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在正常血压大鼠中,急性颈动脉压力感受器区域刺激引起的血流动力学变化具有年龄依赖性。

Hemodynamics changes with acute carotid baroreceptor field stimulation are age-dependent in normotensive rats.

作者信息

Kouchaki Zahra, Butlin Mark, Avolio Alberto P

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2015;2015:2051-4. doi: 10.1109/EMBC.2015.7318790.

Abstract

Carotid baroreceptor stimulation can treat resistant hypertension with possible effects on the vasculature beyond the decrease in arterial pressure. This study aims to characterize age-dependency of vascular hemodynamics changes with unilateral field stimulation of carotid baroreceptors in normotensive rats to infer underlying hemodynamic mechanisms. Anesthetized Wistar-Kyoto rats divided into two groups (young: n=10, 13-33 weeks; old: n=6, 52-58 weeks) were instrumented to measure heart rate (HR) and mean arterial pressure (MAP), and flow in the abdominal aorta and renal artery. Measures of aortic and renal artery stiffness and resistance were calculated. Baroreceptor stimulation caused a consistent reduction in MAP, HR, pulse pressure and aortic pulse wave velocity. In young rats reduced MAP (77 ± 10 to 64 ± 13 mmHg, p<;0.001) was concomitant with reduced mean aortic (40 ± 15 to 32 ± 11 ml/min, p<;0.05) and renal flow (3.0 ± 1.6 2.2 ± 1.1 ml/min, p<;0.001). However, in old rats reduced MAP (76 ± 14 to 64 ± 10 mmHg, p<;0.05) occurred with a reduced aortic resistance (1.8 ± 0.9 to 1.6 ± 0.9 mmHg.min/ml, p<;0.05), renal artery resistance (17.4 ± 2.4 to 16.5 ± 2.3 mmHg.min/ml, p<;0.05) and mean renal flow (4.5 ± 1.2 to 4.0 ± 1.1 ml/min, p<;0.05). This was consistent with reduced characteristic impedance in older rats in both the aorta (0.17 ± 0.08 to 0.13 ± 0.08 mmHg.min/ml, p<;0.05) and renal artery (4.97 ± 1.16 to 3.97 ± 1.08 mmHg.min/ml, p<;0.05). Stimulation caused a leftward shift in renal impedance phase frequency spectrum in both age groups indicating changes in wave reflection from the renal bed. Findings show that the reduction in MAP due to carotid barostimulation is associated with different hemodynamic mechanisms that depend on age.

摘要

颈动脉压力感受器刺激可治疗顽固性高血压,对血管系统可能具有除降低动脉压之外的其他作用。本研究旨在通过对正常血压大鼠单侧颈动脉压力感受器进行刺激,来描述血管血流动力学变化的年龄依赖性,以推断潜在的血流动力学机制。将麻醉后的Wistar - Kyoto大鼠分为两组(年轻组:n = 10,13 - 33周;老年组:n = 6,52 - 58周),安装仪器以测量心率(HR)、平均动脉压(MAP)以及腹主动脉和肾动脉的血流。计算主动脉和肾动脉的硬度和阻力指标。压力感受器刺激导致MAP、HR、脉压和主动脉脉搏波速度持续降低。在年轻大鼠中,MAP降低(从77 ± 10降至64 ± 13 mmHg,p<0.001),同时主动脉平均血流量(从40 ± 15降至32 ± 11 ml/min,p<0.05)和肾血流量降低(从3.0 ± 1.6降至2.2 ± 1.1 ml/min,p<0.001)。然而,在老年大鼠中,MAP降低(从76 ± 14降至64 ± 10 mmHg,p<0.05)的同时,主动脉阻力降低(从1.8 ± 0.9降至1.6 ± 0.9 mmHg·min/ml,p<0.05),肾动脉阻力降低(从17.4 ± 2.4降至16.5 ± 2.3 mmHg·min/ml,p<0.05),平均肾血流量降低(从4.5 ± 1.2降至4.0 ± 1.1 ml/min,p<0.05)。这与老年大鼠主动脉(从0.17 ± 0.08降至0.13 ± 0.08 mmHg·min/ml,p<0.05)和肾动脉(从4.97 ± 1.16降至3.97 ± 1.08 mmHg·min/ml,p<0.05)特征阻抗降低一致。刺激在两个年龄组中均导致肾阻抗相频谱向左移位,表明肾床波反射发生变化。研究结果表明,颈动脉压力感受器刺激导致的MAP降低与取决于年龄的不同血流动力学机制相关。

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