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实验性甲状腺功能亢进症II. 离体心室心肌的收缩与舒张机制

Experimental hyperthyroidism II. Mechanics of contraction and relaxation of isolated ventricular myocardium.

作者信息

Strauer B E, Scherpe A

出版信息

Basic Res Cardiol. 1975 Mar-Apr;70(2):131-41.

PMID:1137557
Abstract

The effect of experimental hyperthyroidism on myocardial mechanics was examined on isolated ventricular myocardium (right ventricular papillary muscle) of cats. 1. Isotonic muscle contraction and isometric tension development were largely unchanged compared with euthyroidism. 2. Isotonic contraction velocity and maximal isometric tension rise velocity showed considerable rises of between 41 and 78%. 3. Force-velocity relations of contraction showed changes with increases of contraction velocity with every degree of load. 4. Force-velocity relations of isotonic relaxation showed increases of isotonic relaxation maxima with comparable loads without any alteration of the typical course of the relaxation curves compared with euthyroidism. 5. Lowering the temperature (from 34 to 24 degrees C) produced a considerable fall of the raised contraction and relaxation velocity in hyperthyroidism whereas the values of muscle contraction and tension development important for the pump function were largely unchanged. It is concluded that the myocardium in experimental hyperthyroidism is characterised by a primarily velocity-related increase of inotropy. Lowering the temperature produces an effective fall of the raised velocity values. The mechanisms of the increase of inotropy and significance of the findings are discussed.

摘要

在猫的离体心室心肌(右心室乳头肌)上研究了实验性甲状腺功能亢进对心肌力学的影响。1. 与甲状腺功能正常相比,等张肌肉收缩和等长张力发展基本未变。2. 等张收缩速度和最大等长张力上升速度显著升高,升高幅度在41%至78%之间。3. 收缩的力-速度关系显示,随着负荷程度的增加,收缩速度增加,关系发生变化。4. 与甲状腺功能正常相比,等张舒张的力-速度关系显示,在相当的负荷下,等张舒张最大值增加,而舒张曲线的典型过程没有任何改变。5. 降低温度(从34摄氏度降至24摄氏度)会使甲状腺功能亢进时升高的收缩和舒张速度大幅下降,而对泵功能重要的肌肉收缩和张力发展值基本未变。结论是,实验性甲状腺功能亢进时的心肌特征是主要与速度相关的心肌收缩力增加。降低温度会使升高的速度值有效下降。讨论了心肌收缩力增加的机制及这些发现的意义。

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