Aim: It has been reported that impairment of left ventricular (
LV) relaxation decreases early diastolic coronary blood flow rate (
CBF). On the one hand, recent studies showed that mechanical vibration during diastole (diastolic vibration) accelerates LV relaxation rate instantly both in clinical settings and in experimental animals. Therefore, we examined whether diastolic vibration could increase diastolic
CBF in regionally ischemic heart. Methods: In 9 open chest canine hearts, we narrowed the perfusion line to reduce total
CBF to 50% of control. Applying 50Hz, 2mm amplitude diastolic vibration to the epicardium of the
LV, we measured
CBF, coronary perfusion pressure (
CPP) and
LV pressure. Results: Diastolic vibration shortened the time constant of the
LV pressure fall (
p<0.01), increased diastolic
CBF (
p<0.01) and decreased coronary vascular resistance (
R) (
p<0.01). The percentages of increase in diastolic
CBF (
p<0.05) and decrease in
R (
p<0.01) were larger in ischemia than in control. The percentages of increase in diastolic
CBF (
p<0.05) and decrease in
R (
p<0.01) were smaller with papaverine HCl injection (i. e; at attenuated vascular tone) than without injection. Diastolic vibration did not decrease systolic
CBF. Conclusions: Diastolic vibration increased diastolic coronary blood flow rate and decreased coronary vascular resistance. We speculated that this was caused by the mechanism that diastolic vibration accelerates
LV relaxation rate and dilates the coronary vasculature directly.
View full abstract