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血管张力影响去窦主动脉神经支配后的动脉压不稳定性。

Vascular tone influences arterial pressure lability after sinoaortic deafferentation.

作者信息

Jacob H J, Alper R H, Grosskreutz C L, Lewis S J, Brody M J

机构信息

Department of Pharmacology, University of Iowa College of Medicine, Iowa City 52242.

出版信息

Am J Physiol. 1991 Feb;260(2 Pt 2):R359-67. doi: 10.1152/ajpregu.1991.260.2.R359.

Abstract

Sinoaortic deafferentation (SAD) results in increased variability of arterial pressure. The purpose of this study was to investigate the contribution of nonneurogenic, peripheral vasomotor mechanisms to this arterial pressure lability. In rats with SAD, ganglionic blockade combined with either captopril or a V1-vasopressin receptor antagonist reduced the high lability. Under these conditions, continuous infusions of phenylephrine and the endogenous vasoconstrictors angiotensin II, epinephrine, and vasopressin increased lability, suggesting that the level of vascular tone is important for maintaining lability. Hemodynamic changes in individual vascular beds did not correlate with pressure lability; however, the sum of the changes in resistance, an estimate of changes in total peripheral resistance, was significantly correlated. These results suggest that 1) direct actions of endogenous vasoconstrictors can induce marked variations of arterial pressure, presumably by sustaining a high background of vascular tone, and 2) variations in resistance of individual vascular beds do not account for the lability of arterial pressure evoked by infusion of vasoconstrictors. We conclude that vascular tone of neural and/or humoral origin is critical for the generation of fluctuations in arterial pressure associated with deafferentation of baroreceptors.

摘要

去窦弓神经(SAD)会导致动脉血压变异性增加。本研究的目的是探讨非神经源性外周血管运动机制对这种动脉血压不稳定的作用。在SAD大鼠中,神经节阻断联合卡托普利或V1血管加压素受体拮抗剂可降低高度不稳定状态。在这些条件下,持续输注去氧肾上腺素以及内源性血管收缩剂血管紧张素II、肾上腺素和血管加压素会增加不稳定状态,这表明血管张力水平对于维持不稳定状态很重要。各个血管床的血流动力学变化与血压不稳定无关;然而,阻力变化的总和(总外周阻力变化的估计值)与血压不稳定显著相关。这些结果表明:1)内源性血管收缩剂的直接作用可能通过维持高血管张力背景诱导动脉血压的显著变化;2)各个血管床阻力的变化不能解释输注血管收缩剂引起的动脉血压不稳定。我们得出结论,神经和/或体液来源的血管张力对于与压力感受器去传入相关的动脉血压波动的产生至关重要。

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