Ohtake P J, Jennings D B
Department of Physiology, Queen's University, Kingston, Ontario, Canada.
J Appl Physiol (1985). 1992 Oct;73(4):1549-57. doi: 10.1152/jappl.1992.73.4.1549.
Changes in arterial pressure commonly accompany respiratory adaptations. The purpose of this study was to determine, in awake dogs (n = 6), the degree to which small acute decreases in arterial pressure affect ventilation and acid-base balance. Mean arterial pressure (MAP) was reduced by 6 +/- 2, 10 +/- 3, and 16 +/- 2% by intravenous infusion of sodium nitroprusside for sequential 20-min periods. In another experiment, the ventilatory response to hypercapnia was determined during MAP reduction of 16 +/- 3%. Step reductions in MAP were accompanied by increases in minute ventilation (maximum increase 152 +/- 75%) and step reductions in arterial PCO2 (PaCO2; maximum reduction -4.8 +/- 0.8 Torr). Although eupneic PaCO2 threshold was lowered during MAP reduction, ventilatory sensitivity to CO2 remained unchanged. Despite the lowered PaCO2, arterial [H+] remained constant (acid-base balance was maintained) as a result of a concurrent decrease in strong ion difference. Plasma renin activity increased during MAP reduction (93 +/- 39%) and may have contributed to the increase in minute ventilation, inasmuch as angiotensin II can stimulate respiration by a central mechanism. Evidence is provided that nitroprusside is unlikely to be a primary factor in these hypotensive responses. We conclude that relatively modest decreases in MAP have a consistent stimulatory effect on respiratory control. Therefore it is important to take into account effects of small changes in MAP when interpreting mechanisms for respiratory responses in awake animals.
动脉压的变化通常伴随着呼吸适应性变化。本研究的目的是确定在清醒犬(n = 6)中,动脉压的急性小幅下降对通气和酸碱平衡的影响程度。通过静脉输注硝普钠,在连续20分钟的时间段内将平均动脉压(MAP)分别降低6±2%、10±3%和16±2%。在另一项实验中,在MAP降低16±3%期间测定对高碳酸血症的通气反应。MAP的逐步降低伴随着分钟通气量增加(最大增加152±75%)和动脉PCO₂(PaCO₂)逐步降低(最大降低-4.8±0.8 Torr)。尽管在MAP降低期间正常呼吸时的PaCO₂阈值降低,但对CO₂的通气敏感性保持不变。尽管PaCO₂降低,但由于强离子差同时降低,动脉[H⁺]保持恒定(酸碱平衡得以维持)。MAP降低期间血浆肾素活性增加(93±39%),这可能是分钟通气量增加的原因之一,因为血管紧张素II可通过中枢机制刺激呼吸。有证据表明硝普钠不太可能是这些降压反应的主要因素。我们得出结论,MAP相对适度的降低对呼吸控制有持续的刺激作用。因此,在解释清醒动物呼吸反应机制时,考虑MAP的微小变化的影响很重要。