Carbonell L F, Salom M G, Garcia-Estañ J, Salazar F J, Ubeda M, Quesada T
Am J Physiol. 1987 May;252(5 Pt 2):H900-5. doi: 10.1152/ajpheart.1987.252.5.H900.
Important cardiovascular dysfunctions have been described in streptozotocin (STZ)-diabetic rats. To determine the influence of these changes on the hemodynamic state and whether insulin treatment can avoid them, different hemodynamic parameters, obtained by the thermodilution method, were studied in STZ-induced (65 mg/kg) diabetic male Wistar rats, as well as in age-control, weight-control, and insulin-treated diabetic ones. All rats were examined in the conscious, unrestrained state 12 wk after induction of diabetes or acidified saline (pH 4.5) injection. At 12 wk of diabetic state most important findings were normotension, high blood volume, bradycardia, increase in stroke volume, cardiac output, and cardiosomatic ratio, and decrease in total peripheral resistance and cardiac contractility and relaxation (dP/dtmax and dP/dtmin of left ventricular pressure curves). The insulin-treated diabetic rats did not show any hemodynamic differences when compared with the control animals. These results suggest that important hemodynamic alterations are present in the chronic diabetic state, possibly conditioning congestive heart failure. These alterations can be prevented by insulin treatment.
链脲佐菌素(STZ)诱导的糖尿病大鼠已出现重要的心血管功能障碍。为确定这些变化对血流动力学状态的影响以及胰岛素治疗能否避免这些变化,我们采用热稀释法,对STZ诱导(65 mg/kg)的糖尿病雄性Wistar大鼠以及年龄匹配、体重匹配和胰岛素治疗的糖尿病大鼠的不同血流动力学参数进行了研究。所有大鼠在糖尿病诱导或酸化盐水(pH 4.5)注射12周后,在清醒、不受约束的状态下进行检查。糖尿病状态12周时,最重要的发现是血压正常、血容量增加、心动过缓、每搏输出量、心输出量和心体比增加,以及总外周阻力、心脏收缩力和舒张功能(左心室压力曲线的dP/dtmax和dP/dtmin)降低。与对照动物相比,胰岛素治疗的糖尿病大鼠未表现出任何血流动力学差异。这些结果表明,慢性糖尿病状态存在重要的血流动力学改变,可能导致充血性心力衰竭。胰岛素治疗可预防这些改变。