Why the study?
Does the simultaneous application of mechanical ventilation and intraaortic balloon pumping improve ventricular energetics in a cardiovascular computer simulation?
Does the simultaneous application of mechanical ventilation and intraaortic balloon pumping improve ventricular energetics in a cardiovascular computer simulation?
Computer simulation suggests that combining mechanical ventilation with IABP improves cardiac mechanical efficiency and reduces pressure-volume area.
Answers are grounded in this paper and cite their sources.
Caution against clinical use based on simulation alone; leaves open whether combined IABP and MV improves energetics in vivo.
Computer simulation of a cardiovascular system enabled us to predict the effects of simultaneous application of mechanical ventilation (MV) and intraaortic ballon pumping (IABP) on ventricular energetics. External work (EW), pressure-volume area (PVA), potential energy (PE) and cardiac mechanical efficiency (CME) were calculated. Nummerical simulation showed that changes of positive intrathoracic pressure have a considerable effect on left and right ventricular EW, PE, PVA and CME, whether IABP is used or not. The right ventricular energetics was much less influenced by systemic resistance (Ras) changes than the left ventricular one. Simultaneous application of IABP and MV showed a remarkable effect on left ventricular EW. The net result was reversed sensitivity to pulmonary resistance (Rap) and reduced sensitivity to Ras. PVA was generally reduced, while CME is increased by simultaneous presence of IABP and MV. The sensitivity of CME to Rap and Ras variation was diminished in this situation.
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Lazzari et al. (2001) studied this question.
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