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α-甲基多巴对肾血管性高血压心脏的影响

[Effect of alpha methyldopa on heart in renovascular hypertension].

作者信息

Gómez Llambi H, Kuraja I, Massadi A, Gallo A, Fontan M, Taquini C M

机构信息

Instituto de Investigaciones Cardìológicas, Facultad de medicina, Universidad de Buenos Aires, Argentina.

出版信息

Medicina (B Aires). 1990;50(2):135-40.

PMID:2151663
Abstract

Previous studies from our laboratory, have demonstrated that 21 days after unclipping the decrease in arterial pressure (AP) was followed by a regression of cardiac hypertrophy (CH) and a normalization of contractile response to Isoproterenol (I) stimulation in two kidney one clip (2K1C) hypertension. The purpose in this study was to reexamine the effects of Alpha Methyl Dopa (AMD) treatment on AP, CH and cardiac response to I stimulation in this model. A total of 43 male rats, ten weeks old, were used. In 19 rats a silver clip was placed under ether anaesthesia in the left renal artery (clip group) (K). The remaining 24 animals constituted the control group (C). Twenty one days later, in 9 and in 17 animals from K and C groups, treatment with AMD 100 mg/kg/day per os was started and maintained during the three week-follow-up period (K alpha and C alpha groups). AP was measured twice a week by the tail cuff method and body weight was registered once a week. We defined hypertension when the systolic pressure was 150 mmHg or more. Three weeks after clipping and 21 days after treatment, in the clipped animals, simultaneously with matched controls (C alpha and K alpha) the cardiac response to Isoproterenol stimulation was studied. For this purpose, under pentobarbital anesthesia the carotid artery and the femoral artery and vein were cannulated in order to measure mean arterial pressure (MAP), left ventricular systolic pressure, heart rate (HR) and DP/DT+ Max in basal conditions and after I (0.001, 0.02, 0.04, 0.12 and 0.24 microgram/kg).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

我们实验室之前的研究表明,在两肾一夹(2K1C)高血压模型中,夹闭肾动脉21天后动脉压(AP)下降,随后心肌肥厚(CH)消退,对异丙肾上腺素(I)刺激的收缩反应恢复正常。本研究的目的是重新审视α-甲基多巴(AMD)治疗对该模型中AP、CH及心脏对I刺激反应的影响。总共使用了43只10周龄的雄性大鼠。19只大鼠在乙醚麻醉下于左肾动脉放置银夹(夹闭组)(K)。其余24只动物作为对照组(C)。21天后,K组和C组分别有9只和17只动物开始口服AMD 100 mg/kg/天,并在为期3周的随访期内持续给药(Kα组和Cα组)。每周用尾套法测量两次AP,每周记录一次体重。收缩压≥150 mmHg时定义为高血压。夹闭3周及治疗21天后,在夹闭动物中与匹配的对照组(Cα组和Kα组)同时研究心脏对异丙肾上腺素刺激的反应。为此,在戊巴比妥麻醉下,插管至颈动脉、股动脉和股静脉,以测量基础状态及给予I(0.001、0.02、0.04、0.12和0.24微克/千克)后平均动脉压(MAP)、左心室收缩压、心率(HR)和DP/DT+Max。(摘要截断于250字)

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