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钙通道阻滞对清醒绵羊输注内皮素时血流动力学反应的影响。

Effects of calcium channel blockade on the hemodynamic responses to endothelin infusion in conscious sheep.

作者信息

Parkes D G, Reid A F, Coghlan J P, Scoggins B A, Whitworth J A

机构信息

Howard Florey Institute of Experimental Physiology and Medicine, St. George Hospital, University of New South Wales, Parkville, Australia.

出版信息

Am J Hypertens. 1991 Aug;4(8):719-22. doi: 10.1093/ajh/4.8.719.

Abstract

The hemodynamic responses to bolus injection of endothelin I (ET) at 5, 15, and 50 micrograms were examined in conscious sheep (n = 5) before and after infusion of nisoldipine at 25 micrograms/kg/h. Endothelin produced dose-dependent increases in mean arterial pressure (MAP + 87 +/- 6 mm Hg at 50 micrograms) and calculated total peripheral resistance (CTPR + 54 +/- 15 mm Hg/L/min at 50 micrograms) and decreases in heart rate (HR - 34 +/- 6 beats/min at 50 micrograms) and cardiac output (CO - 2.6 +/- 0.3 L/min at 50 micrograms) but no change in stroke volume (SV). Nisoldipine attenuated (P less than .05) the endothelin-induced changes in MAP (+26 +/- 3 mm Hg at 5 micrograms) and CTPR (+13.0 +/- 2.1 mm Hg/L/min at 50 micrograms), but not the fall in heart rate or cardiac output. These data are compatible with the hypothesis that vasoconstrictor effects of ET in sheep are in part dependent on influx of calcium through L-type channels.

摘要

在以25微克/千克/小时的剂量输注尼索地平前后,对5只清醒绵羊静脉注射5、15和50微克内皮素I(ET)后的血流动力学反应进行了检测。内皮素使平均动脉压呈剂量依赖性升高(50微克时MAP升高87±6毫米汞柱),计算得出的总外周阻力升高(50微克时CTPR升高54±15毫米汞柱/升/分钟),心率降低(50微克时HR降低34±6次/分钟),心输出量降低(50微克时CO降低2.6±0.3升/分钟),但每搏输出量(SV)无变化。尼索地平减弱了(P<0.05)内皮素引起的平均动脉压变化(5微克时升高26±3毫米汞柱)和总外周阻力变化(50微克时升高13.0±2.1毫米汞柱/升/分钟),但未减弱心率和心输出量的降低。这些数据与以下假设相符,即内皮素在绵羊中的血管收缩作用部分依赖于钙通过L型通道的内流。

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