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在肾性高血压发展过程中,小动脉阻力增加。

Small artery resistance increases during the development of renal hypertension.

作者信息

Imig J D, Anderson G L

机构信息

Department of Physiology and Biophysics, University of Louisville, Ky 40292.

出版信息

Hypertension. 1991 Mar;17(3):317-22. doi: 10.1161/01.hyp.17.3.317.

Abstract

Vascular pressures were measured in the principal (A1) arteriole and in upstream small arteries of the rat cremaster muscle to investigate vascular resistance changes associated with one-kidney, one clip Goldblatt hypertension. Pressure measurements were made at a proximal and distal site of each vessel using a servonull micropipette system. Vessel diameters were measured using video microscopy. A1 arteriole and external spermatic artery diameters were both decreased after 2 and 4 weeks of hypertension. Mean arterial pressure was elevated after 2 weeks of hypertension (106 +/- 4 mm Hg versus 140 +/- 5 mm Hg). Likewise, vascular pressures were elevated at every site: pudicepigastric artery (36%), external spermatic artery (47%), and A1 arteriole (38%). The pressure drop along the external spermatic artery was increased (87%) after 2 weeks of hypertension. Mean arterial pressure was further elevated from 2-4 weeks of hypertension (105 +/- 4 mm Hg versus 162 +/- 7 mm Hg) but only the proximal pudic-epigastric artery pressure was further elevated during this time from 2 to 4 weeks (131 +/- 5 mm Hg versus 147 +/- 7 mm Hg) of hypertension development. This was associated with an increased pressure drop (87%) along the artery compared with the situation at 2 weeks. These data indicate that small arteries upstream from the microcirculation contribute significantly to the increase in vascular resistance during hypertension. In addition, these data indicate that the increases in small artery resistance do not develop uniformly throughout all vessel branches.

摘要

测量大鼠提睾肌主要(A1)小动脉及其上游小动脉的血管压力,以研究与单肾单夹型Goldblatt高血压相关的血管阻力变化。使用伺服零位微量移液器系统在每个血管的近端和远端部位进行压力测量。使用视频显微镜测量血管直径。高血压2周和4周后,A1小动脉和精索外动脉直径均减小。高血压2周后平均动脉压升高(106±4 mmHg对140±5 mmHg)。同样,每个部位的血管压力均升高:阴部腹壁动脉(升高36%)、精索外动脉(升高47%)和A1小动脉(升高38%)。高血压2周后,沿精索外动脉的压力降增加(87%)。从高血压2周到4周,平均动脉压进一步升高(105±4 mmHg对162±7 mmHg),但在此期间,仅阴部腹壁动脉近端压力从高血压发展的2周到4周进一步升高(131±5 mmHg对147±7 mmHg)。与2周时的情况相比,这与沿该动脉压力降增加(87%)相关。这些数据表明,微循环上游的小动脉对高血压期间血管阻力的增加有显著贡献。此外,这些数据表明,小动脉阻力的增加在所有血管分支中并非均匀发生。

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