Krieger E M, Moreira R D, Padilha J U
Heart Institute, University Hospital, Faculty of Medicine, USP, São Paulo, Brazil.
Clin Exp Hypertens A. 1988;10 Suppl 1:123-9. doi: 10.3109/10641968809075967.
Sino-aortic denervation (SAD) in rats alters completely the pattern of pressure changes during sleep: from unchanged to a rise in SS and from slight increase to a market drop in DS. Rats with mild renal hypertension (1K - 1C) behaved like normotensive rats, whereas in those rats with hypertension accompanied by overactivity of RAS, the pattern of MAP changes during sleep was similar to SAD rats. Since acute SAD also produced overactivity of RAS we studied SAD rats treated with Captopril or when RAS was normal at the chronic phase of SAD and we showed that impairment of baroreceptor function per se determines the typical alteration of BP during sleep. Intracerebral infusion of angiotensin modifies the pattern of pressure changes during sleep in a way similar to that produced by impaired baroreceptor function (SAD), probably by altering the central integration of the baroreceptor reflexes. Therefore the pattern of pressure changes during sleep seems to be a sensitive index of the functional integrity of the baroreceptor reflex.
大鼠的 sino - 主动脉去神经支配(SAD)完全改变了睡眠期间的血压变化模式:从睡眠期间血压无变化变为慢波睡眠(SS)期血压升高,从快动眼睡眠(DS)期血压轻度升高变为大幅下降。轻度肾性高血压(1K - 1C)大鼠的表现与正常血压大鼠相似,而在伴有肾素 - 血管紧张素系统(RAS)过度活跃的高血压大鼠中,睡眠期间平均动脉压(MAP)的变化模式与 SAD 大鼠相似。由于急性 SAD 也会导致 RAS 过度活跃,我们研究了用卡托普利治疗的 SAD 大鼠,或者在 SAD 慢性期 RAS 正常时的 SAD 大鼠,结果表明压力感受器功能受损本身决定了睡眠期间血压的典型变化。脑室内注入血管紧张素会以类似于压力感受器功能受损(SAD)所产生的方式改变睡眠期间的血压变化模式,可能是通过改变压力感受器反射的中枢整合来实现的。因此,睡眠期间的血压变化模式似乎是压力感受器反射功能完整性的一个敏感指标。