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一氧化氮生物利用度降低期间大鼠脉搏波形参数与血压之间的数学关系及其影响。

Mathematical relationships and their consequences between rat pulse waveform parameters and blood pressure during decreasing NO bioavailability.

作者信息

Misak Anton, Kristek Frantisek, Tomasova Lenka, Grman Marian, Ondriasova Elena, Krizanova Olga, Ondrias Karol

机构信息

Institute of Clinical and Translational Research, Biomedical Research Center, Slovak Academy of Sciences, Bratislava, Slovak Republic.

Institute of Normal and Pathological Physiology, Slovak Academy of Sciences, Bratislava, Slovak Republic.

出版信息

Exp Physiol. 2017 Feb 1;102(2):164-179. doi: 10.1113/EP085958. Epub 2016 Dec 29.

Abstract

What is the central question of this study? We wanted to find out whether the relationship between rat arterial pulse waveform (APW) parameters and blood pressure could be described by known mathematical functions and find mathematical parameters for conditions of hypertension resulting from decreased NO bioavailability. What is the main finding and its importance? We found mathematical functions and their parameters that approximate the relationships of 12 APW parameters to systolic and diastolic blood pressure in conditions of decreased NO bioavailability. The results may assign APW parameters to decreased NO bioavailability, which may have predictive or diagnostic value. Information obtained from the arterial pulse waveform (APW) is useful for characterization of the cardiovascular system in particular (patho)physiological conditions. Our goal was to find out whether the relationships between rat APW parameters could be described by simple mathematical functions and to find mathematical parameters for conditions of hypertension resulting from decreased NO bioavailability. Therefore, we explored details of 14 left carotid APW parameters of anaesthetized male Wistar rats and mathematically characterized their relationship to systolic and diastolic blood pressure (BP) in conditions of a gradual reduction in NO bioavailability after administration of l-NAME. The right jugular vein of anaesthetized Wistar rats was cannulated for l-NAME administration. The left carotid artery was cannulated to detect the APW at high resolution. Here, we show the time-dependent parallel changes of 14 APW parameters before and after i.v. administration of l-NAME and present mathematical functions that approximate the relationships of 12 APW parameters to systolic and diastolic BP. Some APW parameters had minor (e.g. heart rate) or biphasic dependence on BP (e.g. relative level of the maximum rate of ventricular pressure decrease (dP/dt )), but all relationships, within a particular range of BP, could be approximated by known regression functions, as a linear function (e.g. pulse BP), exponential decay (e.g. relative level of the maximum rate of ventricular pressure increase (dP/dt )), exponential growth (systolic area), exponential rise to a maximum (relative augmentation index) or sigmoid function (e.g. increase of relative level of dP/dt ). The mathematical functions may assign APW parameters to decreased NO bioavailability. This may have predictive or diagnostic value.

摘要

本研究的核心问题是什么?我们想弄清楚大鼠动脉脉搏波形(APW)参数与血压之间的关系是否能用已知的数学函数来描述,并找到因一氧化氮(NO)生物利用度降低导致高血压情况下的数学参数。主要发现及其重要性是什么?我们发现了数学函数及其参数,这些函数和参数近似于在NO生物利用度降低情况下12个APW参数与收缩压和舒张压之间的关系。这些结果可能将APW参数与NO生物利用度降低联系起来,这可能具有预测或诊断价值。从动脉脉搏波形(APW)获得的信息对于表征心血管系统在特定的(病理)生理状况下是有用的。我们的目标是弄清楚大鼠APW参数之间的关系是否能用简单的数学函数来描述,并找到因NO生物利用度降低导致高血压情况下的数学参数。因此,我们探究了麻醉的雄性Wistar大鼠14个左颈动脉APW参数的细节,并在给予L - 精氨酸甲酯(l - NAME)后NO生物利用度逐渐降低的情况下,从数学上表征了它们与收缩压和舒张压(BP)的关系。将麻醉的Wistar大鼠的右颈静脉插管用于给予l - NAME。将左颈动脉插管以高分辨率检测APW。在此,我们展示了静脉注射l - NAME前后14个APW参数随时间的平行变化,并给出了近似12个APW参数与收缩压和舒张压关系的数学函数。一些APW参数对血压有轻微(如心率)或双相依赖性(如心室压力最大下降速率(dP/dt)的相对水平),但在特定血压范围内,所有关系都可以用已知的回归函数近似,如线性函数(如脉压)、指数衰减(如心室压力最大上升速率(dP/dt)的相对水平)、指数增长(收缩期面积)、指数上升至最大值(相对增强指数)或S形函数(如dP/dt相对水平的增加)。这些数学函数可能将APW参数与NO生物利用度降低联系起来。这可能具有预测或诊断价值。

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