Chen Hsing I, Hsieh Nan-Kuang, Chang Huai-Ren, Hu Cheng-Tao
Institute of Integrative Physiology and Clinical Sciences, Tzu Chi University, No. 701, Sec. 3, Jhongyang Rd., Hualien 97004, Taiwan.
Pflugers Arch. 2008 Jan;455(4):595-606. doi: 10.1007/s00424-007-0320-5. Epub 2007 Sep 15.
Aortic stiffness (AS) exerts significant impact on the cardiovascular risks. We developed a new model to produce AS. The purposes were to evaluate the haemodynamic consequence and to correlate the haemodynamic parameters with the extent of ventricular hypertrophy (VH). We applied silicon gel for embedding of the abdominal and/or thoracic aorta. After 1-4 weeks of AS, the left ventricular weight (LVW), LVW to body weight (BW) ratio (LVW/BW), and the morphological changes in cardiomyotes were quantified for VH. We determined the aortic pressure (AP), stroke volume, cardiac output, total peripheral resistance (TPR), characteristic impedance (Zc), pulse wave reflection (P(b)) and pulse wave velocity (PWV). Aortic embedding (AE) increased LVW, LVW/BW, systolic and pulse pressure (PP), Zc, P(b) and PWV accompanied by decreases in diastolic pressure and arterial compliance. The magnitude of these haemodynamic and cardiac changes were in an order of combined, thoracic and abdominal AE. Correlation analysis revealed that the VH was well correlated with pulsatile haemodynamics such as Zc, PP, P(b) and PWV, while less with steady components (Mean AP and TPR). Our results indicate that pulsatile haemodynamic parameters are significantly elevated after AS. The alterations in pulsatile haemodynamics are the major causes leading to VH.
主动脉僵硬度(AS)对心血管风险有重大影响。我们开发了一种产生AS的新模型。目的是评估血流动力学后果,并将血流动力学参数与心室肥厚(VH)程度相关联。我们应用硅胶包埋腹主动脉和/或胸主动脉。在AS形成1 - 4周后,对左心室重量(LVW)、左心室重量与体重(BW)之比(LVW/BW)以及心肌细胞的形态变化进行量化以评估VH。我们测定了主动脉压力(AP)、每搏输出量、心输出量、总外周阻力(TPR)、特性阻抗(Zc)、脉搏波反射(P(b))和脉搏波速度(PWV)。主动脉包埋(AE)增加了LVW、LVW/BW、收缩压和脉压(PP)、Zc、P(b)和PWV,同时舒张压和动脉顺应性降低。这些血流动力学和心脏变化的程度依次为联合包埋、胸主动脉包埋和腹主动脉包埋。相关性分析显示,VH与诸如Zc、PP、P(b)和PWV等搏动性血流动力学密切相关,而与稳定成分(平均AP和TPR)相关性较小。我们的结果表明,AS后搏动性血流动力学参数显著升高。搏动性血流动力学的改变是导致VH的主要原因。