Yildiz Mustafa, Akdemir Osman
Department of Cardiology, Kartal Kosuyolu Yuksek Ihtisas Educational and Research Hospital, Istanbul, Turkey.
Cardiol Young. 2009 Apr;19(2):198-203. doi: 10.1017/S1047951109003692. Epub 2009 Mar 6.
The aim of our study was to investigate the effects of endogenous melatonin on arterial distensibility using measurements of the velocity of the aortic pulse wave between the carotid and femoral arteries in healthy young students assessed in the supine position.
We studied 29 healthy young students, aged between 18 and 27 years, with 19 being male. The measured the velocity of the aortic pulse wave between the carotid and femoral arteries, along the blood pressures and heart rate, while the subjects were in the supine position at two time points, namely from 01.30-02.30 and 13:30-14:30 hours, during a day, also taking plasma to measure the concentrations of melatonin. The velocity of the pulse waves was determined using an automatic device, the Complior Colson (France), which allowed on-line recording and automatic calculation of the velocity, the calculations being made by measuring the transit time of the pulse wave as it traversed the distance between two sites of recording according, the velocity of the pulse wave in meter per second being equal to the distance in meters divided by the time of transit in seconds.
Although the velocity of the pulse wave, systolic, diastolic, and mean blood pressures, and heart rate were all increased in the morning relative to measurement made later in the day, levels of melatonin in the plasma were increased in the night. There was negative correlation between diurnal levels of melatonin and the velocity of the pulse wave.
Our findings indicate that increased levels of melatonin during the night may cause a decreased velocity of the aortic pulse wave, along with blood pressures and heart rate.
我们研究的目的是通过测量仰卧位健康青年学生颈动脉与股动脉之间的主动脉脉搏波速度,来调查内源性褪黑素对动脉扩张性的影响。
我们研究了29名年龄在18至27岁之间的健康青年学生,其中19名男性。在一天中的两个时间点,即01:30 - 02:30和13:30 - 14:30,让受试者仰卧位时测量颈动脉与股动脉之间的主动脉脉搏波速度、血压和心率,同时采集血浆以测量褪黑素浓度。脉搏波速度使用自动设备Complior Colson(法国)测定,该设备可进行在线记录并自动计算速度,计算方法是测量脉搏波在两个记录点之间传播的传播时间,脉搏波速度以米每秒为单位,等于距离(米)除以传播时间(秒)。
尽管相对于当天晚些时候的测量,早晨的脉搏波速度、收缩压、舒张压和平均血压以及心率均有所增加,但血浆中褪黑素水平在夜间升高。褪黑素的昼夜水平与脉搏波速度之间存在负相关。
我们的研究结果表明,夜间褪黑素水平升高可能会导致主动脉脉搏波速度以及血压和心率降低。