Neves Mario Fritsch, Kasal Daniel Arthur B, Cunha Ana Rosa, Medeiros Fernanda
Department of Clinical Medicine, State University of Rio de Janeiro, Avenue 28 de Setembro, 77 sala 329, 20551-030 Rio de Janeiro, RJ, Brazil.
Int J Hypertens. 2012;2012:187526. doi: 10.1155/2012/187526. Epub 2012 Feb 14.
Endothelial dysfunction is one of the main characteristics of chronic hypertension and it is characterized by impaired nitric oxide (NO) bioactivity determined by increased levels of reactive oxygen species. Endothelial function is usually evaluated by measuring the vasodilation induced by the local NO production stimulated by external mechanical or pharmacological agent. These vascular reactivity tests may be carried out in different models of experimental hypertension such as NO-deficient rats, spontaneously hypertensive rats, salt-sensitive rats, and many others. Wire myograph and pressurized myograph are the principal methods used for vascular studies. Usually, increasing concentrations of the vasodilator acetylcholine are added in cumulative manner to perform endothelium-dependent concentration-response curves. Analysis of vascular mechanics is relevant to identify arterial stiffness. Both endothelial dysfunction and vascular stiffness have been shown to be associated with increased cardiovascular risk.
内皮功能障碍是慢性高血压的主要特征之一,其特点是一氧化氮(NO)生物活性受损,这是由活性氧水平升高所决定的。内皮功能通常通过测量由外部机械或药物刺激产生的局部NO所诱导的血管舒张来评估。这些血管反应性测试可在不同的实验性高血压模型中进行,如NO缺乏大鼠、自发性高血压大鼠、盐敏感性大鼠等。线式肌张力测定仪和压力肌张力测定仪是用于血管研究的主要方法。通常,以累积方式添加浓度递增的血管舒张剂乙酰胆碱,以绘制内皮依赖性浓度-反应曲线。血管力学分析对于识别动脉僵硬度至关重要。内皮功能障碍和血管僵硬度均已被证明与心血管风险增加有关。