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Transcript
Circulation in the Three - Chambered Snake Heart
By
K J E L L JOHANSEN, CAND. READ.
Our knowledge on the physiologic evolution of the cardiovascular system is fragmentary.
The reptiles and the snakes in particular represent a stage where our knowledge is
especially poor. The present study deals with the circulatory dynamics of the snake
heart. It may bo suggested that the snake heart effectively prevents extensive mixing
of arterial and venous blood. The durations of ventricular filling and contraction differ
"•reatlv from that in the mammalian heart.
5 specimens of the viper, Vipera benis. The
grass snakes weighed from 150 to 220 Gin. and
the vipers approximately 100 Gra, The length of
the snakes ranged from 60 to 130 cm. The snakes
were placed in polyvinyl tubes, slightly longer
than the animals. The inner diameter of the tubes
was likewise slightly larger than that of the animals to allow for unrestricted respiratory movements. The snakes were fastened to the tubes by
needles through the tube wall and the skin of the
animals. The operations necessary to dissect free
the heart and vessels were performed through
windows in the poly-vinyl tube. Following this
procedure the animals were always well confined.
Electrocardiograms were recorded by means of
needle electrodes placed subcutanously in the animals. One electrode was placed near the heart in
cranial position while the other was placed near
the cloacal opening. The pressures in the heart
and vessels were obtained either through small
cannulas (18 gage) or catheters (P.E. 50, 0.5S
mm. I. D. 0.965 mm. O. D. 20 cm. long) and recorded by means of Statham pressure transducers
on a Sanborn recorder. The pressure transducers
were always placed level with the tip of the catheter and level served as the zero of the manometers.
In several experiments an indirect, nontraumatizing method for recording of blood pressure was
used.2
Relative variations in pressure were obtained by
photoelectric recording of variations in the short
axis of the vessel cross-section during slight compression of the vessel. The method has practically
no instrumental phase lag regarding the beginning
of pressure rise and is of great value for timing
of dynamic circulatory events.
In order to avoid changes in body temperature,
the experiments were performed in a temperature
stabilized room.
T
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H E cardiovascular system in reptiles covers an important stage in the physiologic
phylogeny of circulation. The three-chambered reptilian heart (crocodiles excepted)
has a complete atrial septum while the single
ventricle is subdivided by an incomplete septum. The conus arteriosus is absent and the
arterial trunks have separate origins from the
lumen of the ventricle. 1
The amphibian heart, on the other hand,
has an atrial septum which in most, cases is
perforated. The ventricle has no septum and
the ventricular wall has developed several
muscular trabeculae giving it a cavernous
structure. The blood leaves the ventricle
through the conus arteriosus which is followed
by a bipartient truncus arteriosus. The ventral part of this truncus leads to the pulmonary artery, while the dorsal part gives rise
to the aorta. Thus the reptilian heart is distinctly advanced over the amphibian heart,
and shows an obvious approach toward a condition found in the higher amniotes. However, there is no complete separation of the
pulmonary and systemic circuits.
The present study seems to be the first one
dealing with the dynamics of circulation in
the snake heart which, among the reptiles, is
specially well suited to studies of this kind.
The elongated body form, with the visceral
organs lying one after another, make special
demands on the heart capacity.
METHODS
RESULTS
The material used consists of 14 specimens of
the common grass snake, Tripoclonotus natrix, and
The blood pressure in the left and dorsal
aorta showed relatively great individual variations. Thus the highest values of systemic
blood pressure recorded during the experi-
From the University Institute for Experimental
Medical Research, Ullevaal Hospital, Oslo, Xorway.
Received for publication April 9, 1959.
828
Circulation Research, Volume VII, November 1959
THKEE-CHAMBERED SNAKE HEAET
ECG
T P
829
T P.
mmHg
ECG
45
40
mmHg
35
ECG
I
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FIG. 1 Top. Blood pressure record from the left
aorta of a grass-snake, Tripodonotus natrix, weight
170 Gni., length 130 cm. Time marTcs, 1 sec.
FIG. 2 Middle. Blood pressure record from the
pulmonary artery of a grass-snake, weight 170 Gm.,
length 130 cm. Time marks, 1 sec.
ments were 80 mm. Hg systolic and 66 mm.
Hg diastolic, with a pulse pressure of 14 mm.
Hg. More often, the blood pressure ranged
from 50 to 60 mm. Hg systolic and 40 to 50
diastolic. Figure 1 shows a representative
tracing of blood pressure recorded in the left
aorta. The notable features are the extraordinarily long Q-T duration and the short T-P
interval in the electrocardiogram. The pulse
contour is similar to that seen in mammals.
A pressure record from the pulmonar}artery is shown in figure 2. The diastolie pressure is lower than the systemic diastolic, while
the systolic pressures of both show only small
differences. Thus the pulmonary pulse pressure is approximately 20 mm. Hg or about
twice as large as that from the left aorta. The
pulmonary artery pulse curve shows an earlier start than that recorded from the left
aorta (fig. 3). The difference in time is about
0.04 to 0.05 sec. This finding was reinvestigated with the photoelectric method and the
same difference in time was encountered.
Likewise the Statham manometers were interchanged in order to exclude differences in the
manometric systems. Thus this finding rests
on a physiologic basis, rather than being an
instrumental artifact.
1 second
FIG. 3 Bottom. Blood pressures in the left aorta
and pulmonary artery of a snake. Note the earlier
start of pressure rise in the pulmonary artery.
The efficiency of the pulmonary and aortic
valves was tested by retrograde infusion of
saline into the heart. These experiments revealed a high degree of valvular efficiency in
the snake heart.
The intracardiac pressures are shown in
figure 4. The intraventricular pressure ranged
between 40 to 70 mm. Hg systolic and approximately zero diastolic. A ventricular
period of diastasis is absent and this finding
correlates with the very long Q-T interval.
The atrial pressures ranged from 3 to 5 mm.
Hg systolic and slightly above zero diastolic.
The systolic pressure in the left atrium was
on several occasions higher than that of the
right atrium.
The systolic pressures in the left and right
aorta were essentially similar. The aortic pressure records show a slow diastolic gradient
which points toward a considerable amount
of peripheral resistance. The period of isometric contraction (fig. 5) varied between 0.08
and 0.15 sec. and the isometric relaxation period showed a definitely longer duration. The
total duration of the ventricular systole (60
to 70 heart beats/min.) varied between 0.35
and 0.48 sec. It was further observed on several occasions that whenever the snakes became restless a higher frequency occurred.
The propagation of the arterial pulse
throughout the dorsal aorta of a snake is
shown in figure 6. The velocity of propagation
JOHANSBN
830
ECG
Left aortic
pressure
Right
atrium
Ventricular
pressure
Left
atrium
mmHg
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50
25
0
Dorsal aorta
R cm behind heart
Ventricle
1
Isec
Dorsal aorta
32 cm behind heart
'
TIG. 4. Intra cardiac pressure relations in the snake
heart.
was around 1.3 M./sec. From other experiments the value has been found to vary between 1.2 and 1.5 M./sec.
DISCUSSION
The values reported regarding pressures in
the heart and vessels of snakes are consistently
higher than those reported for other reptiles.
Steggerda and Essex3 found ventricular systolic pressures around 32 mm. tig in the mud
turtle (Chelhydta serpentina). The systolic
pressure in the left aorta was around 30 mm.
Hg with a pulse pressure around 10 mm. Hg.
It is conceivable that the snake heart has
established a greater pumping capacity in accordance with the relatively longer arterial
tree that necessarily results from the elongated
body form. It may also be that the snakes
studied, living 60° N have developed a more
efficient circulation by adaptation to the colder
climate.
The pulse contour from the aortic pressure
in snakes shows a diastolie gradient pointing
toward a high peripheral resistance allowing
a gradual efflux from the arterial reservoirs
during diastole. Comparing the left aortic
pressure drop with that of the ventricle it is
completely shut off from the aorta. Thus the
1 second
FIG. 5 Top. Diagram showing the period of isometric contraction (a-6) and isometric relaxation
(c-d) in the snake heart.
FIG. 6 Bottom. Propagation of the arterial pulse
in the dorsal aorta of a snake.
apparent that during this period the heart is
aortic semilunar valves seem effectively to
prevent regurgitation during diastole.
There are important differences between
aortic and pulmonary pressures. The pulse
pressure in the pulmonary artery is twice as
large as that recorded in the left aorta. This
finding agrees with what Steggerda and Essex
found in the turtle. The greater pulse pressure probably results from a lesser resistance
in the lung vessels than in the systemic circuit. The mean pressure in the pulmonary
vein may be considered low and the high pressure gradient between the pulmonary artery
and vein leads to a high velocity of the blood
in the pulmonary circuit. This situation resembles that seen in mammals, but the relatively higher pulmonary arterial pressure in
snakes further accentuates this phenomenon.
The low diastolie pressure in the pulmonary
artery has obvious consequences. During ventricular systole the ejection of blood must
necessarily first start through the pulmonary
THREE-CHAMBERED SNAKE HEART
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trunk because of the least resistance there.
This artery leaves the heart close to the entrance of the great systemic veins whereby
the venous blood preferentially fills the pulmonary artery during ventricular contraction.
Although the pressure rise in the pulmonary
artery appears only around 0.5 sec. before the
pressure rise in the aorta, this may be a factor preventing extensive shunting of venous
blood to the systemic apertures. It seems
likely that inside the ventricle a directional
flow from left to right is favored, evidently
similar to the situation encountered in the
mammalian heart with congenital ventricular
septal defects.3 Steggerda and Essex followed
the course of blood through the heart and
great vessels of the turtle by means of dye
dilution technic. They reported that the dye
injected into the right atrium appears very
rapidly in the pulmonary artery and only a
small fraction appears in the aortas.
The recorded pressures revealed a difference between the systolic pressures in the left
and right atrium. Steggerda and Essex reported from their experiments on turtles that
the systolic pressure in the left atrium was
more variable than that of the right atrium.
The authors felt that this might be related to
the capacity and pressure of the circulation
through the lung. On the basis of the present
study it may be suggested that the relatively
great pressure gradient through the lung with
its probably high flow result in a permanently
increased pressure in the left atrium. The
consequence, however, may be that already
during ventricular filling, i.e., atrial contraction, there will be slight pressure gradients
and left-to-right shunts inside the ventricle.
The dynamics of heart beat in the snake thus
seem to prevent a high degree of venous blood
admixture to the arterial side of the ventricle.
Tt may be mentioned that Steggerda and Essex found only slight changes in oxygen saturation between the right and left aorta and
that these vessels carried blood with far
greater oxygen content than did the pulmonary artery. This finding is contradictory to
older reports 4-5 based on anatomic features
831
rather than exact physiologic measurements.
In agreement with the findings of Steggerda
and Essex, the present study revealed no difference in systolic pressures between the right
and left side of the ventricle. A comparison
of the pressures in the ventricle and left aorta
reveal a distinct period of isometric contraction (fig. 5 a, b). The duration of isometric
contraction is in good accord Math that reported by Shannon and Wiggers0 experimenting on the frog and turtle hearts. Likewise the
period of isometric relaxation is definitely
longer than isometric contraction, also agreeing with the report of Shannon and Wiggers.
Another point of interest has to do with the
correlation of electrical and mechanical
changes throughout the heart cycle. The
snakes exhibit an extraordinarily brief isopotential period between the T-wave and P-wave,
in relation to the whole cardiac cycle. The T-P
interval is only about one seventh the P-P
duration. This peculiar situation is likewise
reported for other species of reptiles. Davies
et al.7 studied the electrocardiograms of the
Nile crocodile and reported a T-P interval
that is one fourth the entire cycle. Among
several other investigators, Wiggers8 states
that the end of ventricular systole cannot be
definitely related to any phase of the T-wave.
If, however, the completion of the T-wave indicates that repolarization has been completed,
the period between repolarization and the
next depolarization is extremely short and
obviously different from that in the mammalian heart cycle.
The absence of a definite period of diastasis
in snakes seems to have a bearing on the extraordinarily long duration of ventricular
activity in these animals. Another consequence
must be that ventricular filling chiefly takes
place during atrial contraction and thereby
differs entirely from ventricular filling in
mammals which mainly takes place prior to
and during ventricular diastasis.
SUMMARY
The dynamics of heart beat have been studied in snakes. The pressures in the left aorta
832
J0J1AXSEN
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showed values of 50 to 60 mm. Hg systolic and
40 to 50 mm. Hg diastolic. The systolic pressure in the pulmonary artery was equal to
that in the systemic arteries, while the diastolic pressure was distinct]}' lower. The pressure in the left atrium showed values more
variable and higher than those fiom the right
atrium. The circulatory dynamics of the snake
heart seems to prevent a high degree of admixture of venous blood to the arterial side
of the ventricle.
The ventricular pressure record lacks a definite period of diastasis. The extraordinarily
long duration of ventricular activity is also
revealed from the electrocardiograms. The
ventricular filling in snakes must chiefly take
place during atrial contraction and thereby
differ from the situation seen in mammals.
SUMMARIO IN INTERUNGUA
Le dynarnica del pulso cardiac esseva studiate in serpentes. Le tension in le aorta sinistre habeva valores de 50 a 60 mm Hg systolic
e de 40 a 50 mm de Hg diastolic. Le tension
systolic in le arteria pulmonar esseva equal al
tension systolic in le arterias systemic durante
quc le tension diastolic in le arteria pulmonar
esseva distinctemente plus basse. Le tension
in le atrio sinistre inonstrava valores plus variabile e plus alte que le tension in le atrio
dextere. II pare que le dynamica cireulatori
del corde de serpentes preveni un alte grado
de adinixtion de sanguine venose al latere
arterial del ventriculo.
Le curvas del tension ventricular non exhibi
un definite periodo de diastase. Le extraordinarimente longe duration del activitate ventricular es etiam revelate per le electrocardiogramma. On debe supponer que le plenation
ventricular in serpentes occurre primarimentc
durante le contraction atrial. Isto differe ab
le situation in mammiferos.
REFERENCES
1. MATHUR, P. X.: The anatomy of the reptilian
heart. Proe. Indian Acad. Sc. 20: 1, 1944;
23: 129, 1946.
2. WEHN, P. S.: Pulsatory Activity of Peripheral Arteries. Oslo, Oslo University Press,
1957.
:). STEGGERDA, F. R., AND ESSEX, H. E.: Circula-
tion and blood pressure in the great vessels
and heart of the turtle (Chelydra serpeniinu). Am. J. Physiol. 190: 310, 1957.
;
l. GOODRICH, E. S.: Note on the reptilian heart.
J. Anat. 53: 298, 1919.
n
. EWER, R. F.: Haemodynnmic factors in the
evolution of the double circulation in the
vertebrates. Am. Naturalist 84: 215, 1950.
(i. SHANNON, E. W., AND WIGGERS, C. J.:
The
dynamics of the frog and turtle hearts. The
non-refractory phase of systole. Am. J.
Physiol. 128: 709, 1939.
7.
DAVIES, F., FRANCIS, E. T. B., AND KING, T. S.:
Electrocardiogram of the crocodilian heart.
Nature 167: 146, 1951.
.8. WIGGERS, C. J.: The electrocardiogram: Its
relation to cardiodynamic events. Arch. Int.
Med. 20: 93. 1917.
Circulation in the Three-Chambered Snake Heart
KJELL JOHANSEN, CAND. READ.
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Circ Res. 1959;7:828-832
doi: 10.1161/01.RES.7.6.828
Circulation Research is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231
Copyright © 1959 American Heart Association, Inc. All rights reserved.
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