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J Appl Physiol 87: 1339-1345, 1999;
8750-7587/99 $5.00
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Vol. 87, Issue 4, 1339-1345, October 1999

INVITED REVIEW
Impaired load dependence of diaphragm relaxation during congestive heart failure in the rabbit

Y. Lecarpentier, C. Coirault, O. Langeron, F. X. Blanc, S. Salmeron, P. Attal, B. Riou, and D. Chemla

Services de Physiologie Cardiovasculaire et Respiratoire, de Médecine Interne et d'Oto-Rhino- Laryngologie, Centre Hospitalier Universitaire de Bicêtre, Assistance Publique-Hôpitaux de Paris, Université Paris XI, F-94275; Institut National de la Santé et de la Recherche Médicale U 451, Laboratoire d'Optique Appliquée-École Nationale Supérieure des Techniques Avancées-Ecole Polytechnique, F-91761 Palaiseau Cedex; and Département d'Anesthésie-Réanimation, Groupe Hospitalier de la Pitié Salpétrière, Université Paris VI, F-75013 France

The load dependence (LD) of relaxation was studied in the diaphragm of rabbits with congestive heart failure (CHF). CHF (n = 15) was induced by combined chronic volume and pressure overload. Aortic insufficiency was induced by forcing a catheter through the aortic sigmoid valves, followed 3 wk later by abdominal aortic stenosis. Six weeks after the first intervention, animals developed CHF. Sham-operated animals served as controls (C; n = 12). Diaphragm mechanics were studied in vitro on isolated strips, at 22°C, in isotonic and isometric loading conditions. Contractility was lower in the CHF group, as reflected by lower total tension: 1.11 ± 0.10 in CHF vs. 2.38 ± 0.15 N/cm2 in C in twitch (P < 0.001) and 2.46 ± 0.22 in CHF vs. 4.90 ± 0.25 N · cm-2 in C in tetanus (P < 0.001). The index LD was used to quantify the load dependence of relaxation: LD is <1 in load-dependent muscles and tends toward 1 in load-independent muscles. LD was significantly higher in CHF than in C rabbits, in both twitch (0.99 ± 0.01 vs. 0.75 ± 0.03; P < 0.001) and tetanus (0.95 ± 0.02 vs. 0.84 ± 0.02; P < 0.001). In the CHF rabbits' diaphragm, the fall in total tension was linearly related to the fall in load dependence of relaxation. The decrease in load dependence of relaxation in CHF animals suggests sarcoplasmic reticulum abnormalities. Impairment of the sarcoplasmic reticulum may also partly account for the decrease in contractile performance of diaphragm in CHF animals.

sarcoplasmic reticulum; cardiac hypertrophy


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H. W. H. van Hees, H. F. M. van der Heijden, C. A. C. Ottenheijm, L. M. A. Heunks, C. J. C. Pigmans, F. W. A. Verheugt, R. M. H. J. Brouwer, and P. N. R. Dekhuijzen
Diaphragm single-fiber weakness and loss of myosin in congestive heart failure rats
Am J Physiol Heart Circ Physiol, July 1, 2007; 293(1): H819 - H828.
[Abstract] [Full Text] [PDF]




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