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Received November 19, 2003
Revised December 8, 2003
Accepted after revision January 5, 2004
1 University of Leeds
* To whom correspondence should be addressed. E-mail: cvsmjd{at}leeds.ac.uk.
We investigated whether the reflex responses to
stimulation of pulmonary arterial baroreceptors were
altered by intrathoracic pressure changes similar to
those encountered during normal breathing. Dogs were
anaesthetized with
- chloralose, a
cardiopulmonary bypass was established, and the
pulmonary trunk and its main branches as far as the
first lobar arteries were vascularly isolated and
perfused with venous blood. The chest was closed
following connection to the perfusion circuit and
pressures distending the aortic arch, carotid sinus and
coronary artery baroreceptors were controlled. Changes
in the descending aortic (systemic) perfusion pressure
(SPP; flow constant) were used to assess changes in
systemic vascular resistance. Values of SPP were plotted
against mean pulmonary arterial pressure (PAP) and
sigmoid functions applied. From these curves we derived
the threshold pressures (corresponding to 5 % of the
overall response of SPP), the maximum slopes (equivalent
to peak gain) and the corresponding PAP (equivalent
to 'set point'). Stimulus-response curves were compared
between data obtained with intrathoracic pressure at
atmospheric and with a phasic intrathoracic pressure
ranging from atmospheric to around -10 mmHg (18 cycles
min-1). Results were obtained from seven dogs and are
given as means ± SEM. Compared to the values obtained
when intrathoracic pressure was at atmospheric, the
phasic intrathoracic pressure decreased the pulmonary
arterial threshold pressure in 5 dogs; average change
from 28.4 ± 5.9 to 19.3 ± 5.9 mmHg (P > 0.05). The
inflexion pressure was significantly reduced from 37.8 ±
4.8 to 27.4 ± 4.0 mmHg (P < 0.03), but the slopes of the
curves were not consistently changed. These results have
shown that a phasic intrathoracic pressure, which
simulates respiratory oscillations, displaces the
stimulus-response curve of the pulmonary arterial
baroreceptors to lower pressures so that it lies within
a physiological range of pressures.
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