|
Hemodynamic variables in instrumented awake sheep |
||||||||
| Variable |
Time |
|||||||
|
|
||||||||
| 0 hour |
1 hour |
4 hours |
8 hours |
12 hours |
16 hours |
20 hours |
24 hours |
|
|
|
||||||||
| PVRI (dyne/s/cm5/m2) |
||||||||
| rhAPC |
194 ± 22 |
192 ± 22 |
179 ± 38 |
198 ± 58 |
202 ± 40 |
193 ± 38 |
195 ± 33 |
166 ± 20 |
| LPS |
188 ± 12 |
810 ± 94* |
359 ± 31* |
252 ± 29 |
227 ± 21 |
266 ± 35 |
268 ± 54 |
248 ± 56 |
| LPS + rhAPC |
201 ± 10 |
847 ± 124* |
392 ± 44* |
215 ± 29† |
224 ± 39† |
209 ± 41† |
229 ± 38† |
210 ± 41† |
| PAOP (mmHg) |
||||||||
| rhAPC |
8 ± 0 |
8 ± 0 |
9 ± 0 |
8 ± 1 |
10 ± 0 |
9 ± 1 |
9 ± 1 |
8 ± 1 |
| LPS |
8 ± 0 |
18 ± 1* |
12 ± 0* |
12 ± 1* |
12 ± 1* |
12 ± 1* |
13 ± 1* |
11 ± 0* |
| LPS + rhAPC |
8 ± 1 |
15 ± 2* |
12 ± 1* |
11 ± 1* |
10 ± 1* |
11 ± 1* |
11 ± 1* |
10 ± 1 |
| RAP (mmHg) |
||||||||
| rhAPC |
3 ± 0 |
3 ± 1 |
6 ± 1* |
5 ± 1* |
5 ± 1 |
5 ± 1* |
5 ± 0* |
5 ± 1 |
| LPS |
4 ± 1 |
5 ± 1 |
7 ± 1* |
7 ± 2 |
7 ± 1* |
7 ± 1* |
8 ± 1* |
8 ± 1* |
| LPS + rhAPC |
3 ± 1 |
2 ± 1 |
6 ± 1* |
5 ± 1* |
6 ± 1* |
6 ± 1* |
6 ± 2* |
5 ± 2 |
| Heart rate (beats/min) |
||||||||
| rhAPC |
94 ± 8 |
91 ± 8 |
95 ± 6 |
92 ± 7 |
95 ± 4 |
97 ± 5 |
97 ± 6 |
92 ± 7 |
| LPS |
106 ± 4 |
139 ± 14 |
129 ± 7 |
151 ± 9 |
134 ± 8 |
127 ± 7 |
142 ± 12 |
137 ± 11 |
| LPS + rhAPC |
94 ± 5 |
158 ± 16* |
112 ± 9* |
151 ± 10* † |
138 ± 11* † |
128 ± 12* |
122 ± 13 |
123 ± 12 |
| MAP (mmHg) |
||||||||
| rhAPC |
103 ± 3 |
100 ± 4 |
103 ± 3 |
106 ± 5 |
106 ± 2 |
101 ± 3 |
105 ± 1 |
100 ± 5 |
| LPS |
101 ± 3 |
107 ± 5 |
110 ± 3* |
90 ± 3* † |
88 ± 4* † |
93 ± 3† |
91 ± 3* † |
90 ± 3* † |
| LPS + rhAPC |
101 ± 3 |
105 ± 4 |
108 ± 2 |
95 ± 4 |
95 ± 4 |
96 ± 5 |
95 ± 4 |
98 ± 5 |
| SVRI (dyne/s/cm5/m2) |
||||||||
| rhAPC |
1677 ± 70 |
1688 ± 82 |
1610 ± 108 |
1877 ± 327 |
1918 ± 302 |
1680 ± 204 |
1872 ± 186 |
1671 ± 268 |
| LPS |
1587 ± 69 |
1976 ± 165* |
1962 ± 90* |
1212 ± 87* † |
1089 ± 82* † |
1278 ± 101* † |
1267 ± 139* † |
1194 ± 111* † |
| LPS + rhAPC |
1559 ± 68 |
1789 ± 153 |
1910 ± 107* |
1302 ± 153† |
1226 ± 121† |
1268 ± 119† |
1337 ± 141† |
1367 ± 135† |
| Cardiac index (l/min/m2) |
||||||||
| rhAPC |
5.4 ± 0.6 |
5.3 ± 0.7 |
5.2 ± 0.4 |
5.0 ± 0.8 |
5.0 ± 0.7 |
5.2 ± 0.6 |
4.9 ± 0.6 |
5.1 ± 0.6 |
| LPS |
5.3 ± 0.3 |
5.0 ± 0.7 |
4.3 ± 0.2* |
6.0 ± 0.5† |
6.0 ± 0.2† |
5.7 ± 0.3† |
5.9 ± 0.5† |
6.0 ± 0.5† |
| LPS + rhAPC |
5.1 ± 0.3 |
4.9 ± 0.4 |
4.3 ± 0.2 |
5.8 ± 0.3† |
6.1 ± 0.4† |
5.9 ± 0.4† |
5.7 ± 0.5† |
5.8 ± 0.5† |
| SVI (ml/beat/m2) |
||||||||
| rhAPC |
57 ± 3 |
57 ± 2 |
55 ± 2 |
54 ± 6 |
52 ± 7 |
55 ± 7 |
52 ± 8 |
57 ± 8 |
| LPS |
49 ± 2 |
36 ± 2* |
33 ± 2* |
40 ± 4 |
46 ± 3 |
45 ± 2 |
44 ± 5 |
46 ± 4 |
| LPS + rhAPC |
55 ± 2 |
33 ± 4* |
40 ± 3* |
39 ± 3* |
46 ± 4* |
49 ± 5 |
50† ± 5 |
49 ± 5 |
| LAP (mmHg) |
||||||||
| rhAPC |
5 ± 1 |
5 ± 1 |
6 ± 2 |
6 ± 1 |
6 ± 1 |
6 ± 1 |
6 ± 1 |
7 ± 1 |
| LPS |
5 ± 1 |
5 ± 1 |
8 ± 1* |
8 ± 1* |
8 ± 1* |
9 ± 1* |
9 ± 1* |
9 ± 1* |
| LPS + rhAPC |
5 ± 1 |
3 ± 1 |
6 ± 1 |
9 ± 2* |
8 ± 2* |
9 ± 2* |
8 ± 2* |
9 ± 2* |
| LVSWI (g/m/m2) |
||||||||
| rhAPC |
67 ± 3 |
69 ± 4 |
68 ± 3 |
69 ± 12 |
62 ± 8 |
63 ± 11 |
61 ± 12 |
64 ± 11 |
| LPS |
62 ± 3 |
42 ± 3* |
44 ± 2* |
43 ± 4* |
49 ± 5 |
50 ± 3* |
47 ± 6* |
49 ± 5* |
| LPS + rhAPC |
69 ± 4 |
42 ± 6* |
52 ± 4* |
44 ± 3* |
53 ± 4* |
56 ± 5* |
56 ± 5* |
59 ± 7 |
| RVSWI (g/m/m2) |
||||||||
| rhAPC |
11 ± 1 |
11 ± 1 |
9 ± 1 |
9 ± 1 |
9 ± 1 |
9 ± 1 |
9 ± 1 |
10 ± 2 |
| LPS |
9 ± 0 |
22 ± 1* |
9 ± 0 |
11 ± 1 |
12 ± 1 |
12 ± 1* |
11 ± 1 |
10 ± 1 |
| LPS + rhAPC |
10 ± 1 |
21 ± 2* |
11 ± 1 |
9 ± 1 |
11 ± 1 |
10 ± 1 |
11 ± 2 |
11 ± 2 |
|
Data presented as the mean ± standard error of the mean. rhAPC, recombinant human activated protein C alone (n = 4); LPS, lipopolysaccharide group (n = 8); LPS + rhAPC, rhAPC-treated LPS group (n = 9); PVRI, pulmonary vascular resistance index; PAOP, pulmonary arterial occlusion pressure; RAP, right atrial pressure; MAP, mean arterial pressure; SVRI, systemic vascular resistance index; SVI, stroke volume index; LAP, left atrial pressure; LVSWI, left ventricle stroke work index; RVSWI, right ventricle stroke work index. *P < 0.05 from t = 0 hours. †P < 0.05 from t = 4 hours. | ||||||||
Waerhaug et al. Critical Care 2008 12:R104 doi:10.1186/cc6985 |
||||||||