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家禽主动脉脉压的年龄和性别依赖性变化。

Age- and sex-dependent changes in pulse pressure in fowl aorta.

作者信息

Ruiz-Feria Ciro A, Zhang David, Nishimura Hiroko

机构信息

Department of Physiology, University of Tennessee Health Science Center, 894 Union Avenue, Memphis, TN 38163, USA.

出版信息

Comp Biochem Physiol A Mol Integr Physiol. 2004 Feb;137(2):311-20. doi: 10.1016/j.cbpb.2003.10.006.

Abstract

Chickens (males more than females) have higher blood pressure (BP) than most mammals and spontaneously develop vascular neointimal plaques (NP) and diffuse subendothelial thickening in the lower segment of the abdominal aorta (AbA, referred to as 'NP-prone area') that partly resemble atherosclerotic lesions in mammals. NP areas, which are larger in males, have a causal relationship with incremental increases in BP during maturation. We hypothesize that decreased wall distensibility and altered hemodynamic forces at the NP-prone area may contribute to the NP formation. We measured pressure pulse wave (PW) and systolic and diastolic BP along the descending aorta in anesthetized chickens at different ages using an intravascular microtip transducer and calculated pulse pressure (PP) as an indicator for artery distensibility. At all ages examined and in both sexes, the PW showed a sharper peak at the more peripheral locations and the amplitude of the PW increased as it descended the aorta. PP, expressed as relative increases from the PP in the aortic arch (%), was 40.4+/-12.6 and 71.4+/-18.6 at the AbA and ischiadic artery, respectively, in young males (24-27 weeks); 23.5+/-8.6 and 43.8+/-16.2 in adults (72-75 weeks); and 5.4+/-3.4 and 9.1+/-4.9 in chicks (5-7 weeks). Location-dependent increases in PP were significantly higher in young males (P<0.05). The PP increases in females were not different among the three age groups. The contour of the PW in the proximal aorta changes in older birds, exhibiting steeper increases in the ascending and descending limbs, suggesting that faster wave reflection from the periphery augments peak systolic pressure. NP was most frequently seen in the lower segment of the abdominal aorta in older males. These results suggest that: (1) site-dependent increases in PP amplitude are marked in young males, possibly reflecting a reduction in arterial wall elasticity enhanced by incremental rises in BP, and (2) NP formation may contribute to the stiffness of aortic walls in the NP-prone area.

摘要

鸡(雄性多于雌性)的血压高于大多数哺乳动物,并会自发形成血管内膜斑块(NP)以及腹主动脉下段(AbA,称为“NP易患区”)的弥漫性内皮下增厚,这部分类似于哺乳动物的动脉粥样硬化病变。NP区域在雄性中更大,与成熟过程中血压的逐渐升高存在因果关系。我们假设NP易患区壁扩张性降低和血流动力学力改变可能有助于NP的形成。我们使用血管内微尖端换能器测量了不同年龄麻醉鸡降主动脉沿线的压力脉搏波(PW)以及收缩压和舒张压,并计算脉搏压(PP)作为动脉扩张性的指标。在所有检查的年龄组以及两性中,PW在更外周的位置显示出更尖锐的峰值,并且PW的幅度随着其沿主动脉下降而增加。以相对于主动脉弓PP的相对增加(%)表示的PP,在年轻雄性(24 - 27周)的AbA和坐骨动脉分别为40.4±12.6和71.4±18.6;在成年(72 - 75周)分别为23.5±8.6和43.8±16.2;在雏鸡(5 - 7周)分别为5.4±3.4和9.1±4.9。PP的位置依赖性增加在年轻雄性中显著更高(P<0.05)。雌性的PP增加在三个年龄组之间没有差异。老年鸡近端主动脉中PW的轮廓发生变化,在上升和下降支中显示出更陡峭的增加,表明来自外周的更快波反射增强了收缩压峰值。NP最常见于老年雄性的腹主动脉下段。这些结果表明:(1)PP幅度的位置依赖性增加在年轻雄性中明显,可能反映了随着血压逐渐升高而增强的动脉壁弹性降低,以及(2)NP的形成可能导致NP易患区主动脉壁的僵硬。

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