Cheng S W, Swords B H, Kirk K A, Berecek K H
Department of Physiology and Biophysics, University of Alabama, Birmingham 35294.
Hypertension. 1989 Jan;13(1):63-9. doi: 10.1161/01.hyp.13.1.63.
The effects of lifetime oral captopril treatment on baroreflex control of heart rate and lumbar sympathetic nerve activity were measured in 19-21-week-old spontaneously hypertensive rats (SHR) and Wistar-Kyoto rats (WKY). The sensitivity of baroreflex control of heart rate and lumbar sympathetic nerve activity were determined by the slopes of the relation between the change in mean arterial pressure (MAP) (mm Hg) versus the change in pulse interval (msec/beat) and the change in MAP versus the percent change in nerve activity, respectively. Untreated SHR had significantly higher MAP than WKY (157 +/- 3 vs. 115 +/- 3 mm Hg, p less than 0.001) and exhibited a decreased baroreflex control of heart rate. Lifetime treatment with captopril prevented the development of hypertension in SHR (MAP = 110 +/- 5 mm Hg) and increased the sensitivity of baroreflex function. The gains of the baroreflex control of heart rate for captopril-treated SHR and control SHR when MAP was raised or lowered by phenylephrine or nitroprusside were 2.38 +/- 0.49 vs. 1.10 +/- 0.33 msec/mm Hg (p less than 0.05) and 0.74 +/- 0.20 vs. 0.54 +/- 0.09 (NS) msec/mm Hg, respectively. The sensitivity of the baroreflex control of lumbar sympathetic nerve activity was greater in captopril-treated SHR than in control SHR when MAP was increased or decreased (-1.03 +/- 0.26 vs. -0.38 +/- 0.11, p less than 0.05; -0.84 +/- 0.2 vs. -0.04 +/- 0.58 (NS) mm Hg-1, respectively).(ABSTRACT TRUNCATED AT 250 WORDS)
在19 - 21周龄的自发性高血压大鼠(SHR)和Wistar - Kyoto大鼠(WKY)中,测量了终生口服卡托普利治疗对心率压力反射控制和腰交感神经活动的影响。心率压力反射控制和腰交感神经活动的敏感性分别通过平均动脉压(MAP,单位为mmHg)变化与脉搏间期变化(单位为msec/beat)之间关系的斜率,以及MAP变化与神经活动百分比变化之间的关系来确定。未治疗的SHR的MAP显著高于WKY(157±3 vs. 115±3 mmHg,p<0.001),且心率压力反射控制降低。卡托普利终生治疗可预防SHR高血压的发生(MAP = 110±5 mmHg),并提高压力反射功能的敏感性。当用去氧肾上腺素或硝普钠升高或降低MAP时,卡托普利治疗的SHR和对照SHR的心率压力反射增益分别为2.38±0.49 vs. 1.10±0.33 msec/mm Hg(p<0.05)和0.74±0.20 vs. 0.54±0.09(无统计学差异)msec/mm Hg。当MAP升高或降低时,卡托普利治疗的SHR腰交感神经活动压力反射控制的敏感性高于对照SHR(分别为-1.03±0.26 vs. -0.38±0.11,p<0.05;-0.84±0.2 vs. -0.04±0.58(无统计学差异)mmHg-1)。(摘要截断于250字)