The relationship between pulmonary arterial pressure and pulmonary blood flow has been studied by a number of investigators in anesthetized animals (1), in man after pneumonectomy or unilateral pulmonary arterial occlusion (2, 3), and in normal man during exercise (4-7). With a few exceptions (1) these studies have agreed that doubling or trebling the pulmonary arterial flow does not produce a comparable increase of pulmonary arterial pressure. Sloan, Morris, Figley, and Lee (2) and Brofman (3) found in human subjects only a very slight rise of pulmonary arterial pressure during balloon occlusion of one main pulmonary artery branch when cardiovascular dynamics were normal. However, the relationship between pulmonary arterial pressure and pulmonary arterial blood flow at higher rates of flow has been examined by only a few investigators.In 1950, Cournand, Riley, Himmelstein, and Austrian (8) published studies of pulmonary blood pressure in normal physicians at rest and during exercise and in patients who had had a pneumonectomy with a normal remaining lung. These investigators concluded that pulmonary blood flow in man can increase to approximately three times the normal before the pulmonary arterial pressure will rise above normal limits. Lategola studied pulmonary pressure and flow relationships at high flow levels achieved by occluding 50% or more of the pulmonary circulation in anesthetized dogs (9). Lategola also found that when pulmonary blood flow was increased to approximately 250 to 300% above normal, the pressure rose sharply. * Submitted for publication March 15, 1965; accepted September 16, 1965. Supported by U. S. Public Health Service grants HE-06307 and HE-5445. Unlike Cournand, he found some increment of pulmonary arterial pressure even when pulmonary blood flow was increased less than 100% above the normal.In the foregoing studies of high pulmonary blood flow, the methods used for measuring pulmonary blood flow were necessarily indirect, and left atrial pressure was not measured. Thus the effect of pulmonary blood flow upon pulmonary vascular resistance could not be accurately computed. The purpose of the present study is to examine in anesthetized dogs the effect of increase of pulmonary blood flow under circumstances that permitted direct measurement of pulmonary blood flow and left atrial pressure. The pulmonary blood flows were measured at levels from 50% to 500% of normal,' and left atrial pressures were held constant in some experiments.
MethodsThe experiments were performed upon 19 mongrel dogs that were in three groups.Group 1 consisted of nine dogs. The experimental design for equal perfusion of the systemic and pulmonary circulations with a roller pump is described in detail elsewhere (10) and is only summarized here. Three animals were anesthetized with pentobarbital sodium, 30 mg per kg, intravenously. Six received morphine sulfate, 5 mg per kg, intramuscularly followed by intravenous chloralose in amounts required to maintain anesthesia. The animals received heparin, 5 mg per kg, ...