Hemodynamic and Metabolic Changes During Exercise in Calves With Total Artificial Hearts of Different Sizes yet Similar Output
Keiji Kamohara
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorStephan Weber
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorRyan S. Klatte
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorViviane Luangphakdy
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorChristine R. Flick
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorYoshio Ootaki
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorMasatoshi Akiyama
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorFaruk Cingoz
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorChiyo Ootaki
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorMichael W. Kopcak Jr
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorJenny Liu
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorJi-Feng Chen
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorJose L. Navia
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, OH, USA
Search for more papers by this authorWilliam A. Smith
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorCorresponding Author
Kiyotaka Fukamachi
Department of Biomedical Engineering, Lerner Research Institute; and
Dr. Kiyotaka Fukamachi, Department of Biomedical Engineering, ND20, Cleveland Clinic, Lerner Research Institute, 9500 Euclid Avenue, Cleveland, OH 44195, USA. E-mail: [email protected]Search for more papers by this authorKeiji Kamohara
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorStephan Weber
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorRyan S. Klatte
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorViviane Luangphakdy
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorChristine R. Flick
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorYoshio Ootaki
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorMasatoshi Akiyama
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorFaruk Cingoz
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorChiyo Ootaki
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorMichael W. Kopcak Jr
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorJenny Liu
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorJi-Feng Chen
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorJose L. Navia
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, OH, USA
Search for more papers by this authorWilliam A. Smith
Department of Biomedical Engineering, Lerner Research Institute; and
Search for more papers by this authorCorresponding Author
Kiyotaka Fukamachi
Department of Biomedical Engineering, Lerner Research Institute; and
Dr. Kiyotaka Fukamachi, Department of Biomedical Engineering, ND20, Cleveland Clinic, Lerner Research Institute, 9500 Euclid Avenue, Cleveland, OH 44195, USA. E-mail: [email protected]Search for more papers by this authorAbstract
Abstract: To evaluate the effects of downsizing of the total artificial heart (TAH), we compared the anaerobic threshold (AT) values in calves with two different types of TAH (Cleveland Clinic–Nimbus TAH and the downsized MagScrew TAH). Exercise studies were performed using a treadmill in 12 calves. During the exercise, parameters to obtain the AT were measured. To evaluate the determinants of the AT, a linear regression analysis was performed between AT and potential variables. AT values from 29 studies revealed no significant differences between the two different TAHs, with no significant differences in hemodynamic or oxygen metabolic parameters. AT values correlated well with pump flow/body weight (Q) multiplied by the hemoglobin level, regardless of the TAH used. In conclusion, downsizing of the original TAH design did not reduce AT without any significant differences in hemodynamic or oxygen metabolic parameters during exercise in calves.
REFERENCES
- 1 Hogness JR, Van Antwerp M, eds. The Artificial Heart—Prototypes, Policies and Patients. Washington, DC: National Academy Press, 1991.
- 2 Willman VL. Expert panel review of the NHLBI Total Artificial Heart Program, June 1998–November 1999.
- 3 McCarthy PM, Fukamachi K, Fukumura F, Muramoto K, Golding LA, Harasaki H. The Cleveland Clinic–Nimbus total artificial heart. In vivo hemodynamic performance in calves and preclinical studies. J Thorac Cardiovasc Surg 1994; 108: 420–8.
- 4 Sullivan MJ, Cobb FR. The anaerobic threshold in chronic heart failure. Circulation 1990; 81(Suppl II): II-47–II-58.
- 5 Weber KT, Kinasewitz GT, Janicki JS, Fishman AP. Oxygen utilization and ventilation during exercise in patients with chronic cardiac failure. Circulation 1982; 65: 1213–23.
- 6 Matsumura N, Nishijima H, Kojima S, Hashimoto F, Minami M, Yasuda H. Determination of anaerobic threshold for assessment of functional state in patients with chronic heart failure. Circulation 1983; 68: 360–7.
- 7 Massiello A, Kiraly R, Butler K, Himley S, Chen JF, McCarthy PM. The Cleveland Clinic–Nimbus total artificial heart. Design and in vitro function. J Thorac Cardiovasc Surg 1994; 108: 412–9.
- 8 Fukamachi K, Massiello AL, Kiraly RJ, et al. Effects of a total artificial heart right stroke volume limiter on left-right hemodynamic balance. ASAIO J 1993; 39: M410–4.
- 9 Schenk S, Weber S, Luangphakdy V, et al. MagScrew total artificial heart in vivo performance above 200 beats per minute. Ann Thorac Surg 2005; 79: 1378–83.
- 10 Weber S, Kamohara K, Klatte RS, et al. MagScrew TAH—An update. ASAIO J 2005; 51: 36–46.
- 11 Chen JF, Fujimoto LK, Kiraly R, Massiello A, Uchida N, Nosé Y. A biolized implantable ventricular assist device compatible with IABP console. ASAIO Trans 1989; 35: 398–401.
- 12 Itoh H, Taniguchi K, Koike A, Doi M. Evaluation of severity of heart failure using ventilatory gas analysis. Circulation 1990; 81(Suppl II): II-31–II-37.
- 13 Nanas S, Nanas J, Papazachou O, et al. Resting lung function and hemodynamic parameters as predictor of exercise capacity in patients with chronic heart failure. Chest 2003; 123: 1386–93.
- 14 Beaver W, Wasserman K, Whipp BJ. Improved detection of lactate threshold during exercise using log–log transformation. J Appl Physiol 1985; 59: 1936–40.
- 15 Maeda K, Chinzei T, Imachi K, et al. Predictive control by physical activity rate of a total artificial heart during exercise. ASAIO Trans 1988; 34: 480–4.
- 16 Everett J, Murray K, Brown V, et al. The effect of graded exercise on cardiac output of the Jarvik-7-70 total artificial heart in humans. ASAIO Trans 1989; 35: 231–4.
- 17 Chiag BY, Pantalos GM, Burns GL, et al. Adaptive responses of total artificial heart animals to treadmill exercise. ASAIO J 1993; 39: M381–5.
- 18 Yozu R, Golding LAR, Shimomitsu T, et al. Exercise response in chronic nonpulsatile and pulsatile TAH animals. ASAIO Trans 1985; 31: 22–7.
- 19 Yozu R, Shimomitsu T, Jacobs G, et al. Anaerobic threshold for the evaluation of various total artificial heart (TAH) control modes. Artif Organs 1985; 9: 279–83.
- 20 Chiag BY, Pantalos G, Burns GL, et al. Anaerobic threshold in total artificial heart animals. ASAIO J 1994; 40: M335–8.
- 21 Faulkner JA, Heigenhauser GF, Schork MA. The cardiac output–oxygen uptake relationship of men during graded bicycle ergometry. Med Sci Sports 1977; 9: 148–54.
- 22 Yamaguchi I, Komatsu E, Miyazawa K. Intersubject variability in cardiac output–O2 uptake relation of men during exercise. J Appl Physiol 1986; 61: 2168–74.
- 23 Kavanagh T, Yacoub MH, Mertens DJ, Kennedy J, Campbell RB, Sawyer P. Cardiorespiratory responses to exercise training after orthotopic cardiac transplantation. Circulation 1988; 77: 162–71.
- 24 Mandak JS, Aaronson KD, Mancini DM. Serial assessment of exercise capacity after heart transplantation. J Heart Lung Transplant 1995; 14: 468–78.
- 25 Myers J, Geiran O, Simonsen S, Ghuyoumi A, Gullestad L. Clinical and exercise test determinants of survival after cardiac transplantation. Chest 2003; 124: 2000–5.
- 26 Copeland JG, Smith RG, Arabia FA, et al. Total artificial heart bridge to transplantation: a 9-year experience with 62 patients. J Heart Lung Transplant 2004; 23: 823–31.
- 27 Woodson RD. Hemoglobin concentration and exercise capacity. Am Rev Respir Dis 1984; 129: S72–5.