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冷加压诱导的交感神经刺激对健康男性颈总动脉和股动脉力学特性的影响。

Effects of cold pressor-induced sympathetic stimulation on the mechanical properties of common carotid and femoral arteries in healthy males.

作者信息

Liu Jie, Cao Tie-Sheng, Duan Yun-You, Yang Yi-Lin, Yuan Li-Jun

机构信息

Department of Ultrasound Diagnostics, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.

出版信息

Heart Vessels. 2011 Mar;26(2):214-21. doi: 10.1007/s00380-010-0069-1. Epub 2010 Dec 22.

Abstract

Our aim was to evaluate the effects of sympathetic excitation and elevation of blood pressure on mechanical properties of common carotid and femoral arteries by wave intensity analysis (WIA). The diameters and arterial stiffness parameters of right common carotid artery (RCCA) and right common femoral artery (RCFA) in healthy young men were measured by WIA at baseline and during cold pressor test (CPT). In addition, the blood pressure and heart rate were recorded simultaneously. The heart rates and blood pressures increased during CPT compared with baseline, while the pulse pressures remained unchanged. The diameters of RCCA increased slightly, while those of RCFA did not change. The Peterson's pressure modulus (Ep), augment index (AI), and pulse wave velocity from β (PWVβ) increased obviously, while arterial compliance (AC) decreased with no change in stiffness index (β) of both arteries during CPT when compared with baseline. There was an obvious increase in pulse wave velocity from wave intensity (PWV_WI) of RCCA, while the PWV_WI of RCFA showed no significant change during CPT. The sympathetic nervous system exerts a more marked tonic restraint on RCFA than on RCCA. The Ep, AC, AI, PWVβ of RCCA, and RCFA are much affected by variations in blood pressure and sympathetic status, while the β of both arteries are less vulnerable to these factors and are more reliable in reflecting the actual arterial stiffness; The PWV_WI appears to be suitable only for evaluating the stiffness of RCCA instead of RCFA.

摘要

我们的目的是通过波强度分析(WIA)评估交感神经兴奋和血压升高对颈总动脉和股动脉力学特性的影响。采用WIA在基线状态和冷加压试验(CPT)期间测量健康年轻男性右颈总动脉(RCCA)和右股总动脉(RCFA)的直径及动脉僵硬度参数。此外,同时记录血压和心率。与基线相比,CPT期间心率和血压升高,而脉压保持不变。RCCA直径略有增加,而RCFA直径未改变。与基线相比,CPT期间两条动脉的彼得森压力模量(Ep)、增强指数(AI)和β波脉搏波速度(PWVβ)明显增加,而动脉顺应性(AC)降低,僵硬度指数(β)无变化。RCCA的波强度脉搏波速度(PWV_WI)明显增加,而CPT期间RCFA的PWV_WI无显著变化。交感神经系统对RCFA的紧张性抑制作用比对RCCA更明显。RCCA和RCFA的Ep、AC、AI、PWVβ受血压和交感神经状态变化的影响较大,而两条动脉的β对这些因素的敏感性较低,在反映实际动脉僵硬度方面更可靠;PWV_WI似乎仅适用于评估RCCA而非RCFA的僵硬度。

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