Zverev O G, Bershadskiĭ B G, Tsyrlin V A
Kardiologiia. 1991 Dec;31(12):30-2.
The nature of sinocarotid and cardiopulmonary baroreceptor reflex was examined in 33 patients with labile hypertensive disease (HD). The mechanic receptors of the sinocarotid area was activated by a neck barochamber; lower extremity decompression was used to test the vasoconstrictor cardiopulmonary baroreflex. The studies demonstrated that the activation of the mechanic receptors led to less severe bradycardia in hypertensives than in healthy persons. At the same time blood pressure fall with a decrease in neck chamber pressure achieved higher values in the patients than in normotensives, which was due to vasodilation in most patients. A direct relation was proved to exist between the degree of a decrease in the cardiochronotropic baroreflex component, presence of its vasomotor component, and disease duration. The hypertensives displayed increased in vasoconstrictor cardiopulmonary baroreceptor reflex.
对33例不稳定型高血压病(HD)患者的颈总动脉和心肺压力感受器反射的性质进行了研究。通过颈部压力室激活颈总动脉区域的机械感受器;采用下肢减压来测试血管收缩性心肺压力反射。研究表明,与健康人相比,高血压患者机械感受器激活后导致的心动过缓程度较轻。同时,随着颈部压力室压力降低,患者血压下降幅度高于血压正常者,这是由于大多数患者出现血管舒张。已证实心脏变时性压力反射成分降低的程度、其血管运动成分的存在与病程之间存在直接关系。高血压患者血管收缩性心肺压力感受器反射增强。