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Myths and facts about the cardiovascular system of the giraffe By Myths and facts about the cardiovascular system of the giraffe Kristine Hovkjær Østergaard PhD lecture Being the tallest living animals, giraffes are endowed with a mean arterial pressure (MAP) twice as high as other mammals, including humans. The high MAP ensures adequate cerebral perfusion. However, the pressure distribution changes enormously between postures, and most significantly when comparing head-high to head-low postures. Moreover the hydrostatic pressure differences within the giraffe cardiovascular system are enormous. by Kristine Hovkjær Østergaard In humans, a high mean arterial pressure is associated with numerous health related problems. The high pressure of the giraffe cardiovascular system undoubtedly causes serious challenges to both the heart and the systemic vasculature. Mechanisms must have evolved to protect the giraffe cardiovascular system from the adverse effects of a high MAP. Friday June 21st 2013 The present thesis aims to unveil some of the protective mechanisms in the cardiovascular system in the giraffe and to gain knowledge of the evolutionary adaptations accompanying the highest known MAP of any mammals. Three expeditions to South Africa were undertaken by the DaGiR team (Danish Cardiovascular Giraffe Research programme) to execute both physiological and morphological studies of the giraffe. The thesis has its main focus on the morphology of the heart, the conduit arteries of the lower extremities, the neck and abdominal large veins (jugular and inferior caval vein) and the carotid artery. Using stereological methods, quantitative morphology of hearts, arteries and veins were examined and analysed. The morphological results were correlated with functional data. The morphological data reveal that the left ventricle of the giraffe heart possesses significant differences in quantitative terms from other mammals. The systemic vasculature shows structural specialisations which we suggest to have regulative function. In addition, the structure of arteries and veins below heart level point to a system with a low compliance, which would be in accordance with the high MAP and a low blood volume. This thesis is based on Kristine Hovkjær Østergaard’s research work at: Centre for Clinical Research Vendsyssel Hospital, Clinical Institute Aalborg University Denmark Stereology and Electron Microscopy Research Laboratory Department of Clinical Medicine and Zoofysiology Department of Bioscience Aarhus University Denmark Program for PhD Lecture on To fulfill the requirements for the Ph.D. degree, Ms. Kristine Hovkjær Østergaard has submitted the thesis: Myths and facts about the cardiovascular system of the giraffe, to the Faculty of Medicine at Aalborg University. Friday June 21st 2013 by The Faculty Council has appointed the following adjudication committee to evaluate the thesis and the associated lecture: Professor Jim Hicks Department of Ecology and Evolutionary Biology University of California, Irvine United States Professor Lisbeth Høier Olsen Department of Veterinary Disease Biology University of Copenhagen Denmark Chairman: Professor Søren Risom Kristensen Department of Health Science and Technology Aalborg University Denmark Moderator: Clinical associate professor Gitte Nielsen Clinical Institute Aalborg University Denmark The Ph.D. lecture is public and will take place on: Friday June 21st 2013 at 13:00 Vendsyssel Hospital, Auditorium Bispensgade 37 9800 Hjoerring Kristine Hovkjær Østergaard Myths and facts about the cardiovascular system of the giraffe Chairman: Moderator: Professor Søren Risom Kristensen Clinical associate professor Gitte Nielsen 13.00 Opening by the Moderator 13.05 PhD lecture by Kristine Hovkjær Østergaard 13.50 Break 14.00 Questions and comments from the Committee Questions and comments from the audience at the Moderator’s discretion 16.00 (No later than) Conclusion of the session by the Moderator After the session a reception will be arranged