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心肌肥大的区域差异与心脏的三维变形

Regional differences of myocyte hypertrophy and three-dimensional deformation of the heart.

作者信息

Kuribayashi T, Furukawa K, Katsume H, Ijichi H, Ibata Y

出版信息

Am J Physiol. 1986 Mar;250(3 Pt 2):H378-88. doi: 10.1152/ajpheart.1986.250.3.H378.

Abstract

Cross-sectional area was compared between the latitudinally and longitudinally oriented muscle fibers of the hypertrophied left ventricle of the rat heart under aortic banding and isoproterenol infusion. In addition, end-diastolic three-dimensional deformation of the left ventricle as expressed by cavity volume and eccentricity was examined in the early and chronic stages of these treatments. Under aortic banding, myocyte hypertrophy occurred to a greater extent in the latitudinally oriented fibers of the midwall layer than in the longitudinal fibers of the inner and outer layers. Such a regional difference of hypertrophy was not seen under isoproterenol infusion. At the early stage of aortic banding, the left ventricle at end diastole was more dilated and spherical, whereas at the acute stage of isoproterenol infusion, it was more decreased in size and prolate than that of the controls. The deformation of the left ventricle at the early stage of aortic banding is considered to cause, during diastole, axial stretching and increase in tensile stress more on the latitudinal fibers, leading them to the predominant hypertrophy.

摘要

在主动脉缩窄和异丙肾上腺素输注的情况下,比较了大鼠心脏肥厚左心室中横向和纵向肌纤维之间的横截面积。此外,在这些治疗的早期和慢性阶段,研究了以腔室容积和偏心度表示的左心室舒张末期三维变形。在主动脉缩窄时,中层横向取向的纤维中肌细胞肥大比内层和外层纵向纤维中更明显。在异丙肾上腺素输注时未观察到这种肥大的区域差异。在主动脉缩窄的早期,舒张末期的左心室更扩张且呈球形,而在异丙肾上腺素输注的急性期,其尺寸比对照组减小且呈长形。主动脉缩窄早期左心室的变形被认为在舒张期会导致轴向拉伸,并使横向纤维上的拉应力增加更多,从而导致它们出现主要的肥大。

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