Department of Cardiology, Peking University Third Hospital and Key Laboratory of Cardiovascular Molecular Biology and Regulatory Peptides, Ministry of Health, Key Laboratory of Molecular Cardiovascular Sciences, Ministry of Education and Beijing Key Laboratory of Cardiovascular Receptors Research, Beijing, 100191, China.
College of Life Science and Bioengineering, Beijing University of Technology, Beijing, 100124, China.
Sci Rep. 2017 May 17;7(1):2007. doi: 10.1038/s41598-017-01906-x.
Haemodynamic disorders are common clinical findings in hypertension and lead to adverse cardiovascular events. However, the haemodynamic conditions in hypertension models are poorly understood. This study aimed to observe the characteristics of haemodynamics in spontaneously hypertensive rats (SHRs) and antihypertensive-treated SHRs. Twenty-four adult male SHRs and Wistar-Kyoto rats (WKYs) were randomly divided into four groups and treated for 7 days as follows: WKY-CON (WKYs + saline), WKY-NIF (WKYs + nifedipine, 50 mg/kg/day), SHR-CON (SHRs + saline), and SHR-NIF (SHRs + nifedipine). Aortic computational fluid dynamics (CFD) models were simulated to obtain the haemodynamic parameters. We found that in the hypertensive (SHR-CON) and blood pressure-controlled (SHR-NIF) groups, the oscillatory shear index (OSI) and relative residence time (RRT), which are key haemodynamics indices, were markedly elevated. Furthermore, there was a correlation between both the elevated OSI and RRT with the vascular wall thickening in regions near the inner wall of the aortic arch. Our research demonstrates that haemodynamics remains disturbed even if the blood pressure is normalized. In addition, vascular remodelling may play an important role in maintaining elevated OSI and RRT values.
血流动力学紊乱是高血压的常见临床发现,并导致不良心血管事件。然而,高血压模型中的血流动力学情况了解甚少。本研究旨在观察自发性高血压大鼠(SHR)和降压治疗的 SHR 的血流动力学特征。将 24 只成年雄性 SHR 和 Wistar-Kyoto 大鼠(WKY)随机分为四组,分别给予以下 7 天的治疗:WKY-CON(WKY+生理盐水)、WKY-NIF(WKY+硝苯地平,50mg/kg/天)、SHR-CON(SHR+生理盐水)和 SHR-NIF(SHR+硝苯地平)。模拟主动脉计算流体动力学(CFD)模型以获得血流动力学参数。我们发现,在高血压(SHR-CON)和血压控制(SHR-NIF)组中,关键血流动力学指标振荡剪切指数(OSI)和相对停留时间(RRT)显著升高。此外,升高的 OSI 和 RRT 与主动脉弓内壁附近血管壁增厚之间存在相关性。我们的研究表明,即使血压正常化,血流动力学仍保持紊乱。此外,血管重塑可能在维持升高的 OSI 和 RRT 值方面发挥重要作用。