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Citations to this article

Gram-negative bacteremia produces both severe systolic and diastolic cardiac dysfunction in a canine model that simulates human septic shock.
C Natanson, … , J J Conklin, J E Parrillo
C Natanson, … , J J Conklin, J E Parrillo
Published July 1, 1986
Citation Information: J Clin Invest. 1986;78(1):259-270. https://doi.org/10.1172/JCI112559.
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Gram-negative bacteremia produces both severe systolic and diastolic cardiac dysfunction in a canine model that simulates human septic shock.

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Abstract

A canine sepsis model that simulates the human cardiovascular response to septic shock was produced in 10 conscious unsedated dogs by implanting an Escherichia coli-infected clot into the peritoneum, resulting in bacteremia. By employing serial, simultaneous measurements of radionuclide scan-determined left ventricular (LV) ejection fraction (EF) and thermodilution cardiac index (CI), the end-diastolic volume index (EDVI) was calculated (EDVI = stroke volume index divided by EF). By using three different methods of quantifying serial ventricular performance (EF, shifts in the Starling ventricular function curve using EDVI vs. stroke work index, and the ventricular function curve response to volume infusion), this study provides evidence (P less than 0.01) that septic shock produces a profound, but reversible, decrease in systolic ventricular performance. This decreased performance was not seen in controls and was associated with ventricular dilatation (P less than 0.01); the latter response was dependent on an adequate volume infusion. Further studies of EDVI and pulmonary capillary wedge pressure during diastole revealed a significant, though reversible, shift (P less than 0.001) in the diastolic volume/pressure (or compliance) relationship during septic shock.

Authors

C Natanson, M P Fink, H K Ballantyne, T J MacVittie, J J Conklin, J E Parrillo

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Citations to this article (195)

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In a Canine Model of Septic Shock, Cardiomyopathy Occurs Independent of Catecholamine Surges and Cardiac Microvascular Ischemia
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Réanimation Urgences 1996
Myocardial dysfunction after successful resuscitation from cardiac arrest:
RJ Gazmuri, MH Weil, J Bisera, W Tang, M Fukui, DA McKee
Critical Care Medicine 1996
Hemodynamic Effects of IV Milrinone Lactate in Pediatric Patients With Septic Shock
P Barton, J Garcia, A Kouatli, L Kitchen, A Zorka, C Lindsay, S Lawless, B Giroir
Chest 1996
Tumor Necrosis Factor-α Induces a Biphasic Effect on Myocardial Contractility in Conscious Dogs
DR Murray, GL Freeman
Circulation research 1996
Prevention of endotoxin-induced acute lethality in Propionibacterium acnes-primed rabbits by an antibody to leukocyte integrin beta 2 with concomitant reduction of cytokine production
N Ikeda, N Mukaida, S Kaneko, N Fujioka, S Su, H Nariuchi, M Unoura, K Harada, Y Nakanuma, K Kobayashi
Infection and immunity 1995
Role of alpha-2-macroglobulin and bacterial elastase in guinea-pig pseudomonal septic shock
MM Khan, Y Shibuya, T Kambara, T Yamamoto
International Journal of Experimental Pathology 1995
Current understanding of sepsis: criticism and a proposal
R Rabinovici, LF Neville, G Feuerstein
Journal of Endotoxin Research 1995
Role of Nitric Oxide in Sepsis and ADRS
MP Fink, D Payen
1995
Shock, Sepsis, and Organ Failure — Nitric Oxide
G Schlag, H Redl
1995
The third component of complement protects against Escherichia coli endotoxin-induced shock and multiple organ failure
ZM Quezado, WD Hoffman, JA Winkelstein, I Yatsiv, CA Koev, LC Cork, RJ Elin, PQ Eichacker, C Natanson
Journal of Experimental Medicine 1994
Effects of N-acetylcysteine in endotoxic shock
J Bakker, H Zhang, M Depierreux, S Asbeck, JL Vincent
Journal of Critical Care 1994
Regional blood flow distribution in endotoxin-treated dogs: Modification by ibuprofen
C Winslow, PM Dorinsky
Journal of Critical Care 1994
Ultrasonographic evaluation of central and end-organ hemodynamics in antepartum pyelonephritis
DM Twickler, MJ Lucas, L Bowe, DD McIntire, J Barron, FG Cunningham
American Journal of Obstetrics and Gynecology 1994
Systemic Inflammatory Response Syndrome: Septic Shock
D Purvis, R Kirby
Veterinary Clinics of North America Small Animal Practice 1994
Mediator-Specific Therapies for the Systemic Inflammatory Response Syndrome, Sepsis, Severe Sepsis, and Septic Shock: Present and Future Approaches
MF Hazinski
Critical Care Nursing Clinics of North America 1994
Oxygen Transport to Tissue XV
P Vaupel, R Zander, DF Bruley
1994
The immunocytochemical localization of tumour necrosis factor and leukotriene in the rat heart and lung during endotoxin shock
N Tanaka, T Kita, K Kasai, T Nagano
Virchows Archiv 1994
Endotoxin-induced pulmonary dysfunction is prevented by C1-esterase inhibitor
R Guerrero, F Velasco, M Rodriguez, A Lopez, R Rojas, MA Alvarez, R Villalba, V Rubio, A Torres, D Castillo
Journal of Clinical Investigation 1993
Hemodynamic changes associated with thermodilution cardiac output determination in canine acute blood loss or endotoxemia
T Nishikawa
Acta Anaesthesiologica Scandinavica 1993
Metabolic basis for management of the septic surgical patient
JH Shaw, JB Koea
World Journal of Surgery 1993
Pathogenetic Mechanisms of Septic Shock
FH Epstein, JE Parrillo
New England Journal of Medicine 1993
Acute mesenteric ischemia: Pathophysiology, diagnosis, and treatment
E Benjamin, JM Oropello
Disease-a-Month 1993
Endotoxin in Human Disease
CA Manthous, JB Hall, RW Samsel
Chest 1993
Pseudomonal elastase injection causes low vascular resistant shock in guinea pigs
MH Mohammad, T Yamamoto, H Araki, Y Ijiri, Y Shibuya, M Okamoto, T Kambara
Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease 1993
Left ventricular systolic and diastolic dysfunction after infusion of tumor necrosis factor-alpha in conscious dogs
FD Pagani, LS Baker, C Hsi, M Knox, MP Fink, MS Visner
Journal of Clinical Investigation 1992
N omega-amino-L-arginine, an inhibitor of nitric oxide synthase, raises vascular resistance but increases mortality rates in awake canines challenged with endotoxin
JP Cobb, C Natanson, WD Hoffman, RF Lodato, S Banks, CA Koev, MA Solomon, RJ Elin, JM Hosseini, RL Danner
Journal of Experimental Medicine 1992
Altered ryanodine receptor of canine cardiac sarcoplasmic reticulum and its underlying mechanism in endotoxin shock
LL Wu, MS Liu
Journal of Surgical Research 1992
Systemic Hemodynamic Abnormalities and Vasopressor Therapy in Sepsis and Septic Shock
ZM Quezado, C Natanson
American Journal of Kidney Diseases 1992
Cytokines induce stress protein formation in cultured cardiac myocytes
I Lw-Friedrich, D Weisensee, P Mitrou, W Schoeppe
Basic Research in Cardiology 1992
Function of Isolated Hearts from Septic, Saline-Infused, and Septic, Alcohol-Infused Rats
AE Muniz, KH McDonough
Alcoholism, clinical and experimental research 1991
Right ventricular pump dysfunction with acute experimental septic shock
JL Zellner, FG Spinale, FA Crawford, JA Cook
Journal of Surgical Research 1991
Effets hémodynamiques de la dobutamine dans le choc septique hyperkinétique traité par noradrénaline
C Lejus, Y Blanloeil, T François, P Michel, M Pinaud, P Desjars
Annales Françaises d’Anesthésie et de Réanimation 1991
Reduction in the Ca2+-induced Ca2+ release from canine cardiac sarcoplasmic reticulum following endotoxin administration
MS Liu, LL Wu
Biochemical and Biophysical Research Communications 1991
Endotoxemia in Human Septic Shock
RL Danner, RJ Elin, JM Hosseini, RA Wesley, JM Reilly, JE Parillo
Chest 1991
Southwestern Internal Medicine Conference: Septic Shock
AR Nogare
The American Journal of the Medical Sciences 1991
Impaired calcium uptake by cardiac sarcoplasmic reticulum and its underlying mechanism in endotoxin shock
LL Wu, MS Liu
Molecular and Cellular Biochemistry 1991
Endotoxin-induced myocardial depression in rats: Effect of ibuprofen and SDZ 64-688, a platelet activating factor receptor antagonist
TD Baum, SO Heard, HS Feldman, CA Latka, MP Fink
Journal of Surgical Research 1990
LY171883 preserves mesenteric perfusion in porcine endotoxic shock
SM Cohn, MP Fink, PC Lee, H Wang, HR Rothschild, YF Deniz, T Baum
Journal of Surgical Research 1990
Laboratory models of sepsis and septic shock
MP Fink, SO Heard
Journal of Surgical Research 1990
Myocardial function in septic shock
MM Parker, JE Parrillo
Journal of Critical Care 1990
The heart and circulation in sepsis
RF Raper, MM Fisher
Baillière's Clinical Anaesthesiology 1990
Pseudomonas aeruginosa Compared with Escherichia coli Produces Less Endotoxemia but More Cardiovascular Dysfunction and Mortality in a Canine Model of Septic Shock
RL Danner, C Natanson, RJ Elin, JM Hosseini, S Banks, TJ MacVittie, JE Parrillo
Chest 1990
Sepsis and the Trauma Patient
GP McGuire, RG Pearl
Critical Care Clinics 1990
Shock in the Pediatric Patient
MF Hazinski
Critical Care Nursing Clinics of North America 1990
Update 1990
JL Vincent
1990
Mechanical Heart-Lung Interaction in the Adult Respiratory Distress Syndrome
JW Biondi, DS Schulman, HP Wiedemann, RA Matthay
Clinics in Chest Medicine 1990
Role of endotoxemia in cardiovascular dysfunction and mortality. Escherichia coli and Staphylococcus aureus challenges in a canine model of human septic shock
C Natanson, RL Danner, RJ Elin, JM Hosseini, KW Peart, SM Banks, TJ MacVittie, RI Walker, JE Parrillo
Journal of Clinical Investigation 1989
Endotoxin and tumor necrosis factor challenges in dogs simulate the cardiovascular profile of human septic shock
C Natanson, PW Eichenholz, RL Danner, PQ Eichacker, WD Hoffman, GC Kuo, SM Banks, TJ MacVittie, JE Parrillo
Journal of Experimental Medicine 1989
Early systolic and diastolic dysfunction during sepsis in rats
BE Field, EC Rackow, ME Astiz, MH Weil
Journal of Critical Care 1989
Relative myocardial depression in normotensive sepsis
R Raper, WJ Sibbald, AA Driedger, K Gerow
Journal of Critical Care 1989
Pitfalls in interpretation of pulmonary artery catheter data
KJ Tuman, GC Carroll, AD Ivankovich
Journal of Cardiothoracic Anesthesia 1989
The Cardiovascular Response of Normal Humans to the Administration of Endotoxin
AF Suffredini, RE Fromm, MM Parker, M Brenner, JA Kovacs, RA Wesley, JE Parrillo
New England Journal of Medicine 1989
Inotropic Response to Digoxin and Dopamine in Patients with Severe Sepsis, Cardiac Failure, and Systemic Hypoperfusion
SA Nasraway, EC Rackow, ME Astiz, G Karras, MH Weil
Chest 1989
Myocardial Dysfunction in Sepsis Recent Insights
RE Cunnion, JE Parrillo
Chest 1989
Myocardial Dysfunction in Sepsis
RE Cunnion, JE Parrillo
Critical Care Clinics 1989
Clinical Aspects of O2 Transport and Tissue Oxygenation
K Reinhart, K Eyrich
1989
Preanesthetic Assessment 2
EA Frost
1989
Bacterial Septic Shock
WD Hoffman, C Natanson
Anesthesiology Clinics of North America 1989
Assessment of the intrinsic contractile status of the heart during sepsis by myocardial pressure-dimension analysis
MK Pasque, PV Trigt, GL Pellom, BM Freedman, AS Wechsler
Annals of Surgery 1988
Neutrophil aggregating activity and septic shock in humans: Neutrophil aggregation by a C5a-like material occurs more frequently than complement component depletion and correlates with depression of systemic vascular resistance
FP Ognibene, MM Parker, C Burch-Whitman, C Natanson, JH Shelhamer, T Schlesinger, P Roach, JE Parrillo
Journal of Critical Care 1988
Depressed Left Ventricular Performance
FP Ognibene, MM Parker, C Natanson, JH Shelhamer, JE Parrillo
Chest 1988
Interleukin-2 Administration Causes Reversible Hemodynamic Changes and Left Ventricular Dysfunction Similar to Those Seen in Septic Shock
FP Ognibene, SA Rosenberg, M Lotze, J Skibber, MM Parker, JH Shelhamer, JE Parrillo
Chest 1988
Review: Cardiopulmonary Toxicity of Adoptive Immunotherapy
FL Glauser, G DeBlois, D Bechard, AA Fowler, R Merchant, RP Fairman
The American Journal of the Medical Sciences 1988
Cardiovascular Dysfunction in Multisystem Organ Failure: Focus on Septic Shock
D Kramer, V Kvetan, J Askanazi, E Lazar
Anesthesiology Clinics of North America 1988
Diverticulitis
T Pohlman
Gastroenterology Clinics of North America 1988
Effects of Acid Base Disturbance, Septic Shock, and Calcium and Phosphorous Abnormalities on Cardiovascular Function
PM Mehta, RA Kloner
Critical Care Clinics 1987
Care of the Critically Ill Patient
J Tinker, M Rapin
1983

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