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[体循环动脉中粘度、弹性和管壁缓冲功能的区域差异:动脉压-直径关系的脉搏波分析]

[Regional differences in viscosity, elasticity and wall buffering function in systemic arteries: pulse wave analysis of the arterial pressure-diameter relationship].

作者信息

Bia Daniel, Aguirre Ismael, Zócalo Yanina, Devera Lucía, Cabrera Fischer Edmundo, Armentano Ricardo

机构信息

Departamento de Fisiología, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay.

出版信息

Rev Esp Cardiol. 2005 Feb;58(2):167-74.

Abstract

INTRODUCTION AND OBJECTIVES

Regional variations in the incidence of vascular diseases have been related to regional differences in arterial viscoelasticity. The aim of this study was to characterize the differences in the elastic and viscous modulus and in wall buffering function between central and peripheral systemic arteries, through a time-series analysis of the pressure-diameter relationship.

MATERIAL AND METHOD

Pressure and diameter were measured in seven arterial segments (carotid, brachiocephalic trunk, ascending aorta, proximal, middle and distal descending thoracic aorta, and femoral artery) from six sheep. Each segment was mounted on an in vitro mock circulatory system and perfused with Tyrode solution, with a pulse frequency of 1.8 Hz and systemic pressure levels. We used the Kelvin-Voigt model to calculate the pressure-diameter elastic (Epd, mmHg/mm) and viscous (Vpd, mmHg.s/mm) modulus, and to quantify the local wall buffering function (Vpd/Epd). We also calculated the incremental Young's and pressure-strain elastic modulus and pulse wave velocity for each segment.

RESULTS

The elastic and viscous modulus increased from proximal to distal segments. The wall buffering function did not differ significantly between arteries. The lower rigidity of the central arteries compared to the distal ones may indicate that the systolic arterial compliance function is concentrated in the central arterial segments. On the other hand, the greater viscosity in the distal segments may indicate that viscous energy loss is concentrated in these segments.

CONCLUSIONS

Arterial elasticity and viscosity can be interpreted as properties that are dependent on the region of the vessel, whereas wall buffering function can be considered region-independent.

摘要

引言与目的

血管疾病发病率的区域差异与动脉粘弹性的区域差异有关。本研究的目的是通过对压力-直径关系的时间序列分析,来描述中央和外周体动脉在弹性模量、粘性模量以及管壁缓冲功能方面的差异。

材料与方法

在6只绵羊的7个动脉节段(颈动脉、头臂干、升主动脉、胸降主动脉近端、中段和远端以及股动脉)测量压力和直径。每个节段安装在体外模拟循环系统上,并用台氏液灌注,脉冲频率为1.8Hz,保持全身压力水平。我们使用开尔文-沃伊特模型来计算压力-直径弹性模量(Epd,mmHg/mm)和粘性模量(Vpd,mmHg·s/mm),并量化局部管壁缓冲功能(Vpd/Epd)。我们还计算了每个节段的增量杨氏弹性模量、压力-应变弹性模量和脉搏波速度。

结果

弹性模量和粘性模量从近端节段到远端节段增加。各动脉之间的管壁缓冲功能没有显著差异。与远端动脉相比,中央动脉较低的刚度可能表明收缩期动脉顺应性功能集中在中央动脉节段。另一方面,远端节段较大的粘性可能表明粘性能量损失集中在这些节段。

结论

动脉弹性和粘性可解释为依赖于血管区域的特性,而管壁缓冲功能可认为与区域无关。

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