Cardiovascular Research Laboratories, Department of Internal Medicine, University of Iowa, College of Medicine, Iowa City, Iowa.
J Clin Invest. 1968 Jan;47(1):1-9. doi: 10.1172/JCI105699.
Experiments were done to test the hypothesis that alpha receptor blockers antagonize more effectively venous than arterial responses to norepinephrine in man.Systemic arterial blood pressure, venous pressure in the forearm, blood flow through the forearm, and the volume of the forearm at a venous pressure of 30 mm Hg were measured using pressure transducers and a mercury strain-gauge plethysmograph. Infusions of norepinephrine into the brachial artery reduced forearm blood flow and venous distensibility without changing arterial pressure. After intraarterial infusion of phentolamine the decrease in venous distensibility during administration of norepinephrine was blocked almost completely whereas the decrease in blood flow through the forearm was not altered.The results indicate that alpha adrenergic receptor blockade can antagonize constriction of capacitance vessels more effectively than constriction of resistance vessels.
在人体中,α受体阻滞剂拮抗去甲肾上腺素对静脉的作用比拮抗动脉的作用更有效。使用压力传感器和汞式应变仪 plethysmograph 测量了系统动脉血压、前臂静脉压、前臂血流量以及静脉压为 30mmHg 时的前臂容积。向肱动脉输注去甲肾上腺素可减少前臂血流量和静脉可扩张性,而不改变动脉血压。在动脉内输注酚妥拉明后,去甲肾上腺素给药期间静脉可扩张性的下降几乎完全被阻断,而通过前臂的血流量下降并未改变。结果表明,α 肾上腺素能受体阻断可更有效地拮抗容量血管收缩,而不是阻力血管收缩。