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麻醉猪中最小限度的α1和α2肾上腺素能受体介导的冠状动脉收缩

Minimal alpha 1- and alpha 2-adrenoceptor-mediated coronary vasoconstriction in the anaesthetized swine.

作者信息

Schulz R, Oudiz R J, Guth B D, Heusch G

机构信息

Abteilung für Pathophysiologie, Universität Essen, Federal Republic of Germany.

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 1990 Oct;342(4):422-8. doi: 10.1007/BF00169459.

Abstract

alpha-Adrenoceptor-mediated coronary vasoconstriction contributes to the initiation and aggravation of experimental and clinical myocardial ischaemia. However, the extent of alpha 1- and alpha 2-adrenoceptor-mediated constriction has not been characterized in the porcine coronary circulation despite the frequent use of this experimental model. Fifteen swine were anaesthetized with either alpha-chloralose, enflurane or isoflurane to determine the amount of alpha-adrenoceptor-mediated coronary constriction elicited by either the selective alpha 1-adrenoceptor agonist methoxamine or the selective alpha 2-adrenoceptor agonist azepexole. The left anterior descending coronary artery was cannulated and perfused by an external pump delivering constant blood flow from the carotid artery. Following bilateral cervical vagotomy and beta-adrenoceptor blockade with propranolol (2 mg kg-1), graded dosages of either one of the alpha-adrenoceptor agonists (9-45 micrograms kg-1 min-1) were infused into the coronary perfusion line while coronary arterial pressure (CAP) was measured through a distal side arm of the cannula to detect changes in coronary vascular resistance. Infusion of the alpha-adrenoceptor agonists was terminated when systemic arterial pressure increased. Sonomicrometers were used to measure anterior left ventricular wall thickening for the assessment of regional contractile function. During methoxamine infusion, no increase in vascular resistance was observed during alpha-chloralose, enflurane or isoflurane anaesthesia, whereas the infusion of azepexole increased CAP from 103 +/- 31 mmHg to 120 +/- 35 mmHg (alpha-chloralose), from 101 +/- 16 mmHg to 122 +/- 11 mmHg (enflurane) and from 84 +/- 20 mmHg to 94 +/- 19 mmHg (isoflurane), respectively.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

α-肾上腺素能受体介导的冠状动脉收缩参与实验性和临床心肌缺血的起始和加重过程。然而,尽管猪冠状动脉循环常被用作实验模型,但α1-和α2-肾上腺素能受体介导的收缩程度尚未明确。15头猪分别用α-氯醛糖、安氟醚或异氟醚麻醉,以确定选择性α1-肾上腺素能受体激动剂甲氧明或选择性α2-肾上腺素能受体激动剂阿泽必利引发的α-肾上腺素能受体介导的冠状动脉收缩量。左冠状动脉前降支插管,由外部泵从颈动脉输送恒定血流进行灌注。双侧颈迷走神经切断并给予普萘洛尔(2 mg kg-1)阻断β-肾上腺素能受体后,将两种α-肾上腺素能受体激动剂之一(9 - 45 μg kg-1 min-1)的分级剂量注入冠状动脉灌注管路,同时通过插管远端侧臂测量冠状动脉压力(CAP)以检测冠状动脉血管阻力变化。当体循环动脉压升高时终止α-肾上腺素能受体激动剂的输注。使用超声心动图仪测量左心室前壁增厚以评估局部收缩功能。在甲氧明输注期间,α-氯醛糖、安氟醚或异氟醚麻醉时未观察到血管阻力增加,而阿泽必利输注分别使CAP从103±31 mmHg升高至120±35 mmHg(α-氯醛糖)、从101±16 mmHg升高至122±11 mmHg(安氟醚)以及从84±20 mmHg升高至94±19 mmHg(异氟醚)。(摘要截断于250字)

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