scholarly journals Central hemodynamic and splanchnic circulation in children with meningococcal septic shock

2017 ◽  
Vol 8 (1) ◽  
pp. 91-97
Author(s):  
M. A. Georgiyants ◽  
V. A. Korsunov ◽  
O. M. Olkhovska
Keyword(s):  
Blood Pressure ◽  
Septic Shock ◽  
Blood Flow ◽  
Cardiac Output ◽  
Ejection Fraction ◽  
Stroke Volume ◽  
Blood Flow Rate ◽  
Healthy Children ◽  
Group I ◽  
Meningococcal Septic Shock

Meningococcal infection is caused by the bacterium Neisseria meningitidis (also termed meningococcus). Invasive meningococcal disease remains a rare infectious disease not only with high mortality but also with important morbidity and remains as a leading cause of sepsis and septic shock. The pathogenic mechanisms of microcirculatory disorders in meningococcal septic shock have been subject to controversy. This article presents the results of a study of 11 paediatric patients’ (4 boys and 7 girls) with meningococcal septic shock (Group I) who were hospitalized at the Regional Children's Infectious Hospital from 2009 to 2011. The average age of the patients was 37.4 ± 8.4 mo. Septic shock was diagnosed according to International Pediatric Sepsis Consensus Conference: definitions of criteria for sepsis and organ dysfunction in paediatrics. Heart rate, respiratory rate, systolic blood pressure, diastolic blood pressure, average blood pressure, SpO2 were monitored. The cardiac output, ejection fraction, fraction shortening, stroke volume were measured by ultrasound in M-mode by Teichholz method. Blood circulation in the a. mesenterica, a. hepatica, a. lienalis, a. renal sinister, v. porta, v. lienalis, v. renal sinister was determined by impulse Doppler’s wave. Acid-base and electrolytes level in serum, nitric oxide (NO), endothelin I, creatinine, C-reactivity protein and lactate blood level were measured. The control group consisted of 21 healthy children (9 boys and 12 girls), aged 37.5 ± 5.4 mo. in average (Group II). We used t-criteria (Student’s) and correlation with R-criteria (Spearmen) for statistical analysis. The data showed a statistically significant lower fraction of ejection, fraction of shortening, stroke volume in Group I. Moreover, our data showed a statistically high level of mesenterial and portal blood flow rate and high pulse index in v. renal sinister compared to healthy children. The blood level of NO was increased in Group I as well as in Group II. Direct correlations were determined between the level of NO and mesenteric, hepatic arterial and venous blood flow rate. Statistically significant inverse correlations between the level of NO and pulse resistive index in splanchnic vessels were discovered as well as inverse correlations between the NO level and the indicator of the severity of condition on PRISM scale (r = –0.952). At the same time, we have found no correlation between splanchnic circulation value and cardiac output. Based on the results of this study, we consider that NO has organ protective effects in children with meningococcal sepsis. Future research should aim to introduce new strategies of intensive care for patients with meningococcal septic shock with early use of inotrope and NO-donor therapy in fluid restriction combination. 

scholarly journals Cardiovascular Performance Measurement in Water Fleas by Utilizing High-Speed Videography and ImageJ Software and Its Application for Pesticide Toxicity Assessment

Animals ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. 1587
Author(s):  
Fiorency Santoso ◽  
Viacheslav V. Krylov ◽  
Agnes L. Castillo ◽  
Ferry Saputra ◽  
Hong-Ming Chen ◽  
...  
Keyword(s):  
Blood Flow ◽  
Cardiac Output ◽  
Ejection Fraction ◽  
Stroke Volume ◽  
Flow Rate ◽  
High Speed ◽  
Cardiovascular Function ◽  
Blood Flow Rate ◽  
Imagej Software ◽  
Fractional Shortening

Water fleas are a good model for ecotoxicity studies, and were proposed for this purpose by the United States Environmental Protection Agency, due to their easy culture, body transparency, and high sensitivity to chemical pollution. Cardiovascular function parameters are usually used as an indicator of toxicity evaluation. However, due to the nature of the heart and blood flow, and the speed of the heartbeat, it is difficult to perform precise heartbeat and blood flow measurements with a low level of bias. In addition, the other cardiovascular parameters, including stroke volume, cardiac output, fractional shortening, and ejection fraction, have seldom been carefully addressed in previous studies. In this paper, high-speed videography and ImageJ-based methods were adopted to analyze cardiovascular function in water fleas. The heartbeat and blood flow for three water flea species, Daphnia magna, Daphnia silimis, and Moina sp., were captured by high-speed videography and analyzed using open-source ImageJ software. We found the heartbeat is species-dependent but not size-dependent in water fleas. Among the three water fleas tested, D. magna was identified as having the most robust heartbeat and blood flow rate, and is therefore suitable for the ecotoxicity test. Moreover, by calculating the diameter of the heart, we succeeded in measuring other cardiovascular parameters. D. magna were challenged with temperature changes and a pesticide (imidacloprid) to analyze variations in its cardiovascular function. We found that the heartbeat of D. magna was temperature-dependent, since the heartbeat was increasing with temperature. A similar result was shown in the cardiac output parameter. We also observed that the heartbeat, cardiac output, and heartbeat regularity are significantly reduced when exposed to imidacloprid at a low dose of 1 ppb (parts per billion). The blood flow rate, stroke volume, ejection fraction, and fractional shortening, on the contrary, did not display significant changes. In conclusion, in this study, we report a simple, highly accurate, and cost-effective method to perform physiological and toxicological assessments in water fleas.

The underwater environment: cardiopulmonary, thermal, and energetic demands

2009 ◽  
Vol 106 (1) ◽  
pp. 276-283 ◽  
Author(s):  
D. R. Pendergast ◽  
C. E. G. Lundgren
Keyword(s):  
Blood Pressure ◽  
Blood Flow ◽  
Cardiac Output ◽  
Stroke Volume ◽  
Time Dependent ◽  
Breath Holding ◽  
Peripheral Blood Flow ◽  
Short Term ◽  
Underwater Environment ◽  
Maximal Cardiac Output

Water covers over 75% of the earth, has a wide variety of depths and temperatures, and holds a great deal of the earth's resources. The challenges of the underwater environment are underappreciated and more short term compared with those of space travel. Immersion in water alters the cardio-endocrine-renal axis as there is an immediate translocation of blood to the heart and a slower autotransfusion of fluid from the cells to the vascular compartment. Both of these changes result in an increase in stroke volume and cardiac output. The stretch of the atrium and transient increase in blood pressure cause both endocrine and autonomic changes, which in the short term return plasma volume to control levels and decrease total peripheral resistance and thus regulate blood pressure. The reduced sympathetic nerve activity has effects on arteriolar resistance, resulting in hyperperfusion of some tissues, which for specific tissues is time dependent. The increased central blood volume results in increased pulmonary artery pressure and a decline in vital capacity. The effect of increased hydrostatic pressure due to the depth of submersion does not affect stroke volume; however, a bradycardia results in decreased cardiac output, which is further reduced during breath holding. Hydrostatic compression, however, leads to elastic loading of the chest wall and negative pressure breathing. The depth-dependent increased work of breathing leads to augmented respiratory muscle blood flow. The blood flow is increased to all lung zones with some improvement in the ventilation-perfusion relationship. The cardiac-renal responses are time dependent; however, the increased stroke volume and cardiac output are, during head-out immersion, sustained for at least hours. Changes in water temperature do not affect resting cardiac output; however, maximal cardiac output is reduced, as is peripheral blood flow, which results in reduced maximal exercise performance. In the cold, maximal cardiac output is reduced and skin and muscle are vasoconstricted, resulting in a further reduction in exercise capacity.

scholarly journals Non-invasive evaluation of cerebral hemodynamic and intracranial pressure in pediatric neuroinfections

2018 ◽  
Vol 9 (4) ◽  
pp. 485-490
Author(s):  
М. А. Georgiynts ◽  
V. А. Коrsunov ◽  
О. М. Оlkhovska ◽  
К. E. Stoliarov
Keyword(s):  
Blood Pressure ◽  
Blood Flow ◽  
Cardiac Output ◽  
Intensive Care ◽  
Intracranial Pressure ◽  
Cerebral Perfusion ◽  
Flow Index ◽  
Non Invasive ◽  
Group I ◽  
Group Ii

The study of intracranial pressure (eICP), cerebral perfusion pressure (eCPP), cerebral blood flow index (CFI), zero flow pressure (ZFP) in 49 children hospitalized in the intensive care unit with severe course of neuroinfections was carried out. The level of consciousness was determined by the Glasgow pediatric scale. Monitoring of central and peripheral hemodynamics (ECG, heart rate, systolic, diastolic and mean blood pressure, and cardiac output), pulse oximetry, capnography, hemoglobin, hematocrit, total protein, urea, creatinine, lactate, glucose and serum electrolytes was done. An ultrasound scanner was used to perform ultrasound duplex scanning of blood flow in the left and middle cerebral artery (MCA), measuring maximum, minimum and average blood flow velocities, pulsation index (PI), and resistance index (RI). Based on the formulae of Edouard et al. indicators of eCPP, ZFP, CFI, eICP were calculated. The eSCP was also determined by the formulae of Kligenchöfer et al. and Bellner et al. All patients were divided into group I with RI > 1.3 and group II with RI < 1.3. It was found that eCPP in the group I was significantly less (29.5 ± 1.3 mm Hg) than in the II group (41.6 ± 1.7 mm Hg). Despite the lack of a reliable difference in blood pressure between groups I and II, the difference in eCPP was found due to a significant difference in eICP 34.6 ± 1.4 and 27.6 ± 0.89 mm Hg in I and II groups respectively. ZFP in group I was significantly higher than in group II. The indexes of the Glasgow coma scale was significantly lower in group I and 7.8 ± 0.6 points. There were observed direct moderate correlations between systolic blood pressure, cardiac output and eSRP and CFI, presumably associated with a loss of autoregulation. CFI in the group I was lower than in the group II. Thus, non-invasive examination of cerebral flow in MCA by duplex sonography revealed that PI > 1.3 is an informative marker of intracranial hypertension and reduction of cerebral perfusion, which is common in children with neuroinfections. To determine the eSRP and CFI it is advisable to use the formula of Edouard et al. and to determine the eICP the formula of Kligenchöfer et al. The obtained data can be useful for objectifying the severity of the condition, predicting the outcomes of neuroinfections, choosing the directions of intensive care and evaluating its effectiveness.

Abstract 2059: Transthoracic Application of Medium Voltage Therapy Maintains Forward Blood Flow during Cardiac Arrest

Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Giuseppe Ristagno ◽  
Yongqin Li ◽  
Hao Wang ◽  
Shijie Sun ◽  
Gilman Byron ◽  
...  
Keyword(s):  
Blood Flow ◽  
Cardiac Arrest ◽  
Cardiac Output ◽  
Ejection Fraction ◽  
Stroke Volume ◽  
Chest Compression ◽  
Entire Interval ◽  
Carotid Blood Flow ◽  
Medium Voltage ◽  
Threshold Levels

We have previously reported that transthoracic medium voltage therapy (MVT) generated coronary perfusion pressure (CPP), forward carotid blood flow (CBF) and end-tidal CO 2 (EtCO 2 ) comparable to those produced by manual chest compression. In the present study, we investigated the capability of MVT to generate and maintain forward blood flow for a longer interval, i.e. 1 min, in a porcine model of short duration cardiac arrest. MVT can maintain threshold levels of CPP, CBF and EtCO 2 , for a minute interval prior to defibrillation. In 7 domestic male pigs weighing 40 ± 1 kg, VF was electrically induced and untreated for 10 seconds. Animals were then subjected to receive MVT for one minute with the aid of a Galvani E-CPR device (Galvani Ltd, Edina, MN), after when a biphasic shock was delivered. The MVT pulsed packet was 400 msec, the pulsed packet rate was 80/min, the intra-packet pulse period was 25 ms and intra-packet pulse durations were 0.2 ms. CPP and EtCO2 were continuously measured during MVT. CBF and ejection fraction generated during MVT were measured by echo-Doppler technique, while cardiac output with stroke volume by thermodiluition method. MVT was able to maintain CPP and EtCO2 above the threshold levels for successful resuscitation for the entire interval of application (Table ). During MVT, excellent stroke volume, cardiac output and ejection fraction together with carotid blood flow were generated (Table ). MVT produced and maintained for one minute forward blood flow during cardiac arrest. This electrical therapy might represent a new approach intended to generate and/or maintain forward blood flow in lieu of or in association with chest compression in victims of cardiac arrest

scholarly journals Estimation of changes in instantaneous aortic blood flow by the analysis of arterial blood pressure

2012 ◽  
Vol 112 (11) ◽  
pp. 1832-1838 ◽  
Author(s):  
Tatsuya Arai ◽  
Kichang Lee ◽  
Robert P. Marini ◽  
Richard J. Cohen
Keyword(s):  
Blood Pressure ◽  
Blood Flow ◽  
Cardiac Output ◽  
Stroke Volume ◽  
Arterial Blood Pressure ◽  
Aortic Blood Flow ◽  
Windkessel Model ◽  
Arx Model ◽  
Arterial Blood ◽  
Aortic Blood

The purpose of this study was to introduce and validate a new algorithm to estimate instantaneous aortic blood flow (ABF) by mathematical analysis of arterial blood pressure (ABP) waveforms. The algorithm is based on an autoregressive with exogenous input (ARX) model. We applied this algorithm to diastolic ABP waveforms to estimate the autoregressive model coefficients by requiring the estimated diastolic flow to be zero. The algorithm incorporating the coefficients was then applied to the entire ABP signal to estimate ABF. The algorithm was applied to six Yorkshire swine data sets over a wide range of physiological conditions for validation. Quantitative measures of waveform shape (standard deviation, skewness, and kurtosis), as well as stroke volume and cardiac output from the estimated ABF, were computed. Values of these measures were compared with those obtained from ABF waveforms recorded using a Transonic aortic flow probe placed around the aortic root. The estimation errors were compared with those obtained using a windkessel model. The ARX model algorithm achieved significantly lower errors in the waveform measures, stroke volume, and cardiac output than those obtained using the windkessel model ( P < 0.05).

scholarly journals Effect of Phototherapy on Stroke Volume in Newborn Infants with Jaundice

2020 ◽  
Vol 09 (03) ◽  
pp. 207-209
Author(s):  
Majid Firouzi ◽  
Hamidreza Sherkatolabbasieh ◽  
Alireza Nezami ◽  
Shiva Shafizadeh
Keyword(s):  
Blood Flow ◽  
Cardiac Output ◽  
Ejection Fraction ◽  
Stroke Volume ◽  
Newborn Infants ◽  
Before And After ◽  
The Mean

AbstractOne of the rare complications associated with phototherapy include redistribution of blood flow that can alter cardiac output in infants. The aim of this study was to evaluate the effects of phototherapy on left ejection fraction in infants with jaundice. Twenty-nine infants admitted in Shahid Madani Children Hospital for receiving phototherapy were included in this study. Echocardiography was performed in the participants, immediately before and 24 hours after the treatment. Nineteen infants were reported to have decrease in the stroke volume following the treatment. The mean levels of stroke volume before and after phototherapy were 6.99 ± 2.17 and 6.55 ± 1.85 L/m2, respectively (p = 0.011). Phototherapy can reduce left ejection fraction in newborn infants with hyperbilirubinemia.

scholarly journals Impact of extracorporeal blood flow rate on blood pressure, pulse rate and cardiac output during haemodialysis

2015 ◽  
Vol 30 (12) ◽  
pp. 2075-2079 ◽  
Author(s):  
Philip Andreas Schytz ◽  
Maria Lerche Mace ◽  
Anne Merete Boas Soja ◽  
Brian Nilsson ◽  
Nikolaos Karamperis ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Blood Flow ◽  
Cardiac Output ◽  
Pulse Rate ◽  
Flow Rate ◽  
Pressure Pulse ◽  
Blood Flow Rate ◽  
Extracorporeal Blood

Effects of Cardiac Function with Postoperative Arteriovenous Fistula Blood Flow in Patients with Hemodialysis

2017 ◽  
Vol 44 (1) ◽  
pp. 24-29 ◽  
Author(s):  
Keiichi Wakabayashi ◽  
Hiroaki Io ◽  
Junichiro Nakata ◽  
Hirotaka Nakamoto ◽  
Michiko Sato ◽  
...  
Keyword(s):  
Blood Flow ◽  
Body Weight ◽  
Cardiac Output ◽  
Ejection Fraction ◽  
Stroke Volume ◽  
Cardiac Function ◽  
Arteriovenous Fistula ◽  
Rate Of Change ◽  
University Hospital ◽  
Reduced Ejection Fraction

Background/Aims: This study was aimed at evaluating the effect of cardiac function with postoperative arteriovenous fistula (AVF) blood flow in hemodialysis (HD) patients. Methods: A total of 45 HD patients were examined at the Juntendo University Hospital. The AVF blood flow was measured using ultrasonography, and the cardiac function was measured using echocardiography. Correlation between these parameters and the rate of change in body weight (BW) was analyzed. Results: The number of postoperative days significantly correlated with the AVF blood flow, and it positively correlated with the stroke volume (SV). The postoperative AVF blood flow in patients with reduced ejection fraction (EF) was lower than that in patients with normal EF. The rate of change of BW negatively correlated with that of SV, positively correlated with cardiac output (CO), and positively correlated with CO in patients with an AVF blood flow of more than 1,000 mL/min. Conclusion: It appears that the cardiac function can be improved by controlling the BW even in patients with high AVF blood flow.

Cardiovascular changes associated with thermal polypnea in the chicken

1964 ◽  
Vol 207 (6) ◽  
pp. 1349-1353 ◽  
Author(s):  
G. C. Whittow ◽  
P. D. Sturkie ◽  
G. Stein
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Blood Flow ◽  
Cardiac Output ◽  
Stroke Volume ◽  
Respiratory Rate ◽  
Peripheral Resistance ◽  
Flow Through ◽  
Skin Temperatures ◽  
Increased Blood Flow

The effect of hyperthermia on the respiratory rate, cardiac output, blood pressure, arterial hematocrit, and the skin temperatures of the extremities of unanesthetized hens has been investigated. During hyperthermia, the respiratory rate increased to a maximal value and then declined. There was also an increase in cardiac output, followed by a decrease, but the peak cardiac output occurred at a rectal temperature which was significantly higher than that at which the peak respiratory rate was recorded. The increase in cardiac output was the result of an increase in both stroke volume and heart rate. The diminution of cardiac output seemed to be related to a decrease in the stroke volume at high levels of heart rate. The decrease in blood pressure and total peripheral resistance was attributed partly to an increased blood flow through the extremities.

The Blood Pressure of Giraffes

2021 ◽  
pp. 187-215
Author(s):  
Graham Mitchell
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Blood Flow ◽  
Cardiac Output ◽  
Hydrostatic Pressure ◽  
Left Ventricle ◽  
Stroke Volume ◽  
Body Mass ◽  
The Brain ◽  
Very High

As discussed in this chapter, giraffes have, compared with any other mammal, a very high mean blood pressure of ~250 mmHg. Human blood pressure is ~90 mmHg. Its size is determined by the length of the neck, the height of the head above the heart, by hydrostatic pressure generated by gravity acting on the column of blood in the carotid artery, and contractions of the heart muscles: blood pressure must be high enough to ensure that blood reaches the brain. Uniquely in giraffes blood pressure is regulated by receptors that are located in both the carotid and occipital arteries. Once thought to be ~2.5% of body mass the heart is smaller (~0.5% of body mass) but its muscle walls, especially of the interventricular wall and left ventricle wall, are exceptionally thick (up to 8 cm). The relative cardiac output is the same as in other mammals (~5 L 100 kg–1 of body mass) through a combination of a higher than predicted heart rate (70 b min–1 vs 50 b min–1) and smaller than predicted stroke volume (~0.7 ml kg–1 body mass vs 1.2 ml kg–1). Stroke volume is small because the left ventricle muscle wall is thick. The origin of high blood pressure is the resistance to blood flow, which is about twice what it is in other mammals. The higher resistance results from a combination of the thick muscular walls and narrow lumens of a giraffe’s blood vessels and unique mechanisms that regulate blood flow to the brain.

Sign in / Sign up

Export Citation Format

Share Document