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健康年轻黑人男性对肌肉交感神经活动自发爆发的过度血管收缩

Exaggerated Vasoconstriction to Spontaneous Bursts of Muscle Sympathetic Nerve Activity in Healthy Young Black Men.

作者信息

Vranish Jennifer R, Holwerda Seth W, Young Benjamin E, Credeur Daniel P, Patik Jordan C, Barbosa Thales C, Keller David M, Fadel Paul J

机构信息

From the Department of Kinesiology, University of Texas at Arlington (J.R.V., B.E.Y., J.C.P., T.C.B., D.M.K., P.J.F.); School of Kinesiology, University of Southern Mississippi, Hattiesburg (D.P.C.); and Department of Health and Human Physiology, University of Iowa, Iowa City (S.W.H.).

出版信息

Hypertension. 2018 Jan;71(1):192-198. doi: 10.1161/HYPERTENSIONAHA.117.10229. Epub 2017 Dec 4.

Abstract

Blacks have the highest prevalence of hypertension, putting them at greater risk of cardiovascular disease and death. Previous studies have reported that, relative to whites, healthy black men have augmented pressor responses to sympathoexcitatory stressors. Although important, these studies do not inform about the resting state and the influence of spontaneous changes in resting muscle sympathetic nerve activity (MSNA). Likewise, little is known about the transduction of MSNA into a vascular response at rest on a beat-to-beat basis. Accordingly, we tested the hypothesis that relative to whites, blacks would exhibit greater vasoconstriction and pressor responses following spontaneous bursts of MSNA. Mean arterial pressure, common femoral artery blood flow, and MSNA were continuously recorded during 20 minutes of supine rest in 35 young healthy men (17 blacks and 18 whites). Signal averaging was used to characterize changes in leg vascular conductance, total vascular conductance, and mean arterial pressure following spontaneous MSNA bursts. Blacks demonstrated significantly greater decreases in leg vascular conductance (blacks: -15.0±1.0%; whites: -11.5±1.2%; =0.042) and total vascular conductance (blacks: -8.6±0.9%; whites: -5.1±0.4%; =0.001) following MSNA bursts, which resulted in greater mean arterial pressure increases (blacks: +5.2±0.6 mm Hg; whites: +3.9±0.3 mm Hg; =0.04). These exaggerated responses in blacks compared with whites were present whether MSNA bursts occurred in isolation (singles) or in combination (multiples) and were graded with increases in burst height. Collectively, these findings suggest that healthy young black men exhibit augmented sympathetic vascular transduction at rest and provide novel insight into potential mechanism(s) by which this population may develop hypertension later in life.

摘要

黑人高血压患病率最高,这使他们患心血管疾病和死亡的风险更高。先前的研究报告称,相对于白人,健康的黑人男性对交感神经兴奋应激源的升压反应增强。尽管这些研究很重要,但它们并未告知静息状态以及静息肌肉交感神经活动(MSNA)的自发变化的影响。同样,对于MSNA在逐搏基础上转化为静息时的血管反应情况知之甚少。因此,我们检验了这样一个假设:相对于白人,黑人在MSNA自发爆发后会表现出更大的血管收缩和升压反应。在35名年轻健康男性(17名黑人、18名白人)仰卧休息20分钟期间,持续记录平均动脉压、股总动脉血流和MSNA。信号平均用于表征自发MSNA爆发后腿部血管传导、总血管传导和平均动脉压的变化。黑人在MSNA爆发后腿部血管传导(黑人:-15.0±1.0%;白人:-11.5±1.2%;P = 0.042)和总血管传导(黑人:-8.

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