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清醒大鼠冠状动脉结扎的急性血流动力学效应

Acute hemodynamic effects of coronary artery ligation in conscious rats.

作者信息

Schoemaker R G, Urquhart J, Debets J J, Struyker Boudier H A, Smits J F

机构信息

Department of Pharmacology, University of Limburg, Maastricht, The Netherlands.

出版信息

Basic Res Cardiol. 1990 Jan-Feb;85(1):9-20. doi: 10.1007/BF01907010.

Abstract

Because of the growing interest in the use of coronary artery ligation (CAL) in rats as a model for studies on heart failure, we have investigated the acute hemodynamic changes following CAL in conscious rats. Animals were equipped for measurement of cardiac output (CO), arterial pressure (MAP), and central venous pressure (CVP). These parameters were measured before CAL, immediately after, and 24 h after. Furthermore, peak CO, obtained by rapid infusion of 12 ml Ringer's solution (in 1 min) was measured 2 days before and 1 day after CAL. CAL resulted in immediate reduction of CO, because of reduced stroke volume (SV). CO as well as SV were inversely correlated with infarct size as determined 24 h after CAL. Heart rate (HR) and MAP did not change. Twenty-four hours later, CO was still reduced. MAP was now reduced, possibly as a result from resetting of nervous reflex mechanisms. Before CAL, peak CO and SV were similar in CAL and sham animals. At 24 h after CAL, these parameters were greatly reduced in CAL rats. Peak values were strongly correlated to infarct size. Results indicate that CAL in rats leads to hemodynamic changes similar to the ones observed following myocardial infarction in man. Cardiac function is related to infarct size and is altered both at rest and during maximal stimulation.

摘要

由于将大鼠冠状动脉结扎(CAL)作为心力衰竭研究模型的应用兴趣日益增加,我们研究了清醒大鼠CAL后的急性血流动力学变化。给动物配备用于测量心输出量(CO)、动脉压(MAP)和中心静脉压(CVP)的装置。这些参数在CAL前、CAL后即刻以及CAL后24小时进行测量。此外,在CAL前2天和CAL后1天测量通过快速输注12ml林格氏液(1分钟内)获得的峰值CO。由于每搏输出量(SV)降低,CAL导致CO立即降低。CO以及SV与CAL后24小时测定的梗死面积呈负相关。心率(HR)和MAP未改变。24小时后,CO仍然降低。此时MAP降低,可能是神经反射机制重新设定的结果。在CAL前,CAL组和假手术组动物的峰值CO和SV相似。在CAL后24小时,CAL大鼠的这些参数大幅降低。峰值与梗死面积密切相关。结果表明,大鼠CAL导致的血流动力学变化与人类心肌梗死后观察到的变化相似。心脏功能与梗死面积相关,在静息和最大刺激时均发生改变。

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