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港海豹和猪心脏对渐进性和急性缺氧的反应。

Responses of harbor seal and pig heart to progressive and acute hypoxia.

作者信息

White F C, Elsner R, Willford D, Hill E, Merhoff E

机构信息

Department of Pathology, School of Medicine, University of California, San Diego, La Jolla 92093.

出版信息

Am J Physiol. 1990 Oct;259(4 Pt 2):R849-56. doi: 10.1152/ajpregu.1990.259.4.R849.

Abstract

Myocardial oxidative and glycolytic reserves were evaluated in four harbor seals, Phoca vitulina richardsi, and six domestic pigs, Sus scrofa (hematocrits: 58 +/- 5 and 34 +/- 1%., respectively). Progressive hypoxia was induced by lowering arterial hemoglobin-oxygen saturation in 10% decrements, each maintained for 10-min periods, until the onset of heart failure. Myocardial oxygen consumption rate (VO2), lactate release/uptake rate (L), and triple product, an index of myocardial energetic demand, were determined at each saturation level. Onset of L began in pigs at Sao2 = 57 +/- 5% and in seals at Sao2 = 35 +/- 4%. Cumulative oxygen consumption (VO2) during hypoxia, determined from the onset of cardiac lactate release, was 435 ml O2/100 g in seals and 172 ml O2/100 g in pigs. Cumulative lactate release during the same period was 14 mM/100 g in seals and 4.6 mM/100 g in pigs. The pigs' left ventricular contractile response (dP/dtmax) was greater than that of seals throughout the time of lactate release. Total myocardial energetic sources were higher in seals than in pigs, and seals were better able to tolerate myocardial hypoxia than were pigs. In a separate experiment, two seals and six pigs were made acutely hypoxic until cessation of cardiac output (seals, 17.5 min; pigs, 7.4 min) and were then reoxygenated. Both seals recovered promptly to control levels of cardiac mechanical function, whereas none of the pigs recovered. Additionally, five pigs were beta-blocked with 0.10 mg/kg of propranolol and were subjected to acute hypoxia. Tolerance to cardiac hypoxia in beta-blocked pigs was significantly increased compared with that of control animals.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在4只北海狗(Phoca vitulina richardsi)和6头家猪(Sus scrofa)(血细胞比容分别为58±5%和34±1%)中评估了心肌氧化和糖酵解储备。通过将动脉血红蛋白氧饱和度以10%的递减幅度降低来诱导进行性缺氧,每次维持10分钟,直至心力衰竭发作。在每个饱和度水平测定心肌耗氧率(VO2)、乳酸释放/摄取率(L)以及心肌能量需求指标三联乘积。L的起始在猪中发生于SaO2 = 57±5%时,在海狗中发生于SaO2 = 35±4%时。缺氧期间从心脏乳酸释放开始测定的累积耗氧量(VO2),海狗为435 ml O2/100 g,猪为172 ml O2/100 g。同一时期的累积乳酸释放,海狗为14 mM/100 g,猪为4.6 mM/100 g。在乳酸释放的整个时间段内,猪的左心室收缩反应(dP/dtmax)均大于海狗。海狗的心肌总能量来源高于猪,并且海狗比猪更能耐受心肌缺氧。在另一项实验中,使2只海狗和6头猪急性缺氧直至心输出量停止(海狗为17.5分钟;猪为7.4分钟),然后再给氧。两只海狗均迅速恢复到心脏机械功能的对照水平,而没有一头猪恢复。此外,给5头猪用0.10 mg/kg的普萘洛尔进行β受体阻滞,然后使其急性缺氧。与对照动物相比,β受体阻滞的猪对心脏缺氧的耐受性显著增加。(摘要截短至250字)

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