Peacock A J, Pickett C, Morris K, Reeves J T
Faculty of Medicine, Southampton General Hospital, United Kingdom.
Am Rev Respir Dis. 1989 Jun;139(6):1524-30. doi: 10.1164/ajrccm/139.6.1524.
Very fast-growing (VFG) broiler chickens tend to have marked right ventricular hypertrophy when compared with slower growing chickens. We hypothesized that, in the setting of rapid growth, a hypoxic stimulus would cause greater pulmonary hypertension and right ventricular hypertrophy (RVH). We have studied the relationship between artial oxygenation (SaO2), RVH, and pulmonary artery pressure (Ppa) in 28 awake VFG chickens. We found that the hypoxemic chickens had pulmonary hypertension and that the Ppa was linearly related to the SaO2. The relationship between Ppa and RVH, however, was best described by a broken line (p less than 0.05). Thus, at higher pressures, the RVH seemed excessive for a given Ppa. We have also studied the effects of reducing FIO2 on Ppa, systemic pressure, cardiac output, and calculated total pulmonary resistance (TPR) in lightly anesthetized fast-growing and normal chickens. We found that normal chickens and fast growers had similar TPR in room air, but that the fast growers had a greater increase in TPR than did the normal chickens in response to hypoxia (p less than 0.05). Finally, we placed 2-wk-old normal and VFG chicks in a hypobaric chamber set at "10,000 feet" for 2 wk and found that the VFG but not the normal chickens developed marked RVH in response to the hypoxia. However, the RVH in the fast-growing chickens could be prevented by restricting their diet, and hence their growth. We conclude that hypoxemia probably caused the pulmonary hypertension and RVH in the fast-growing chickens, but that the rapid growth appeared to act as an important amplifier of this response.
与生长较慢的肉鸡相比,生长速度极快(VFG)的肉鸡往往有明显的右心室肥大。我们推测,在快速生长的情况下,低氧刺激会导致更严重的肺动脉高压和右心室肥大(RVH)。我们研究了28只清醒的VFG鸡的动脉血氧合(SaO2)、RVH和肺动脉压(Ppa)之间的关系。我们发现低氧血症的鸡有肺动脉高压,且Ppa与SaO2呈线性相关。然而,Ppa与RVH之间的关系最好用一条折线来描述(p小于0.05)。因此,在较高压力下,对于给定的Ppa,RVH似乎过度。我们还研究了在轻度麻醉的快速生长鸡和正常鸡中降低FIO2对Ppa、体循环压力、心输出量和计算得出的总肺阻力(TPR)的影响。我们发现正常鸡和快速生长鸡在室内空气中的TPR相似,但快速生长鸡对低氧的反应中TPR的增加比正常鸡更大(p小于0.05)。最后,我们将2周龄的正常鸡和VFG鸡置于设定为“10,000英尺”的低压舱中2周,发现VFG鸡而非正常鸡对低氧有明显的RVH。然而,通过限制快速生长鸡的饮食从而限制其生长,可以预防RVH。我们得出结论,低氧血症可能导致了快速生长鸡的肺动脉高压和RVH,但快速生长似乎是这种反应的一个重要放大器。