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从收缩弹性和阻力方面看大鼠心室泵血力学行为的年龄相关变化。

Age-related changes in pumping mechanical behavior of rat ventricle in terms of systolic elastance and resistance.

作者信息

Chang K C, Peng Y I, Dai S H, Tseng Y Z

机构信息

Department of Physiology, College of Medicine, National Taiwan University, Taipei.

出版信息

J Gerontol A Biol Sci Med Sci. 2000 Sep;55(9):B440-7. doi: 10.1093/gerona/55.9.b440.

Abstract

Both the maximal systolic elastance (Emax) and the theoretical maximal flow (Qmax) can quantify the systolic mechanical behavior of the ventricular pump. Physically, Emax can reflect the intrinsic contractility of the myocardium as an intact heart. The quantity in (Qmax is inversely related to the internal resistance of the left ventricle. How great the effects of age are on these Emax and Qmax has never been examined, however. This study was to determine the ventricular pumping mechanics in terms of the systolic elastance and resistance in male Fischer rats at 6, 12, 18, and 24 months of age. We measured left ventricular (LV) pressure and ascending aortic flow waves using a high-fidelity pressure sensor and an electromagnetic flow probe, respectively. Those two parameters that characterize the systolic pumping mechanics of the left ventricle are obtained by making use of an elastance-resistance model. The basic hemodynamic condition in those animals with different ages is characterized by (i) no significant change in cardiac output and (ii) a decrease in basal heart rate, LV end-systolic pressure, as well as effective arterial volume elastance. Changes that take place in the left ventricle with age include a decline in Emax and an increase in Qmax especially at 24 months. These results demonstrate that the impaired intrinsic contractility of an aging heart may be compensated to some extent by the diminished ventricular internal resistance. Such compensation in aging rats may maintain normal blood flow essential for the metabolic needs of tissues and/or organs before heart dysfunction and failure occur.

摘要

最大收缩弹性(Emax)和理论最大流量(Qmax)均可量化心室泵的收缩力学行为。从物理意义上讲,Emax可反映完整心脏状态下心肌的固有收缩性。而Qmax与左心室的内部阻力呈负相关。然而,年龄对这些Emax和Qmax的影响程度尚未得到研究。本研究旨在确定6、12、18和24月龄雄性费希尔大鼠在收缩弹性和阻力方面的心室泵血力学。我们分别使用高保真压力传感器和电磁流量探头测量左心室(LV)压力和升主动脉血流波形。利用弹性-阻力模型可得出表征左心室收缩泵血力学的这两个参数。不同年龄组动物的基本血流动力学状况表现为:(i)心输出量无显著变化;(ii)基础心率、左心室收缩末期压力以及有效动脉血容量弹性降低。随着年龄增长,左心室发生的变化包括Emax下降和Qmax增加,尤其是在24月龄时。这些结果表明,衰老心脏受损的固有收缩性可能在一定程度上通过心室内部阻力的降低得到补偿。在衰老大鼠中,这种补偿作用可能在心脏功能障碍和衰竭发生之前维持组织和/或器官代谢需求所必需的正常血流。

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