Mochizuki S, Taniguchi M, Kudo T, Yabe H, Maeno H, Takahashi K, Nagano M
Jpn Circ J. 1986 Oct;50(10):1007-14. doi: 10.1253/jcj.50.1007.
The effect of long-term pressure overload on myocardial functional and metabolic alterations was investigated in hearts from spontaneously hypertensive rats of 16 weeks (young SHR) and 44 weeks (aged SHR) and age matched normotensive Wistar Kyoto strain rats (young WKY, aged WKY). The hearts were perfused by working heart mode and whole heart ischemia was induced by one-way valve. Following 20 min of ischemia, the hearts were reperfused for 30 min. The heart-body weight ratio in both SHR groups was significantly higher than in the respective age-matched WKY groups. Coronary flow relative to heart weight in both SHR groups was significantly lower than that of the respective age-matched WKY during both preischemic and reperfused periods. There was no significant difference in the recovery rate of cardiac output between young and aged WKY, whereas the young and aged SHR revealed significantly less recovery than their respective age-matched WKY. Tissue creatine phosphate and energy charge in both aged groups were significantly lower than in the young groups. These results indicate that long-term pressure overload increases susceptibility to ischemia and decreases the myocardial reserve presumably resulting from relative ischemia, whereas deterioration was minimal in the normotensive aged rat heart.
研究了长期压力超负荷对16周龄(年轻自发性高血压大鼠,即年轻SHR)和44周龄(老年SHR)自发性高血压大鼠以及年龄匹配的正常血压Wistar Kyoto品系大鼠(年轻WKY、老年WKY)心脏心肌功能和代谢改变的影响。采用工作心脏模式对心脏进行灌注,并通过单向瓣膜诱导全心缺血。缺血20分钟后,心脏再灌注30分钟。两个SHR组的心脏重量与体重之比均显著高于各自年龄匹配的WKY组。在缺血前期和再灌注期,两个SHR组相对于心脏重量的冠状动脉血流量均显著低于各自年龄匹配的WKY组。年轻和老年WKY的心输出量恢复率无显著差异,而年轻和老年SHR的心输出量恢复率均显著低于各自年龄匹配的WKY组。两个老年组的组织磷酸肌酸和能量电荷均显著低于年轻组。这些结果表明,长期压力超负荷增加了对缺血的易感性,并可能由于相对缺血而降低心肌储备,而正常血压的老年大鼠心脏的恶化程度最小。