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毒蕈碱和β-肾上腺素能阻断对清醒犬主动脉对肾上腺素诱导的急性高血压的弹性反应的影响。

Effects of muscarinic and beta-adrenergic blockade on the aortic elastic response to epinephrine induced acute hypertension in conscious dogs.

作者信息

Armentano R, Cabrera E, Levenson J, Barra J, Breitbart G, Pichel R, Simon A

机构信息

Favaloro Foundation, Buenos Aires, Argentina.

出版信息

Am J Hypertens. 1990 Jun;3(6 Pt 1):476-81. doi: 10.1093/ajh/3.6.476.

Abstract

To determine the effects of parasympathetic blockade and beta-blockade on the elastic response of aortic stiffness to vasopressive interventions, we studied 5 unanesthetised adult mongrel dogs by means of a pressure microtransducer and two ultrasonic crystals positioned at opposing sites in the proximal descending thoracic aorta which were used for diameter measurements. Systolic and diastolic changes in pressure and diameter were used to calculate Peterson and incremental elastic moduli. Acute hypertension was induced using infusions of epinephrine during the control period and later propranolol (1.5 mg/kg) plus atropine (0.2 mg/kg). Percent variations of mean aortic diameter were correlated to percent variations in mean aortic pressure in the control period and after autonomic blockade (P less than .001). The slopes of these correlations in the control group were higher than after autonomic blockade (P less than .05). Correlations were also found between Peterson and incremental elastic moduli and mean pressure in the control group and after autonomic blockade (P less than .001). The slopes of the correlations of incremental elastic modulus and Peterson's modulus versus mean aortic pressure were lower in the control group than after blockade (P less than .001). We conclude that in conscious dogs, autonomic blockade with propranolol and atropine decreased the distension and increased the stiffness of the aortic wall in response to acute hypertension mediated by epinephrine.

摘要

为了确定副交感神经阻滞和β受体阻滞对主动脉僵硬度弹性反应及血管加压干预的影响,我们通过压力微型传感器以及位于胸降主动脉近端相对位置的两个超声晶体对5只未麻醉的成年杂种犬进行了研究,超声晶体用于测量直径。利用压力和直径的收缩期及舒张期变化来计算彼得森弹性模量和增量弹性模量。在对照期,通过输注肾上腺素诱发急性高血压,随后给予普萘洛尔(1.5mg/kg)加阿托品(0.2mg/kg)。对照期及自主神经阻滞后,平均主动脉直径的百分比变化与平均主动脉压力的百分比变化相关(P<0.001)。对照组这些相关性的斜率高于自主神经阻滞后(P<0.05)。在对照组及自主神经阻滞后,彼得森弹性模量和增量弹性模量与平均压力之间也存在相关性(P<0.001)。对照组中增量弹性模量和彼得森模量与平均主动脉压力相关性的斜率低于阻滞后(P<0.001)。我们得出结论,在清醒犬中,普萘洛尔和阿托品进行自主神经阻滞可降低肾上腺素介导的急性高血压引起的主动脉壁扩张并增加其僵硬度。

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