Coronary and cardiac responses to exercise after chronic ventricular sympathectomy

Patricia A. Gwirtz, Howard J. Mass, J. Robyn Strader, Carl E. Jones

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

This study examined the effects of chronic surgical ventricular sympathectomy on the relationships between left ventricular mechanical performance, coronary blood flow, and exercise workload in sham-operated control dogs and dogs which had been ventricular sympalhectomized 8 wk earlier. During exercise, left ventricular global contractile state was less in sympathectomized ventricles than in control ventricles, as indicated by reduced systolic pressure and maximal rate of pressure generation. Regional contractile shortening was not different. Heart rate was significantly elevated in sympathectomized ventricles. Therefore, peak systolic pressure-heart rate product and tension-time index were not different in sympathectomized ventricles compared to control ventricles. However, at each level of exercise, mean coronary flow in sympathectomized ventricles was reduced by about 50% compared to control values. The slopes of coronary flow on pressure-rate product and tension-time index were also reduced No difference in left ventricular oxygen extraction between control and sympathectomized hearts were observed. Thus, chronic ventricular sympathectomy altered the relationships between coronary flow and oxygen consumption, on the one hand, and ventricular oxygen-dependent performance and whole-body exercise level, on the other hand.

Original languageEnglish
Pages (from-to)126-135
Number of pages10
JournalMedicine and Science in Sports and Exercise
Volume20
Issue number2
DOIs
StatePublished - 1988

Keywords

  • Coronary blood flow
  • Exercise
  • MyO-cardial tension-time index
  • Myo-Cardial oxygen consumption
  • Myo-cardial pressure-rate product
  • Regional my O-cardial shortening

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