Abstract
Hydrodynamic pressure-pulses of high intensity (max.40 mbar) or direct vibrations (100–1000 Hz) can reduce the contractile force of isolated smooth and skeletal muscles as well as cardiac muscle preparations. The relaxing effect is probably based on a disturbance of the interaction between the contractile proteins of the myofibrils. In the rhythmically working total heart only pressure-pulses placed in the systole are effective in respect of negative inotropism. Pressure-pulses applied during diastole induce ventricular extrasystoles. Repetitive automatism, often leading to ventricular fibrillation, can be provoked by each diastolic pressure-pulse when ischemia combined with subsequent hypoxia is applied to the heart. Arrhythmias, induced by pressure-pulses, probably originate from rapid distension of stretch-sensitive structures of the heart, mainly Purkinje fibres.
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