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[主动脉压力短暂变化期间的冠状动脉血管阻力]

[Coronary vascular resistance during transitory variations in aortic pressure].

作者信息

Gattullo D, Gastaldi L, Losano G, Morello M

出版信息

Cardiologia. 1989 Jun;34(6):499-506.

PMID:2790841
Abstract

The present study was aimed at studying the interaction between elastic properties and myogenic responses of the coronary wall in regulating coronary vascular resistance (CVR) during and after sudden changes in perfusion pressure. Whilst the effects of transient reductions and recoveries of the aortic blood pressure (ABP) were previously considered, in the present study attention was paid to the changes induced in CVR by the reverse procedure, i.e., by transient increases followed by abrupt decreases of ABP. The experiments were performed in 6 anesthetized dogs after section of the vagi nerves and beta-adrenergic receptor blockade. The increase of ABP was obtained by a 10 or 20 s constriction of the descending thoracic aorta. During the experimental maneuver, coronary flow increased without any significant change in CVR. Only in the late part of the 20 s constriction a reduction of CVR was observed as a likely consequence of increased myocardial metabolism. Immediately after the release of the constriction, the fall of ABP below the control was accompanied by a significant reduction of coronary flow without any significant increase in CVR. About 10 s later, a remarkable increase in flow occurred together with a significant fall of CVR, while ABP was recovering towards the control. In each animal the exact timing of these changes was independent of the duration of the constriction. When, about 20-30 s from the end of the constriction, ABP was back to the control, the hyperemia was completely over.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

本研究旨在探讨冠状动脉壁弹性特性与肌源性反应在灌注压突然变化期间及之后调节冠状动脉血管阻力(CVR)中的相互作用。虽然先前已考虑过主动脉血压(ABP)短暂降低和恢复的影响,但在本研究中,关注的是相反过程引起的CVR变化,即ABP先短暂升高然后突然降低。实验在6只麻醉犬身上进行,切断迷走神经并阻断β-肾上腺素能受体。通过对胸降主动脉进行10或20秒的收缩来实现ABP升高。在实验操作过程中,冠状动脉血流量增加而CVR无任何显著变化。仅在20秒收缩的后期,观察到CVR降低,这可能是心肌代谢增加的结果。收缩解除后,ABP降至对照值以下,同时冠状动脉血流量显著减少,而CVR无任何显著增加。约10秒后,随着ABP恢复至对照值,血流量显著增加,同时CVR显著下降。在每只动物中,这些变化的确切时间与收缩持续时间无关。当收缩结束约20 - 30秒后,ABP恢复至对照值时,充血完全结束。(摘要截断于250字)

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