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心房利钠肽(ANP)在正常血压大鼠和自发性高血压大鼠中的血流动力学差异效应。

Differential haemodynamic effects of atrial natriuretic peptide (ANP) in normotensive and spontaneously hypertensive rats.

作者信息

Pettersson A, Ricksten S E, Hedner J, Hedner T

机构信息

Department of Pharmacology, Gothenburg University, Sweden.

出版信息

Acta Physiol Scand. 1988 Oct;134(2):247-51. doi: 10.1111/j.1748-1716.1988.tb08485.x.

Abstract

Central haemodynamic parameters and cardiac performance were measured in conscious spontaneously hypertensive rats (SHR) and normotensive Wistar Kyoto (WKY) control rats after a 10-min infusion of rat ANP (103-125), 1 micrograms kg-1 min-1. Mean Arterial blood pressure (MAP) decreased by approximately 10% in both groups of rats. Heart rate (HR) increased slightly in both strains during the infusion. In the normotensive group the fall in MAP was due to a reduction in cardiac output (CO) while in the SHR there was a decrease in CO as well as in total peripheral resistance (TPR). The ANP infusion also reduced central blood volume (CBV) and stroke volume (SV) in both groups of rats. The reduction in CBV and CO was significantly more pronounced in the WKY strain. Left ventricular end diastolic pressure (LVEDP) and cardiac contractility (dP/dt) did not change while central venous pressure (CVP) was slightly decreased in the WKY group as a result of the ANP infusion. We conclude that ANP reduces MAP in normotensive animals by a reduction in CO. In the SHR a reduction in TPR also contributes to the fall in MAP. Atrial natriuretic peptide did not exert any negative inotropic effects, but the reduction of CO was due to an increased venous compliance.

摘要

在清醒的自发性高血压大鼠(SHR)和正常血压的Wistar Kyoto(WKY)对照大鼠中,以1微克/千克·分钟的速度输注大鼠ANP(103 - 125)10分钟后,测量其中心血流动力学参数和心脏功能。两组大鼠的平均动脉血压(MAP)均下降了约10%。输注过程中,两种品系的大鼠心率(HR)均略有增加。在正常血压组中,MAP的下降是由于心输出量(CO)减少,而在SHR中,CO和总外周阻力(TPR)均下降。ANP输注还降低了两组大鼠的中心血容量(CBV)和每搏输出量(SV)。WKY品系中CBV和CO的降低更为明显。左心室舒张末期压力(LVEDP)和心脏收缩力(dP/dt)没有变化,而由于ANP输注,WKY组的中心静脉压(CVP)略有下降。我们得出结论,ANP通过降低CO来降低正常血压动物的MAP。在SHR中,TPR的降低也导致了MAP的下降。心房利钠肽没有产生任何负性肌力作用,但CO的降低是由于静脉顺应性增加。

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