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June 1, 1987Circulation ResearchOpen Access

Coronary artery hemodynamics in conscious dog during cardiac tamponade.

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Key result

Progressive cardiac tamponade caused a continuous decline in coronary artery blood flow from 1.26 to 0.53 ml/min/g (p<0.01) without evidence of lactate production.

Why the study?

Does progressive cardiac tamponade alter coronary artery blood flow and myocardial oxygen requirements in a conscious dog model?

Population

Seven mongrel dogs, chronically instrumented, conscious euvolemic canine model recovered from surgery

Comparison

Progressive cardiac tamponade induced by… vs Baseline (pericardial space drained of fluid)

Design

Preclinical

Follow-up

within 25 minutes

Authors

HKH S KlopfensteinAtrium Health Wake Forest BaptistGBG A BernathAtrium Health Wake Forest BaptistTCT L CogswellAtrium Health Wake Forest Baptist

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Implication

Supports reduced coronary flow without ischemia in dogs; leaves open human translation and clinical relevance.

Structured PICO

Does progressive cardiac tamponade alter coronary artery blood flow and myocardial oxygen requirements in a conscious dog model?

P
Population
7 conscious euvolemic mongrel dogs recovered from surgery undergoing progressive cardiac tamponade induced by intrapericardial saline infusion.
I
Intervention
Progressive cardiac tamponade induced by intrapericardial saline infusion to the point of hemodynamic decompensation (within 25 minutes)
C
Comparator
Baseline (pericardial space drained of fluid)
O
Outcome
Coronary artery blood flow, myocardial oxygen consumption, and myocardial oxygen extractionsurrogate

Main Result

Absolute Event Rate: 0.53% vs 1.26%

p-value: p=<0.01

In a conscious dog model, progressive cardiac tamponade reduces coronary blood flow and myocardial oxygen consumption without causing myocardial ischemia or lactate production.

Cite This Study

Klopfenstein et al. (1987) studied Cardiac tamponade (n=7). Progressive cardiac tamponade induced by intrapericardial saline infusion vs. Baseline (pericardial space drained of fluid) was evaluated on Coronary artery blood flow (ml/min/g) (p=<0.01). Progressive cardiac tamponade caused a continuous decline in coronary artery blood flow from 1.26 to 0.53 ml/min/g (p<0.01) without evidence of lactate production.

synapsesocial.com/papers/6a93be6cb0d45d363c452dd2https://doi.org/10.1161/01.res.60.6.845

Topics

Coronary CT angiography
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Also Consider

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

  1. 1The effect of cardiac tamponade on coronary haemodynamics in the awake dog1975 · 31 citations
  2. 2Influences on the distribution of blood flow during cardiac tamponade in the conscious dog.1987 · 11 citations
  3. 3Regional myocardial blood flow during pericardial tamponade1984 · 6 citations
  4. 4The hemodynamic derangement associated with right ventricular diastolic collapse in cardiac tamponade: an experimental echocardiographic study.1983 · 137 citations
  5. 5Arterial and venous coronary pressure-flow relations in anesthetized dogs. Evidence for a vascular waterfall in epicardial coronary veins.1984 · 63 citations