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阿托品和阿替洛尔对清醒的朗-埃文斯大鼠体内NG-硝基-L-精氨酸甲酯心脏血流动力学效应的影响。

The influence of atropine and atenolol on the cardiac haemodynamic effects of NG-nitro-L-arginine methyl ester in conscious, Long Evans rats.

作者信息

Widdop R E, Gardiner S M, Kemp P A, Bennett T

机构信息

Department of Physiology and Pharmacology, University of Nottingham Medical School, Queen's Medical Centre.

出版信息

Br J Pharmacol. 1992 Mar;105(3):653-6. doi: 10.1111/j.1476-5381.1992.tb09034.x.

Abstract
  1. In the present study, the extent to which baroreflexes contribute to the cardiac effects of NG-nitro-L-arginine methyl ester (L-NAME) was assessed in conscious, Long Evans rats chronically instrumented with thoracic electromagnetic flow probes for the measurement of cardiac haemodynamics. 2. L-NAME (10 mg kg-1, i.v.) was administered in the absence (n = 6) and in the presence (n = 7) of atropine (1 mg kg-1) and atenolol (1 mg kg-1). 3. L-NAME caused a marked increase in mean arterial pressure and marked reductions in total peripheral conductance, cardiac output, heart rate, stroke volume, peak thoracic flow and the maximum rate of rise of aortic flow. 4. Administration of atropine, after the maximal bradycardic effect of L-NAME was established, restored the heart rate to resting levels. Concurrently, there was a reduction in stroke volume, such that cardiac output, although transiently elevated, did not show a sustained increase. No other variables were significantly affected by atropine. Additional administration of atenolol had no effect other than to cause a slight bradycardia, such that in the presence of atropine and atenolol, heart rate was not different from that in animals receiving atropine and atenolol before L-NAME. 5. In the presence of atropine and atenolol, L-NAME had similar pressor, vasoconstrictor and cardiac haemodynamic effects to those in untreated animals, although the bradycardia was significantly attenuated. However, there was still a significant reduction in heart rate following L-NAME in the presence of atropine and atenolol.6. These results indicate that the major component of the bradycardia following L-NAME is indirect and mediated through an increase in vagal efferent activity. However, the substantial reduction in cardiac function caused by L-NAME is not dependent on the autonomic control of the heart but rather, may depend on the increase in afterload and/or a direct effect of L-NAME on the heart and/or its vasculature.
摘要
  1. 在本研究中,对清醒的、长期植入胸部电磁流量探头以测量心脏血流动力学的Long Evans大鼠,评估了压力感受性反射对NG-硝基-L-精氨酸甲酯(L-NAME)心脏效应的影响程度。2. 在不存在(n = 6)和存在(n = 7)阿托品(1 mg kg-1)和阿替洛尔(1 mg kg-1)的情况下,静脉注射L-NAME(10 mg kg-1)。3. L-NAME导致平均动脉压显著升高,总外周传导率、心输出量、心率、每搏量、胸部峰值流量和主动脉流量最大上升速率显著降低。4. 在L-NAME的最大心动过缓效应确立后给予阿托品,使心率恢复到静息水平。同时,每搏量减少,因此心输出量虽然短暂升高,但未出现持续增加。阿托品对其他变量无显著影响。额外给予阿替洛尔除了引起轻微心动过缓外无其他作用,因此在存在阿托品和阿替洛尔的情况下,心率与在L-NAME给药前接受阿托品和阿替洛尔的动物的心率无差异。5. 在存在阿托品和阿替洛尔的情况下,则L-NAME具有与未治疗动物相似的升压、血管收缩和心脏血流动力学效应,尽管心动过缓明显减轻。然而,在存在阿托品和阿替洛尔的情况下,L-NAME给药后心率仍显著降低。6. 这些结果表明,L-NAME后心动过缓的主要成分是间接的,通过迷走神经传出活动增加介导。然而,L-NAME引起的心脏功能的显著降低不依赖于心脏的自主控制,而是可能依赖于后负荷的增加和/或L-NAME对心脏和/或其血管系统的直接作用。

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