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Systolic and diastolic ventricular function in the normal and extra‐embryonic venous clipped chicken embryo of stage 24: a pressure–volume loop assessment
Author(s) -
Stekelenburgde Vos S.,
Steendijk P.,
Ursem N. T. C.,
Wladimiroff J. W.,
Poelmann R. E.
Publication year - 2007
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.5137
Subject(s) - medicine , cardiology , hemodynamics , diastole , blood pressure , cardiac function curve , compliance (psychology) , embryo , venous return curve , heart failure , biology , microbiology and biotechnology , social psychology , psychology
Objectives Fluid mechanical forces affect cardiac development. In the chicken embryo, permanent obstruction of the right lateral vitelline vein by clipping reduces the mechanical load on the embryonic myocardium, which has been shown to induce a spectrum of outflow tract anomalies. Insight into the effects of this intervention on the mechanical function of the developing myocardium could contribute to a better understanding of the relationship between hemodynamics and cardiac morphogenesis. We aimed to explore the effects of clipping on intrinsic systolic and diastolic ventricular function at stage 24 in the chicken embryo Methods Cardiac pressure–volume relationships enable load‐independent quantification of intrinsic ventricular systolic and diastolic properties. We determined ventricular function by pressure–volume loop analysis of in‐ovo stage‐24 chicken embryos ( n = 15) 2 days after venous obstruction at 2.5 days of incubation (stage 17, venous clipped embryos). Control embryos ( n = 15) were used for comparison. Results End‐systolic volume was significantly higher in clipped embryos (0.36 ± 0.02 µL vs. 0.29 ± 0.02 µL, P = 0.002). End‐systolic and end‐diastolic pressure were also increased compared with control animals (2.93 ± 0.07 mmHg vs. 2.70 ± 0.08 mmHg, P = 0.036 and 1.15 ± 0.06 mmHg vs. 0.82 ± 0.05 mmHg, P < 0.001, respectively). No significant differences were demonstrated for other baseline hemodynamic parameters. Analysis of pressure–volume relationships showed a significantly lower end‐systolic elastance in the clipped embryos (slope of end‐systolic pressure–volume relationship: 2.91 ± 0.24 mmHg/µL vs. 7.53 ± 0.66 mmHg/µL, P < 0.005) indicating reduced contractility. Diastolic stiffness was significantly increased in the clipped embryos (slope of end‐diastolic pressure–volume relationship: 1.54 ± 0.21 vs. 0.60 ± 0.08, P < 0.005), indicating reduced compliance. Conclusion Venous obstruction apparently interferes with normal myocardial development, resulting in impaired intrinsic systolic and diastolic ventricular function. These changes in ventricular function may precede morphological derangements observed in later developmental stages. Copyright © 2007 ISUOG. Published by John Wiley & Sons, Ltd.