volume and heart rate mediate increases in cardiac output in response to elevations in preload, inotropic state, or exercise in conscious dogs?

P
Population
15 conscious dogs with low, physiological heart rates
I
Intervention
Elevations in preload (volume loading with saline or blood), hemorrhage, inotropic state (isoproterenol, dobutamine), combined sympathomimetic amine infusion and volume loading, and severe exercise
C
Comparator
Baseline/control state
O
Outcome
Changes in cardiac output, stroke volume, and heart ratesurrogate

In conscious dogs with low resting heart rates, increases in cardiac output in response to volume loading or inotropes are mediated primarily by increases in heart rate rather than stroke volume.

Cite This Study

Vatner et al. (1978) studied this question.

synapsesocial.com/papers/6a89641eb4e829b19bd44595https://doi.org/10.1161/01.res.42.4.557
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Also Consider

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

  1. 1Constancy of stroke volume in ventricular responses to exertion1959 · 171 citations
  2. 2Effect of Acute Volume Loading on Heart Rate in the Conscious Dog1972 · 32 citations
  3. 3Pathways regulating cardiovascular changes during volume loading in awake dogs1976 · 23 citations
  4. 4Left Ventricular Response to Severe Exertion in Untethered Dogs1972 · 122 citations
  5. 5Reduced baroreflex sensitivity with volume loading in conscious dogs.1975 · 120 citations