Chien Y, Pegram B L, Kardon M B, Frohlich E D
Alton Ochsner Medical Foundation, New Orleans, Louisiana 70121.
Am J Physiol. 1992 Feb;262(2 Pt 2):H432-6. doi: 10.1152/ajpheart.1992.262.2.H432.
To test the hypothesis that atrial natriuretic factor (ANF) increases total body venous compliance through venodilation and thereby reduces cardiac preload, we compared the systemic hemodynamic effects of ANF (99-126) with the venodilator nitroglycerin in conscious rats with myocardial infarction (mean infarct size 25%) induced by coronary artery ligation 3 wk previously. A 30-min ANF infusion (0.5 microgram.kg-1.min-1) decreased mean arterial pressure, central venous pressure, and blood volume by 11 mmHg, 0.8 mmHg, and 3 ml/kg, respectively (P less than 0.02). Nitroglycerin (10 micrograms.kg-1.min-1) similarly reduced arterial and venous pressures (7 and 0.6 mmHg; P less than 0.02) but increased blood volume by 2 ml/kg (P less than 0.05). Both ANF and nitroglycerin reduced mean circulatory filling pressure (MCFP) by 1 mmHg (P less than 0.05). Compared with vehicle infusion, nitroglycerin increased total body vascular compliance as derived from serial MCFP measurements taken during 10% blood volume changes (2.09 +/- 0.12 vs. 2.76 +/- 0.32 ml.kg-1.mmHg-1; P less than 0.05) and reduced extrapolated unstressed volume (34.96 +/- 1.10 vs. 23.79 +/- 3.80 ml/kg; P less than 0.02). In contrast, ANF had no effect on either measurement. These data suggest that ANF and nitroglycerin reduced cardiac filling pressure through different mechanisms; the lack of effects of ANF on total body venous compliance and unstressed volume does not support its venodilating effect in these rats postmyocardial infarction.
为验证心房利钠因子(ANF)通过使静脉扩张增加全身静脉顺应性从而降低心脏前负荷这一假说,我们将ANF(99 - 126)与静脉扩张剂硝酸甘油对3周前因冠状动脉结扎诱导心肌梗死(平均梗死面积25%)的清醒大鼠的全身血流动力学效应进行了比较。输注ANF 30分钟(0.5微克·千克⁻¹·分钟⁻¹)分别使平均动脉压、中心静脉压和血容量降低了11 mmHg、0.8 mmHg和3 ml/kg(P < 0.02)。硝酸甘油(10微克·千克⁻¹·分钟⁻¹)同样降低了动脉压和静脉压(分别为7 mmHg和0.6 mmHg;P < 0.02),但使血容量增加了2 ml/kg(P < 0.05)。ANF和硝酸甘油均使平均循环充盈压(MCFP)降低了1 mmHg(P < 0.05)。与输注溶媒相比,硝酸甘油在血容量发生10%变化期间通过连续测量MCFP得出增加了全身血管顺应性(2.09 ± 0.12 vs. 2.76 ± 0.32 ml·kg⁻¹·mmHg⁻¹;P < 0.05)并降低了外推的无应力容量(34.96 ± 1.10 vs. 23.79 ± 3.80 ml/kg;P < 0.02)。相反,ANF对这两项测量均无影响。这些数据表明,ANF和硝酸甘油通过不同机制降低心脏充盈压;ANF对全身静脉顺应性和无应力容量缺乏影响不支持其在这些心肌梗死后大鼠中的静脉扩张作用。