Dodd-o J M, Gwirtz P A
Department of Physiology, Texas College of Osteopathic Medicine, Fort Worth 76107-2690.
Med Sci Sports Exerc. 1992 Nov;24(11):1245-51.
Exercise training is thought to exert a beneficial effect on cardiovascular function, but its effect in the normal heart following acute coronary artery occlusion is still uncertain. Studies were performed in 12 untrained (UT) and 14 endurance-trained (ET) pentobarbital anesthetized dogs. Left ventricular pressure (LVP), heart rate (HR), percent regional myocardial segmental shortening (%SL), and peripheral coronary pressure (PCP) distal to the occlusion were measured during control conditions and during a 2-min circumflex artery occlusion (CAO). During CAO, LVP, dP/dtmax, and %SL in the ischemic region were significantly reduced in both UT and ET dogs. There was no significant difference between the two groups. In addition, PCP decreased to 27 +/- 5 mm Hg and 26 +/- 9 mm Hg in the UT and ET groups, respectively, during CAO indicating no difference in coronary collateral perfusion between the groups. Regional myocardial blood flow was measured using tracer microspheres in eight of the UT and six of the ET dogs, and the decrease in blood flow to the ischemic zone during CAO was similar in both groups. These results indicate that 12-wk of endurance training does not exert a protective effect on myocardial contractile function or on myocardial perfusion in the central ischemic region during CAO in the anesthetized dog.
运动训练被认为对心血管功能有有益影响,但其在急性冠状动脉闭塞后对正常心脏的影响仍不确定。对12只未经训练(UT)和14只耐力训练(ET)的戊巴比妥麻醉犬进行了研究。在对照条件下和2分钟冠状动脉回旋支闭塞(CAO)期间,测量左心室压力(LVP)、心率(HR)、局部心肌节段缩短百分比(%SL)以及闭塞远端的外周冠状动脉压力(PCP)。在CAO期间,UT组和ET组犬缺血区域的LVP、dP/dtmax和%SL均显著降低。两组之间无显著差异。此外,在CAO期间,UT组和ET组的PCP分别降至27±5 mmHg和26±9 mmHg,表明两组之间的冠状动脉侧支灌注无差异。在8只UT犬和6只ET犬中使用示踪微球测量局部心肌血流量,两组在CAO期间缺血区血流量的减少相似。这些结果表明,12周的耐力训练对麻醉犬CAO期间心肌收缩功能或中央缺血区域的心肌灌注没有保护作用。