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S K Hawley

Publications and source records attributed to S K Hawley.

3 recordsLinked to original sources

Relative effects of fat-, carbohydrate- and protein-containing liquid diets on cardiac output in healthy adult subjects.

1. Nine healthy adult subjects consumed four types of proprietary liquid diet of similar volume and calorific value but of different nutritional composition. The effects on resting cardiac output, mean blood pressure and pulse rate were measured. 2. A significant rise in cardiac output occurred with the balanced, protein and carbohydrate diets but not with the fat diet. The greatest rise was seen with the balanced diet. Water alone had no effect on cardiac output. 3. The average time taken to reach peak cardiac output was shortest with the carbohydrate diet and longest with the fat diet. 4. The increases in cardiac output resulted from a rise in both pulse rate and stroke volume. The carbohydrate diet produced the most sustained rise in pulse rate but the least sustained elevation in stroke volume. 5. No significant changes were seen in mean blood pressure when each liquid meal was compared with water. 6. Our data show that the increase in cardiac output with liquid ingestion is related to the dietary components. These effects are additive.

Adult↗

The effect of dobutamine on middle cerebral artery blood velocity in volunteers: a preliminary study.

Five volunteers given dobutamine up to 4 micrograms/kg/min had significant increases in mean arterial blood pressure, systolic blood pressure, and stroke volume (P less than 0.05). Heart rate did not increase significantly. Pulsatility index, an index of middle cerebral artery maximum blood velocity waveform shape increased significantly in the dobutamine group (P less than 0.05). Time-averaged mean velocity did increase during the dobutamine infusion but the change was not statistically significant. Dobutamine significantly alters the blood velocity profile of the middle cerebral artery in volunteers even in low doses of 4 micrograms/kg/min. Transcranial Doppler may be a useful technique to monitor changes in cerebral artery blood velocity dynamics induced by dobutamine. These measurements can be performed easily and repeatedly at the bedside.

Adult↗