Regional blood flow during periodic acceleration

摘要

ObjectiveTo determine whether a motion platform that imparts noninvasive periodic acceleration (pGz) forces to the body causes systemic vasodilation and changes local organ blood flow.DesignProspective paired blocked design.SettingMedical center research laboratory.SubjectsJuvenile Yorkshire pigs.InterventionsJuvenile pigs (12 kg) were anesthetized, paralyzed, and placed on a motion platform that oscillated at a frequency of 4 Hz and a force of sim;0.4 G.Measurements and Main ResultsRegional blood flows, as assessed by colored microspheres, increased during pGz relative to values obtained before pGz. Blood flow (mLmiddot;minminus;1middot;100 gminus;1) significantly increased to the epicardium (71percnt;), endocardium (93percnt;), cerebrum (183percnt;), brain stem (177percnt;), renal cortex (53percnt;), ileal mucosa (69percnt;), gastric antral mucosa (72percnt;), and liver (86percnt;). Spleen and skeletal muscle blood flow increased without statistical significance, 38percnt; and 158percnt; with pGz, relative to paired control values. Regional blood flows returned to baseline 10 mins after discontinuation of pGz, except in the myocardial layers, where blood flow remained significantly elevated. There was no difference compared with baseline in heart rate, arterial blood gases, and blood pressure, but serum nitrite concentration was significantly higher (58percnt;) during pGz. In another series of animals, pGz increased pulmonary artery blood flow directly proportional to the magnitude of the applied acceleration force with frequency held constant.ConclusionsPeriodic sinusoidal inertial forces in the spinal axis increase blood flow to tissues. The increased blood flow is reversible and may be caused by vasodilation secondary to local mediator release. These effects may be desirable in clinical conditions of low tissue oxygen delivery and perfusion.