Quantitative Analysis of Respiratory Chemoreflex System in Rats with Chronic Heart Failure ‐Analytical Approach to Underlying Mechanism of Ventilatory Abnormality‐

Abstract

Background: To understand the pathophysiologic basis of exercise hyperpnea in chronic heart failure (CHF), based on the control theory, we have developed an experimental method quantitatively characterizing ventilatory regulation system in rats. An equilibrium diagram illustrates the characteristics of two subsytems, i.e., the controller (arterial CO2 tension [PaCO2] → minute ventilation [VE] relation) and plant (VE→PaCO2 relation). In this study, we compared these between normal and CHF rats at rest. Method: In anesthetized 6 postinfarction CHF rats and 6 normal rats, we induced hypercapnia by changing inspiratory CO2 fraction and measured the steady-state PaCO2→VE relation. We altered VE by varying the level of artificial ventilation and measured the VE→PaCO2 relation. Results: Controller gain S was significantly lager in CHF rats, confirming clinical observation. The VE at rest (operating point) in CHF was 24 % larger; central hypersensitivity, however, contributed little (6 %) to this increase. Conclusion: Central hypersensitivity alone would not explain hyperpnea at rest in CHF rats. Considering the right and upward shift of VE→PaCO2 relation, central hypersensitivity contributes more to hyperpnea during exercise. The potential difference between normal and CHF rats in exercise-induced changes in controller and plant should be examined to fully understand the mechanism of exercise hyperpnea and to develop a method to attenuate this.