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高血压患者的导管动脉顺应性和扩张性不一定降低。

Conduit artery compliance and distensibility are not necessarily reduced in hypertension.

作者信息

Hayoz D, Rutschmann B, Perret F, Niederberger M, Tardy Y, Mooser V, Nussberger J, Waeber B, Brunner H R

机构信息

Hypertension Division, University Hospital (CHUV), Lausanne, Switzerland.

出版信息

Hypertension. 1992 Jul;20(1):1-6. doi: 10.1161/01.hyp.20.1.1.

Abstract

The goal of this study was to investigate whether the elastic behavior of conduit arteries of humans or rats is altered as a result of concomitant hypertension. Forearm arterial cross-sectional compliance-pressure curves were determined noninvasively by means of a high precision ultrasonic echo-tracking device coupled to a photoplethysmograph (Finapres system) allowing simultaneous arterial diameter and finger blood pressure monitoring. Seventeen newly diagnosed hypertensive patients with a humeral blood pressure of 163/103 +/- 4.4/2.2 mm Hg (mean +/- SEM) and 17 age- and sex-matched normotensive controls with a humeral blood pressure of 121/77 +/- 3.2/1.9 mm Hg were included in the study. Compliance-pressure curves were also established at the carotid artery of 16-week-old anesthetized spontaneously hypertensive rats (n = 14) as well as Wistar-Kyoto normotensive animals (n = 15) using the same echo-tracking device. In these animals, intra-arterial pressure was monitored in the contralateral carotid artery. Mean blood pressures averaged 197 +/- 4 and 140 +/- 3 mm Hg in the hypertensive and normotensive rats, respectively. Despite the considerable differences in blood pressure, the diameter-pressure and cross-sectional compliance-pressure and distensibility-pressure curves were not different when hypertensive patients or animals were compared with their respective controls. These results suggest that the elastic behavior of a medium size muscular artery (radial) in humans and of an elastic artery (carotid) in rats is not necessarily altered by an increase in blood pressure.

摘要

本研究的目的是调查人类或大鼠的导管动脉弹性行为是否因伴发高血压而改变。通过将高精度超声回声跟踪装置与光电容积描记仪(Finapres系统)相结合,以无创方式测定前臂动脉横断面顺应性-压力曲线,该系统可同时监测动脉直径和手指血压。17例新诊断的高血压患者纳入研究,其肱动脉血压为163/103±4.4/2.2 mmHg(均值±标准误),17例年龄和性别匹配的血压正常对照者,其肱动脉血压为121/77±3.2/1.9 mmHg。还使用相同的回声跟踪装置,在16周龄麻醉的自发性高血压大鼠(n = 14)以及Wistar-Kyoto血压正常动物(n = 15)的颈动脉处建立顺应性-压力曲线。在这些动物中,对侧颈动脉监测动脉内压力。高血压大鼠和血压正常大鼠的平均血压分别为197±4和140±3 mmHg。尽管血压存在显著差异,但将高血压患者或动物与其各自的对照相比时,直径-压力、横断面顺应性-压力和扩张性-压力曲线并无差异。这些结果表明,人类中等大小肌性动脉(桡动脉)和大鼠弹性动脉(颈动脉)的弹性行为不一定会因血压升高而改变。

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