Table 1.
CPP | 140 | 130 | 120 | 110 | 100 | 90 | 80 | 70 | 60 | 50 | 40 |
---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | |||||||||||
Systolic blood pressure (mmHg) | |||||||||||
Control | 134 ± 9 | 133 ± 9 | 132 ± 8 | 132 ± 8 | 132 ± 8 | 131 ± 8 | 130 ± 8 | 129 ± 8 | 128 ± 8 | 125 ± 7 | 119 ± 6 |
4AP | 132 ± 9 | 134 ± 9 | 134 ± 9 | 130 ± 10 | 133 ± 10 | 131 ± 11 | 128 ± 11 | 128 ± 12 | 125 ± 11 | 120 ± 9 | 115 ± 8 |
Diltiazem | 103 ± 8*,† | 100 ± 8*,† | 99 ± 8*,† | 97 ± 7*,† | 95 ± 7*,† | 97 ± 8*,† | 97 ± 9*,† | 95 ± 9*,† | 93 ± 8*,† | 93 ± 9*,† | 82 ± 6*,† |
Diastolic blood pressure (mmHg) | |||||||||||
Control | 83 ± 6 | 82 ± 6 | 82 ± 7 | 82 ± 7 | 82 ± 7 | 81 ± 7 | 81 ± 7 | 81 ± 6 | 80 ± 6 | 81 ± 5 | 78 ± 5 |
4AP | 77 ± 4 | 77 ± 5 | 84 ± 5 | 79 ± 4 | S3 ± 5 | 80 ± 5 | 79 ± 5 | 79 ± 6 | 76 ± 5 | 76 ± 4 | 74 ± 4 |
Diltiazem | 69 ± 5 | 66 ± 5 | 66 ± 5† | 65 ± 4*,† | 63 ± 4*,† | 63 ± 4*,† | 63 ± 4*,† | 62 ± 4*,† | 61 ± 4*,† | 60 ± 4*,† | 54 ± 4*,† |
Mean aortic pressure (mmHg) | |||||||||||
Control | 108 ± 8 | 107 ± 8 | 106 ± 7 | 106 ± 7 | 106 ± 7 | 105 ± 7 | 105 ± 7 | 104 ± 7 | 103 ± 6 | 102 ± 6 | 97 ± 5 |
4AP | 101 ± 5 | 104 ± 7 | 107 ± 6 | 104 ± 7 | 106 ± 7 | 104 ± 7 | 102 ± 8 | 101 ± 8 | 98 ± 7 | 96 ± 6 | 93 ± 6 |
Diltiazem | 86 ± 6* | 83 ± 7*,† | 82 ± 6*,† | 81 ± 6*,† | 79 ± 5*,† | 80 ± 6*,† | 80 ± 6*,† | 78 ± 6*,† | 76 ± 6*,† | 76 ± 7*,† | 74 ± 7*,† |
Heart Rate (beats/min) | |||||||||||
Control | 50 ± 5 | 51 ± 5 | 51 ± 6 | 51 ± 6 | 52 ± 6 | 53 ± 7 | 61 ± 12 | 53 ± 7 | 53 ± 7 | 56 ± 6 | 61 ± 5 |
4AP | 49 ± 7 | 46 ± 7 | 46 ± 6 | 48 ± 7 | 48 ± 6 | 49 ± 7 | 48 ± 7* | 48 ± 7 | 48 ± 7 | 49 ± 6 | 52 ± 6* |
Diltiazem | 79 ± 8*,† | 80 ± 7*,† | 80 ± 6*,† | 81 ± 6*,† | 81 ± 7*,† | 77 ± 6*,† | 76 ± 6*,† | 77 ± 6*,† | 79 ± 6*,† | 76 ± 6*,† | 81 ± 6*,† |
Coronary blood flow (ml/min/g) | |||||||||||
Control | 0.76 ± 0.05 | 0.64 ± 0.04 | 0.58 ± 0.03 | 0.53 ± 0.03 | 0.50 ± 0.03 | 0.48 ± 0.03 | 0.45 ± 0.03 | 0.43 ± 0.03 | 0.39 ± 0.03 | 0.32 ± 0.04 | 0.23 ± 0.04 |
4AP | 0.55 ± 0.03* | 0.43 ± 0.03* | 0.44 ± 0.04* | 0.43 ± 0.03* | 0.39 ± 0.04* | 0.38 ± 0.05* | 0.37 ± 0.05* | 0.34 ± 0.04* | 0.31 ± 0.03* | 0.26 ± 0.02* | 0.17 ± 0.03* |
Diltiazem | 1.48 ± 0.18*,† | 1.30 ± 0.12*,† | 1.15 ± 0.09*,† | 0.99 ± 0.08*,† | 0.86 ± 0.06*,† | 0.70 ± 0.05*,† | 0.60 ± 0.03† | 0.51 ± 0.03† | 0.44 ± 0.03 | 0.37 ± 0.03 | 0.22 ± 0.03 |
Myocardial oxygen consumption (μl O2/min/g) | |||||||||||
Control | 69 ± 8 | 68 ± 8 | 66 ± 8 | 64 ± 7 | 64 ± 7 | 60 ± 7 | 58 ± 6 | 56 ± 6 | 51 ± 5 | 44 ± 5 | 32 ± 5 |
4AP | 59 ± 5* | 54 ± 4* | 51 ± 5* | 52 ± 5* | 48 ± 4* | 48 ± 6* | 47 ± 6* | 44 ± 5* | 41 ± 4* | 34 ± 3* | 26 ± 4 |
Diltiazem | 72 ± 17 | 68 ± 16 | 63 ± 16 | 64 ± 13 | 62 ± 11 | 56 ± 9 | 53 ± 7 | 50 ± 7 | 50 ± 6 | 40 ± 7 | 28 ± 5 |
Coronary venous PO2 | |||||||||||
Control | 27 ± 3.0 | 24 ± 2.3 | 21 ± 2.3 | 19 ± 2.6 | 18 ± 2.0 | 18 ± 2.0 | 17 ± 2.0 | 17 ± 1.2 | 16 ± 1.3 | 15 ± 0.7 | 15 ± 1.0 |
4AP | 23 ± 2.2* | 22 ± 1.7 | 21 ± 1.9 | 21 ± 1.5 | 19 ± 1.3 | 19 ± 1.4 | 19 ± 1.3 | 18 ± 1.5 | 17 ± 1.1 | 14 ± 0.9 | 14 ± 0.9 |
Diltiazem | 44 ± 5.3*,† | 42 ± 5.3*,† | 40 ± 5.1*,† | 37 ± 4.5*,† | 33 ± 3.9*,† | 31 ± 3.0*,† | 29 ± 2.6*,† | 26 ± 1.7*,† | 24 ± 1.6*,† | 21 ± 1.0† | 19 ± 1.2 |
dP/dT Max (mmHg/s) | |||||||||||
Control | 1,501 ± 114 | 1,501 ± 115 | 1,527 ± 121 | 1,532 ± 115 | 1,569 ± 113 | 1,551 ± 111 | 1,561 ± 106 | 1,559 ± 111 | 1,534 ± 1115 | 1,393 ± 130 | 1,135 ± 99 |
4AP | 1,362 ± 115 | 1,334 ± 121* | 1,351 ± 128* | 1,349 ± 125* | 1,258 ± 127* | 1,254 ± 110* | 1,228 ± 123* | 1,242 ± 127* | 1,200 ± 127* | 1,144 ± 135* | 999 ± 82 |
Diltiazem | 1,476 ± 239 | 1,491 ± 264 | 1,473 ± 265 | 1,477 ± 270 | 1,454 ± 251 | 1,456 ± 265 | 1,425 ± 270 | 1,426 ± 293 | 1,389 ± 279 | 1,365 ± 267 | 1,065 ± 130 |
dP/dT Min (mmHg/s) | |||||||||||
Control | −1,448 ± 159 | −1,455 ± 148 | −1,429 ± 148 | −1,359 ± 167 | −1,359 ± 150 | −1,338 ± 137 | −1,306 ± 130 | −1,276 ± 127 | −1,136 ± 134 | −1,016 ± 155 | −922 ± 146 |
4AP | −1,177 ± 132* | −1,148 ± 135* | −1,129 ± 133* | −1,086 ± 133* | −1,124 ± 155* | −1,079 ± 156* | −1,058 ± 147* | −1,058 ± 140* | − 987 ± 131 | − 879 ± 127 | −744 ± 114 |
Diltiazem | −1,330 ± 117 | −1,271 ± 110 | −1,292 ± 116 | −1,290 ± 125 | −1,278 ± 127 | −1,305 ± 156 | −1,265 ± 171 | −1,212 ± 154 | −1,185 ± 139 | −1,138 ± 169 | −786 ± 165 |
Values are mean ± SE for Control, 4AP (n = 7), and diltiazem (n = 5)
P < 0.05 versus control same CPP;
P < 0.05 versus 4AP same CPP