This book traces the development of the basic concepts in cardiovascular physiology in the light of the accumulated experimental and clinical evidence and, rather than making the findings fit the standard pressure-propulsion mold, let the phenomena ‘speak for themselves’. It starts by considering the early embryonic circulation, where blood passes through the valveless tube heart at a rate that surpasses the contractions of its walls, suggesting that the blood is not propelled by the heart, but possesses its own motive force, tightly coupled to the metabolic demands of the tissues. Rather than being an organ of propulsion, the heart, on the contrary, serves as a damming-up organ, generating pressure by rhythmically impeding the flow of blood. The validity of this model is then confirmed by comparing the key developmental stages of the cardiovascular system in the invertebrates, the insects and across the vertebrate taxa. The salient morphological and histological features of the myocardium are reviewed with particular reference to the vortex. The complex, energy-dissipating intracardiac flow-patterns likewise suggest that the heart functions as an organ of impedance, whose energy consumption closely matches the generated pressure, but not its throughput. Attention is then turned to the regulation of cardiac output and to the arguments advanced by proponents of the ‘left ventricular’ and of the ‘venous return’ models of circulation. Hyperdynamic states occurring in arteriovenous fistulas and congenital heart defects, where communication exists between the systemic and pulmonary circuits at the level of atria or the ventricles, demonstrate that, once the heart is unable to impede the flow of blood, reactive changes occur in the pulmonary and systemic circulations, leading to pulmonary hypertension and Eisenmenger syndrome. Finally, the key points of the nook are summarized in the context of blood as a ‘liquid organ’ with autonomous movement.
Furst
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PART I – Early Embryo Circulation.- Introduction.- Early Embryo Circulation – Morphologic Features.- The Onset of Circulation.- Hemodynamics of the Early Embryo Circulation.- Flow Patterns in the Early Embryo Circulation.- Heart Vortex Formation.- Is There a Circulation Without a Heart?.- Embryo Heart is not a Peristaltic Pump.- Flow Perturbation Experiments.- Heart Rate Perturbations.- The Heart as Generator of Pressure.- Ventriculo-Vascular Interaction.- A Brief Comparative Phylogeny.- Evolutionary Aspect of the Rhythmical System.- PART II – Mature Circulation.- Functional Morphology of the Heart.- Regulation of Cardiac Output.- Models of the Heart.- Cardiovascular Response during Exercise.- Hemodynamic Effects of Aortic Occlusion.- Increased Pulmonary Flows.- Single Ventricle Physiology.- Blood as an Organ.
Branko Furst, MD, FFARCSI, graduated from University of Ljubljana Medical School, Slovenia in 1978 and spent a year practicing family medicine. After completing a residency in anesthesiology at various London (UK) hospitals he worked a short time as an emergency room physician, and then continued his career in anesthesiology at Texas Tech University Health Sciences Center in El Paso, Texas.
The author currently holds the position of Associate Professor in Anesthesiology at Albany Medical College, Albany, NY, where his time is shared between clinical work, resident teaching and research.
