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大鼠衰老导致的血管力学缺陷:基于单个主动脉压力脉冲的动脉波特性研究

Defects in Vascular Mechanics Due to Aging in Rats: Studies on Arterial Wave Properties from a Single Aortic Pressure Pulse.

作者信息

Chang Chun-Yi, Chang Ru-Wen, Hsu Shu-Hsien, Wu Ming-Shiou, Cheng Ya-Jung, Kao Hsien-Li, Lai Liang-Chuan, Wang Chih-Hsien, Chang Kuo-Chu

机构信息

Department of Emergency Medicine, Taipei Veterans General HospitalHsin-Chu, China.

Department of Physiology, College of Medicine, National Taiwan UniversityTaipei, China.

出版信息

Front Physiol. 2017 Jul 13;8:503. doi: 10.3389/fphys.2017.00503. eCollection 2017.

Abstract

Changes in vascular mechanics due to aging include elevated vascular impedance, diminished aorta distensibility, and an accelerated return of pulse wave reflection, which may increase the systolic workload on the heart. Classically, the accurate measurement of vascular mechanics requires the simultaneous recording of aortic pressure and flow signals. In practice, it is feasible to estimate arterial wave properties in terms of wave transit time (τ) and wave reflection index (RI) by using aortic pressure signal alone. In this study, we determined the τ and magnitudes of the forward (∣ ∣) and backward (∣ ∣) pressure waves in Long-Evans male rats aged 4 ( = 14), 6 ( = 17), 12 ( = 17), and 18 ( = 24) months, based on the measured aortic pressure and an assumed triangular flow (). The pulsatile pressure wave was the only signal recorded in the ascending aorta by using a high-fidelity pressure sensor. The base of the unknown was constructed using a duration, which equals to the ejection time. The timing at the peak of the triangle was derived using the fourth-order derivative of the aortic pressure waveform. In the 18-month-old rats, the ratio of τ to left ventricular ejection time (LVET) decreased, indicating a decline in the distensibility of the aorta. The increased ∣ ∣ associated with unaltered ∣ ∣ enhanced the RI in the older rats. The augmentation index (AI) also increased significantly with age. A significant negative correlation between the AI and τ /LVET was observed: AI = -0.7424 - 0.9026 × (τ /LVET) ( = 0.4901; < 0.0001). By contrast, RI was positively linearly correlated with the AI as follows: AI = -0.4844 + 2.3634 × RI ( = 0.8423; < 0.0001). Both the decreased τ /LVET and increased RI suggested that the aging process may increase the AI, thereby increasing the systolic hydraulic load on the heart. The novelty of the study is that is constructed using the measured aortic pressure wave to approximate its corresponding flow signal, and that calibration of is not essential in the analysis.

摘要

衰老导致的血管力学变化包括血管阻抗升高、主动脉扩张性降低以及脉搏波反射的加速返回,这可能会增加心脏的收缩期负荷。传统上,准确测量血管力学需要同时记录主动脉压力和血流信号。实际上,仅使用主动脉压力信号就可以根据波传播时间(τ)和波反射指数(RI)来估计动脉波特性。在本研究中,我们基于测量的主动脉压力和假设的三角形血流(),确定了4个月(n = 14)、6个月(n = 17)、12个月(n = 17)和18个月(n = 24)的Long-Evans雄性大鼠的τ以及正向(∣ ∣)和反向(∣ ∣)压力波的大小。使用高保真压力传感器记录升主动脉中唯一的脉动压力波信号。未知血流的基底使用等于射血时间的持续时间构建。三角形峰值的时间通过主动脉压力波形的四阶导数得出。在18个月大的大鼠中,τ与左心室射血时间(LVET)的比值降低,表明主动脉扩张性下降。在老年大鼠中,∣ ∣增加而∣ ∣不变,增强了RI。增强指数(AI)也随年龄显著增加。观察到AI与τ /LVET之间存在显著的负相关:AI = -0.7424 - 0.9026 ×(τ /LVET)(r = 0.4901;P < 0.0001)。相比之下,RI与AI呈正线性相关,如下所示:AI = -0.4844 + 2.3634 × RI(r = 0.8423;P < 0.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/525d/5508003/42c61af196e2/fphys-08-00503-g0002.jpg

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