The Limits of Right Ventricular Compensation Following Acute Increase in Pulmonary Circulatory Resistance
Author(s) -
Arthur C. Guyton,
A. W. Lindsey,
John J. Gilluly
Publication year - 1954
Publication title -
circulation research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.899
H-Index - 336
eISSN - 1524-4571
pISSN - 0009-7330
DOI - 10.1161/01.res.2.4.326
Subject(s) - circulatory system , cardiology , ventricle , constriction , medicine , pulmonary artery , vascular resistance , reflex , circulatory failure , anesthesia , hemodynamics
The ability of the right ventricle to compensate as the pulmonary artery is constricted appears to be determined by four major factors: (1) there occurs the well-known increased force of contraction as the right heart becomes distended; (2) the adequacy of the coronary circulation determines to a great extent the Degrees of pulmonary arterial constriction which can occur before failure occurs; (3) the circulatory reflexes apparently aid the compensation to a moderate extent; and (4) the greater the blood volume, the greater is the limit of compensation before right ventricular failure occurs.
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