Graded lower body negative pressure induces intraventricular negative pressures and incremental diastolic suction: a pressure-volume study in a porcine model

Author:

Berboth Leonhard1ORCID,Zirngast Birgit2,Manninger Martin3,Steendijk Paul4,Tschöpe Carsten1,Scherr Daniel3,Hinghofer-Szalkay Helmut G.5,Goswami Nandu56ORCID,Petersen Lonnie G.78ORCID,Mächler Heinrich2,Alogna Alessio1910ORCID

Affiliation:

1. Department of Internal Medicine and Cardiology, Charité—Universitätsmedizin Berlin, Berlin, Germany

2. Department of Cardiac Surgery, Medical University of Graz, Graz, Austria

3. Department of Cardiology, University Clinic of Medicine, Medical University of Graz, Graz, Austria

4. Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands

5. Institute of Physiology, Centre of Physiological Medicine, Medical University of Graz, Graz, Austria

6. Mohammed Bin Rashid University of Medicine and Health Science, Dubai Healthcare City, Dubai, United Arab Emirates

7. Department of Radiology, University of California, San Diego, California

8. Mechanical and Aerospace Engineering, University of California, San Diego, California

9. Berlin Institute of Health, Charité—Universitätsmedizin Berlin, Berlin, Germany

10. DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany

Abstract

This study examined the effects of incremental lower body negative pressure (LBNP) from −15 to −45 mmHg on hemodynamic regulation using invasive pressure-volume assessment in closed-chest pigs. Graded preload reduction via LBNP induces negative left ventricular (LV) pressures while increasing LV suction and thus allowing the ventricle to eject below the equilibrium volume at the end of systole. Accordingly, LBNP-induced central hypovolemia is associated with increased diastolic suction.

Funder

K.H. Tscheliessnigg Foundation

Berlin Institute of Health

Publisher

American Physiological Society

Subject

Physiology (medical),Physiology

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