Wright C I, Drinkhill M J, Hainsworth R
Institute of Cardiovascular Research, University of Leeds, Leeds LS2 9JT, UK.
Exp Physiol. 2001 May;86(3):381-90. doi: 10.1113/eph8602208.
Stimulation of left ventricular mechanoreceptors was believed not only to exert important effects on the circulation, but also to influence the responses to baroreceptor reflexes. However, most previous work is flawed due to inadequate localisation of stimuli to specific reflexogenic areas. In this study, we applied a discrete stimulus to left ventricular mechanoreceptors to examine other reflexes known to effect the circulation. Dogs were anaesthetised, artificially ventilated and a cardiopulmonary bypass established. The pressure distending the left ventricle was controlled through an apical cannula with the aortic valve obstructed by a balloon. Changes in ventricular systolic and end-diastolic pressure had only a small effect on vascular resistance, assessed as perfusion pressure in the systemic circulation (flow constant). Responses to changes in carotid or coronary pressure or to stimulation of chemosensitive afferents by injecting veratridine into the coronary circulation were always much larger. Responses to stimulation of these reflexes were little affected by the level of stimulus to the ventricular receptors. These experiments confirm that responses to stimulation of ventricular mechanoreceptors are very small and show that they remain small at different levels of input to other baroreceptive regions. There was no evidence of interaction between ventricular mechanoreceptor reflexes and carotid or coronary baroreceptors or ventricular chemosensitive reflexes.
以往认为,刺激左心室机械感受器不仅会对循环系统产生重要影响,还会影响对压力感受器反射的反应。然而,由于之前大多数研究中对特定反射发生区域的刺激定位不准确,因此存在缺陷。在本研究中,我们对左心室机械感受器施加离散刺激,以检查其他已知影响循环的反射。将狗麻醉、进行人工通气并建立体外循环。通过心尖插管控制左心室的扩张压力,同时用球囊阻塞主动脉瓣。以体循环中的灌注压力(流量恒定)评估,心室收缩压和舒张末期压力的变化对血管阻力的影响很小。对颈动脉或冠状动脉压力变化或通过向冠状动脉循环注射藜芦碱刺激化学感受性传入神经的反应总是大得多。对这些反射的刺激反应受心室感受器刺激水平的影响很小。这些实验证实,对心室机械感受器刺激的反应非常小,并且表明在对其他压力感受区域的不同输入水平下,这些反应仍然很小。没有证据表明心室机械感受器反射与颈动脉或冠状动脉压力感受器或心室化学感受性反射之间存在相互作用。