Key result
Serotonin and histamine infusions altered pulmonary vascular resistance (serotonin decreased Rv/total resistance from 0.42 to 0.32; histamine increased it to 0.62) while preserving phasic Pc.
Phasic pulmonary capillary pressure determined by ECG-controlled arterial occlusion accurately reflects pulmonary microvascular pulsatility under both baseline conditions and pharmacologically altered vascular resistance.
May support ECG-controlled arterial occlusion for phasic Pc assessment under altered resistance in animals; human translation untested.
In six open-chest dogs, electrocardiogram- (ECG) controlled pulmonary arterial occlusion was performed during the control period and during the infusions of serotonin and histamine. A temporal series of instantaneous pulmonary capillary pressure and the longitudinal distributions of vascular resistance and compliance were evaluated in the intact left lower lung lobe. In the control period, we found a significant phasic variation of pulmonary capillary pressure (Pc) with the cardiac cycle. The ratio of arterial to venous resistances (Ra/Rv) was 6:4, and the ratio of arterial to capillary compliances (Ca/Cc) was 1:11. During the infusions of serotonin and histamine, Pc showed similar phasic variations, despite significant hemodynamic changes induced by these agents. Serotonin predominantly increased Ra, whereas histamine predominantly increased Rv. The ratio of Rv to the total resistance decreased significantly from 0.42 to 0.32 during the infusion of serotonin and increased significantly to 0.62 during the infusion of histamine. The data suggest that phasic Pc determined by ECG-controlled arterial occlusion reflects the pulsatility in the pulmonary microvascular bed under control conditions and after alterations of the pulmonary vascular resistance by serotonin and histamine.
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Yamada et al. (1989) studied this question. Serotonin and histamine infusions vs. Control period was evaluated on Ratio of venous to total pulmonary vascular resistance. Serotonin and histamine infusions altered pulmonary vascular resistance (serotonin decreased Rv/total resistance from 0.42 to 0.32; histamine increased it to 0.62) while preserving phasic Pc.
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