Regional blood flow during periodic acceleration

被引:52
作者
Adams, JA [1 ]
Mangino, MJ
Bassuk, J
Kurlansky, P
Sackner, MA
机构
[1] Mt Sinai Med Ctr, Div Neonatol, Miami Beach, FL 33140 USA
[2] Mt Sinai Med Ctr, Div Pulm Dis, Miami Beach, FL 33140 USA
[3] Mt Sinai Med Ctr, Dept Res, Miami Beach, FL 33140 USA
[4] Miami Heart Res Inst, Miami Beach, FL USA
关键词
local circulation; vasodilation; inertial forces; nitrites; mediators; nitric oxide; tissue perfusion; biomechanical forces; periodic acceleration;
D O I
10.1097/00003246-200110000-00022
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objective. To determine whether a motion platform that imparts noninvasive periodic acceleration (pGz) forces to the body causes systemic vasodilation and changes local organ blood flow. Design. Prospective paired blocked design. Setting., Medical center research laboratory. Subjects., Juvenile Yorkshire pigs. Interventions. Juvenile pigs (12 kg) were anesthetized, paralyzed, and placed on a motion platform that oscillated at a frequency of 4 Hz and a force of similar to0.4 G. Measurements and Main Results. Regional blood flows, as assessed by colored microspheres, increased during pGz relative to values obtained before pGz. Blood flow (mL.min(-1).100 g(-1)) significantly increased to the epicardium (71%), endocardium (93%), cerebrum (183%), brain stem (177%), renal cortex (53%), ileal mucosa (69%), gastric antral mucosa (72%), and liver (86%). Spleen and skeletal muscle blood flow increased without statistical significance, 38% and 158% with pGz, relative to paired control values. Regional blood flows returned to baseline 10 mins after discontinuation of pGz, except in the myocardial layers, where blood flow remained significantly elevated. There was no difference compared with baseline in heart rate, arterial blood gases, and blood pressure, but serum nitrite concentration was significantly higher (58%) during pGz. In another series of animals, pGz increased pulmonary artery blood flow directly proportional to the magnitude of the applied acceleration force with frequency held constant. Conclusions, Periodic sinusoidal inertial forces in the spinal axis increase blood flow to tissues. The increased blood flow is reversible and may be caused by vasodilation secondary to local mediator release. These effects may be desirable in clinical conditions of low tissue oxygen delivery and perfusion.
引用
收藏
页码:1983 / 1988
页数:6
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