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[α肾上腺素能刺激对心肌力学特性的影响]

[Effects of alpha adrenergic stimulation on the mechanical properties of the myocardium].

作者信息

el Amrani A I, Riou B, Pourny J C, Lecarpentier Y

机构信息

INSERM U 275, laboratoire d'optique appliquée, ENSTA-école polytechnique, Palaiseau.

出版信息

Arch Mal Coeur Vaiss. 1990 Oct;83(11):1751-5.

PMID:1978652
Abstract

The mechanical effects of phenylephrine at 2 x 10(-6) M (PE1, n = 8), 2 x 10(-5) M (PE2, n = 10) and 2 x 10(-4) M (PE3, n = 6) were studied on rat left ventricular papillary muscle, in the presence of propranolol (4 x 10(-7) M) and 0.5 mM of (Ca2+)e. The contraction-relaxation coupling was studied under isotonic and isometric conditions. The maximal velocity of contraction (max Vc) and relaxation (max Vr) were calculated during isotonic contraction with preload only at L max. The positive (+ dF/dt max) and negative (- dF/dt max) peaks of the derivative of the force were calculated during isometric contraction. Two coefficients, R1 = max Vc/max Vr and R2 (+ dF/dt max)/(- dF/dt max) provided an appreciation of the contraction-relaxation coupling at low and high loads respectively. The positive inotropic effect observed in the three groups was accompanied by a significant decrease of the coefficient R1 (PE1: - 11 +/- 2% p less than 0.001; PE2: - 15 +/- 2%, p less than 0.001; PE3: -20 +/- 2%, p less than 0.001). On the other hand, no significant variations of the coefficient R2 were observed (PE1: 3 +/- 3%; PE2: 1 +/- 4%; PE3: 5 +/- 3%). The proportionally greater improvement in the velocity of relaxation compared to the velocity of contraction at low loads suggests that the sarcoplasmic reticulum is involved in the expression of positive inotropic and positive lusitropic effects of alpha-adrenergic stimulation.

摘要

在存在普萘洛尔(4×10⁻⁷ M)和0.5 mM细胞外钙([Ca²⁺]e)的情况下,研究了2×10⁻⁶ M(PE1,n = 8)、2×10⁻⁵ M(PE2,n = 10)和2×10⁻⁴ M(PE3,n = 6)去氧肾上腺素对大鼠左心室乳头肌的机械效应。在等张和等长条件下研究收缩 - 舒张偶联。仅在Lmax预负荷下进行等张收缩时计算最大收缩速度(max Vc)和最大舒张速度(max Vr)。在等长收缩期间计算力的导数的正(+ dF/dt max)和负( - dF/dt max)峰值。两个系数,R1 = max Vc/max Vr和R2 =(+ dF/dt max)/( - dF/dt max)分别提供了在低负荷和高负荷下对收缩 - 舒张偶联的评估。在三组中观察到的正性肌力作用伴随着系数R1的显著降低(PE1:-11±2%,p < 0.001;PE2:-15±2%,p < 0.001;PE3:-20±2%,p < 0.001)。另一方面,未观察到系数R2的显著变化(PE1:3±3%;PE2:1±4%;PE3:5±3%)。与低负荷下收缩速度相比,舒张速度成比例地更大改善表明肌浆网参与了α - 肾上腺素能刺激的正性肌力和正性变时作用的表达。

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