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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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