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Departments of Medicine and of Physiology and Biophysics, University of Washington, Seattle, Washington 98195
Received 29 May 1996; accepted in final form 6 November 1996.
Glenny, Robb W., Steven McKinney, and H. Thomas Robertson.
Spatial pattern of pulmonary blood flow distribution is stable
over days. J. Appl. Physiol. 82(3):
902-907, 1997.
Despite the heterogeneous distribution of regional
pulmonary perfusion over space, local perfusion remains stable over
short time periods (20-100 min). The purpose of
this study was to determine whether the spatial distribution of
pulmonary perfusion remains stable over longer time periods (1-5
days). Regional blood flow was measured each day for 5 days in five awake standing dogs. Fluorescent microspheres of different
colors were injected into a limb vein over 30 s on each day. After the
last microsphere injection, the dogs were killed, and lungs were
flushed free of blood, excised, dried at total lung capacity, and diced
into ~2-cm3 pieces
(n = 1,296-1,487 per dog).
Relative blood flow to each piece on each day was determined by
extracting the fluorescent dyes and determining the concentrations of
each color. We established that blood flow is spatially
heterogeneous with a coefficient of variation of 29.5 ± 2%. Blood flow to each piece is highly correlated with flow to the
same piece on all days (r = 0.930 ± 0.006). The temporal heterogeneity of regional perfusion as measured by the coefficient of variation is 6.9 ± 0.7% over the 5 days and is nonrandom. The magnitude of spatial and temporal variation
is significantly less than previously reported in a study in which
anesthetized and mechanically ventilated dogs were used. We conclude
that spatial distribution of pulmonary blood flow
remains stable over days and we speculate that in the normal awake dog
regional perfusion is determined primarily by a fixed structure such as
the geometry of the pulmonary vascular tree rather than by local
vasoactive regulators. Anesthesia and/or mechanical ventilation
may increase the temporal variability in regional
perfusion.
regional perfusion; temporal heterogeneity; fluorescent microspheres; awake dogs
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