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Physiologie cardio-vasculaire et retour veineux

Le monde dans lequel nous vivons est VG-centrique. Le coeur gauche par ci, l’OAP par là, tout se focalise sur ce qui parle le plus bruyamment. Or, le système cardio-vasculaire est 1) beaucoup plus vaste que ça 2) en interaction (oserai-je « couplage » ?;-) ) avec les autres organes.

Critical Care Magazine aka CCM, a publié récemment une super revue sur le rôle du retour veineux en physiologie et en situation aigüe. Les deux articles sont limpides. Je vous avoue ne pas avoir encore tout lu (ça me rappelle un billet de blog…) mais je me suis promis de le faire (croix de boix croix de…). J’essaierais aussi de trouver le courage de pondre un petit billet sur le sujet un de ces 4.

Amis de la physiologie, compatriotes de la Médecine Aigüe, les deux articles sont à portée de main  :

IMG_1537 IMG_1540

 

 

 

 

 

 

 

article connexe ici

 

Cruz-Jentoft, A. J., Landi, F., Schneider, S. M., Zúñiga, C., Arai, H., Boirie, Y., Chen, L.-K., Fielding, R. A., Martin, F. C., Michel, J.-P., Sieber, C., Stout, J. R., Studenski, S. A., Vellas, B., Woo, J., Zamboni, M., & Cederholm, T. (2014). Prevalence of and interventions for sarcopenia in ageing adults: a systematic review. Report of the International Sarcopenia Initiative (EWGSOP and IWGS). Age and Ageing, 43(6), 748–759. https://doi.org/10.1093/ageing/afu115
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Armitage, J., Baigent, C., Barnes, E., Betteridge, D. J., Blackwell, L., Blazing, M., Bowman, L., Braunwald, E., Byington, R., Cannon, C., Clearfield, M., Colhoun, H., Collins, R., Dahlöf, B., Davies, K., Davis, B., Lemos, J. de, Downs, J. R., Durrington, P., … Zannad, F. (2019). Efficacy and safety of statin therapy in older people: a meta-analysis of individual participant data from 28 randomised controlled trials. The Lancet, 393(10170), 407–415. https://doi.org/10.1016/S0140-6736(18)31942-1
Borne, E., Meyer, N., Blanchard, O., Lombard, M., Vogel, T., Lang, P.-O., & Michel, B. (2021). Statin (mis)use in older people: A cross-sectional study using French health insurance databases. Pharmacoepidemiology and Drug Safety. https://doi.org/10.1002/pds.5262
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Van Roie, E., Walker, S., Van Driessche, S., Baggen, R., Coudyzer, W., Bautmans, I., & Delecluse, C. (2017). Training load does not affect detraining’s effect on muscle volume, muscle strength and functional capacity among older adults. Experimental Gerontology, 98, 30–37. https://doi.org/10.1016/j.exger.2017.07.017
Palla, A. R., Ravichandran, M., Wang, Y. X., Alexandrova, L., Yang, A. V., Kraft, P., Holbrook, C. A., Schürch, C. M., Ho, A. T. V., & Blau, H. M. (2021). Inhibition of Prostaglandin Degrading Enzyme 15-PGDH Rejuvenates Aged Muscle Mass and Strength. Science (New York, N.Y.), 371(6528). https://doi.org/10.1126/science.abc8059
Mølmen, K. S., Hammarström, D., Pedersen, K., Lie, A. C. L., Steile, R. B., Nygaard, H., Khan, Y., Hamarsland, H., Koll, L., Hanestadhaugen, M., Eriksen, A. L., Grindaker, E., Whist, J. E., Buck, D., Ahmad, R., Strand, T. A., Rønnestad, B. R., & Ellefsen, S. (n.d.). Vitamin D3 supplementation does not enhance the effects of resistance training in older adults. Journal of Cachexia, Sarcopenia and Muscle, n/a(n/a). https://doi.org/https://doi.org/10.1002/jcsm.12688
Diet-induced vitamin D deficiency reduces skeletal muscle mitochondrial respiration in: Journal of Endocrinology Volume 249 Issue 2 (2021). (n.d.). Retrieved April 17, 2021, from https://joe.bioscientifica.com/view/journals/joe/249/2/JOE-20-0233.xml
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Cruz-Jentoft, A. J., Bahat, G., Bauer, J., Boirie, Y., Bruyère, O., Cederholm, T., Cooper, C., Landi, F., Rolland, Y., Sayer, A. A., Schneider, S. M., Sieber, C. C., Topinkova, E., Vandewoude, M., Visser, M., Zamboni, M., & Writing Group for the European Working Group on Sarcopenia in Older People 2 (EWGSOP2), and the Extended Group for EWGSOP2. (2019). Sarcopenia: revised European consensus on definition and diagnosis. Age and Ageing, 48(1), 16–31. https://doi.org/10.1093/ageing/afy169
Beaudart, C., McCloskey, E., Bruyère, O., Cesari, M., Rolland, Y., Rizzoli, R., Araujo de Carvalho, I., Amuthavalli Thiyagarajan, J., Bautmans, I., Bertière, M.-C., Brandi, M. L., Al-Daghri, N. M., Burlet, N., Cavalier, E., Cerreta, F., Cherubini, A., Fielding, R., Gielen, E., Landi, F., … Cooper, C. (2016). Sarcopenia in daily practice: assessment and management. BMC Geriatrics, 16. https://doi.org/10.1186/s12877-016-0349-4
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Huang, Y.-H., Chiu, W.-C., Hsu, Y.-P., Lo, Y.-L., & Wang, Y.-H. (2020). Effects of Omega-3 Fatty Acids on Muscle Mass, Muscle Strength and Muscle Performance among the Elderly: A Meta-Analysis. Nutrients, 12(12). https://doi.org/10.3390/nu12123739
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Van Roie, E., Delecluse, C., Coudyzer, W., Boonen, S., & Bautmans, I. (2013). Strength training at high versus low external resistance in older adults: effects on muscle volume, muscle strength, and force-velocity characteristics. Experimental Gerontology, 48(11), 1351–1361. https://doi.org/10.1016/j.exger.2013.08.010
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11 réponses sur « Physiologie cardio-vasculaire et retour veineux »

petits éléments de réflexion :
1- POD : résultante du RV où cause? (cf controverse JAP ou AJP entre Magder et Benjedlid)
2 Selon S Magder, le « rôle » du coeur droit est d’abaisser la POD, pour permettre le RV et DONC le Qcar…

reflexions :
A lire les références (on lit un article comme on peut;-) ) : ah la guerre Parker Jardin sur la dilatation du VG/VD à la phase initiale du choc septique, tout un monde, OU : ne jamais vouloir faire dire à une mesure autre chose que ce qu’elle mesure…

En se documentant sur le VD on en viendrait à mettre le deltaPP et autres variabilités respi à la poubelle 😉
A moins de se souvenir de la PVC : et pour les lillois, allez donc voir ce comment 😉

mais qu’est-ce que tu fais sur ce vieux billet ? tu as lu dans mes pensées ou dans ma draft box de WordPress ou quoi (j’ai un haiku-post à suivre sur le sujet) ?

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