Key result
Increasing cardiac output cuts the local contribution factor ~67%, suggesting more efficient total work transformation.
Why the study?
The relationship between local auxotonic force, segment length, and work in the right ventricular free wall under varying cardiac output conditions was not well characterized.
In a canine model, transformation of local into total right ventricular work becomes more efficient at higher cardiac outputs, or structures other than the free wall become increasingly important for RV pump function.
Answers are grounded in this paper and cite their sources.
May refine RV work models at high output; leaves open translation from canine data to human disease.
Regional auxotonic force (F) and segment length (SL) were measured in the right ventricular (RV) free wall of 10 anesthetized dogs. F was obtained with a Feigl force gauge and SL with ultrasonic crystals positioned in the inflow or outflow region and in the longitudinal or transverse direction. Although the time courses of right ventricular pressure and force were almost identical, the timing of right ventricular ejection had little relationship to specific parts of the force-segment-length loop. Thus local F vs. SL loops were of irregular form signifying local lengthening or shortening in isovolumic periods. Local work, i.e., F vs. SL loop area, increased linearly with cardiac output (CO), which was varied by volume expansion or reduction. A predominant contribution to total RV work from any particular region and direction was not observed. A "local contribution factor" [eta, defined as (local work/local area)/(total RV work/free wall area)] fell with increased CO from 2.1 +/- 0.5 at 1.1 l/min to 0.7 +/- 0.2 at 4.8 l/min. This observation suggests that transformation of local into total work became more efficient at higher CO or that structures other than the free wall became increasingly important for RV pump function at higher output levels.
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Piene et al. (1983) studied this question. Variation of cardiac output via volume expansion or reduction was evaluated on Local contribution factor (local work/local area divided by total RV work/free wall area). The local contribution factor fell with increased cardiac output from 2.1 +/- 0.5 at 1.1 L/min to 0.7 +/- 0.2 at 4.8 L/min, suggesting more efficient transformation of local into total work.
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