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幼年和成年犬左心室肥厚时的心肌血流情况

Myocardial blood flow in left ventricular hypertrophy developing in young and adult dogs.

作者信息

Bache R J, Alyono D, Sublett E, Dai X Z

出版信息

Am J Physiol. 1986 Nov;251(5 Pt 2):H949-56. doi: 10.1152/ajpheart.1986.251.5.H949.

Abstract

This study was performed to test the hypothesis that growth of coronary vasculature would be facilitated if myocardial hypertrophy occurred during the period of normal body growth rather than in mature adult animals. Left ventricular hypertrophy was produced by banding the ascending aorta in eight young dogs 7 wk of age and in nine adult dogs. Adult dogs were studied 2 mo after aortic banding, whereas young dogs were allowed to grow to adulthood before study. Left ventricular weight-to-body weight ratios were increased to 6.88 +/- 0.36 g/kg in the young dogs and 6.64 +/- 0.47 in adult dogs; both were significantly greater than seven normal control animals (4.32 +/- 0.05; each P less than 0.01). Myocardial blood flow per gram measured with microspheres during quiet resting conditions was significantly higher in young dogs with left ventricular hypertrophy than in normal dogs. Myocardial blood flow rates during maximum coronary vasodilation with adenosine (4 mumol X kg-1 X min-1 iv) were similar in all three groups. However, since mean coronary perfusion pressure was higher in the dogs with aortic banding, minimum coronary vascular resistance per gram of myocardium was significantly higher in both young (21.1 +/- 3.1 mmHg X ml-1 X min X g) and adult dogs with left ventricular hypertrophy (21.8 +/- 2.2) than in the normal dogs (16.8 +/- 3.1; each P less than 0.01). Mean coronary vascular resistance for the total left ventricle was similar in all three groups of animals, suggesting that growth of coronary vasculature did not occur as the myocardium underwent hypertrophy.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

本研究旨在验证以下假设

若心肌肥大发生在正常身体生长阶段而非成年动物成熟后,冠状动脉血管的生长将得到促进。通过结扎8只7周龄幼犬和9只成年犬的升主动脉来诱导左心室肥大。成年犬在主动脉结扎2个月后进行研究,而幼犬则在生长至成年后再进行研究。幼犬左心室重量与体重之比增至6.88±0.36 g/kg,成年犬为6.64±0.47;两者均显著高于7只正常对照动物(4.32±0.05;P均小于0.01)。在安静休息状态下,用微球测量的每克心肌血流量,左心室肥大的幼犬显著高于正常犬。在使用腺苷(4 μmol·kg-1·min-1静脉注射)使冠状动脉最大程度扩张时,三组动物的心肌血流速率相似。然而,由于主动脉结扎犬的平均冠状动脉灌注压较高,左心室肥大的幼犬(21.1±3.1 mmHg·ml-1·min·g)和成年犬(21.8±2.2)每克心肌的最小冠状动脉血管阻力均显著高于正常犬(16.8±3.1;P均小于0.01)。三组动物左心室总的平均冠状动脉血管阻力相似,这表明随着心肌肥大,冠状动脉血管并未生长。(摘要截选至250词)

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