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动脉压力感受器反射对热应激时交感-心血管调节的影响

Arterial baroreceptor reflex modulation of sympathetic-cardiovascular adjustments to heat stress.

作者信息

Kregel K C, Johnson D G, Tipton C M, Seals D R

机构信息

Department of Exercise and Sport Sciences, University of Arizona, Tucson 85721.

出版信息

Hypertension. 1990 May;15(5):497-504. doi: 10.1161/01.hyp.15.5.497.

Abstract

The purpose of this study was to determine if the arterial baroreceptor reflexes modulate the sympathocirculatory responses to acute heat stress. To address this, arterial pressure, heart rate, mesenteric and renal blood flow velocity (Doppler flow probes), arterial plasma norepinephrine, and colonic temperature were measured before and during whole body heating (42 degrees C ambient temperature) in groups of conscious, unrestrained rats with (sham) or without (sinoaortic deafferentation) intact arterial baroreceptor reflexes. Heating was stopped when a colonic temperature of 41 degrees C was attained. Baseline levels of arterial pressure were similar in the two groups, whereas heart rate was elevated in deafferented versus sham-operated rats (p less than 0.01). The increases above baseline for both arterial pressure (73 +/- 4 vs. 27 +/- 2 mm Hg) and heart rate (127 +/- 10 vs. 33 +/- 5 beats/min) were threefold to fourfold greater at the end of heating in the deafferented versus the sham group (p less than 0.01). Declines in mesenteric and renal blood flow were similar in the two groups during heating; however, deafferented rats had greater increases in both mesenteric and renal vascular resistance (p less than 0.05). Plasma norepinephrine was elevated at baseline in deafferented versus sham rats and increased in both groups during heating (p less than 0.01). The magnitude of the increase in plasma norepinephrine from baseline to 41 degrees C was fivefold greater in the deafferented versus the sham rats (p less than 0.01).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

本研究的目的是确定动脉压力感受器反射是否调节对急性热应激的交感循环反应。为解决这一问题,在有意识、未束缚的大鼠组中,通过(假手术)或不通过(去主动脉窦神经传入)完整的动脉压力感受器反射,在全身加热(环境温度42摄氏度)之前和期间测量动脉血压、心率、肠系膜和肾血流速度(多普勒血流探头)、动脉血浆去甲肾上腺素和结肠温度。当结肠温度达到41摄氏度时停止加热。两组的动脉血压基线水平相似,而去传入神经的大鼠与假手术大鼠相比心率升高(p<0.01)。在加热结束时,去传入神经组与假手术组相比,动脉血压(73±4 vs. 27±2 mmHg)和心率(127±10 vs. 33±5次/分钟)较基线的升高幅度大三至四倍(p<0.01)。加热期间两组肠系膜和肾血流的下降相似;然而,去传入神经的大鼠肠系膜和肾血管阻力的增加更大(p<0.05)。去传入神经的大鼠与假手术大鼠相比,血浆去甲肾上腺素在基线时升高,且两组在加热期间均升高(p<0.01)。从基线到41摄氏度,去传入神经的大鼠血浆去甲肾上腺素升高的幅度比假手术大鼠大五倍(p<0.01)。(摘要截断于250字)

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