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[前负荷对大鼠心肌舒张功能的影响]

[Influence of preload on myocardial relaxation in the rat].

作者信息

Chemla D, Lecarpentier Y, Clergue M, Hervé P, Brenot F, Hatt P Y

机构信息

INSERM U275, LOA, Ecole Polytechnique-ENSTA, Centre de l'Yvette, Palaiseau.

出版信息

Arch Mal Coeur Vaiss. 1987 Dec;80(13):1955-62.

PMID:3130014
Abstract

Preload, which determines the initial muscle length, has proved to be a basic determinant of the muscle relaxation phase. The mechanical properties of the papillary muscle of Wistar rats (n = 20) were studied at different initial lengths (L): Lmax and 98 p. 100, 94 p. 100, 90 p. 100, 86 p. 100 and 82 p. 100 Lmax. In isometry, the relaxation phase was proportionally less sensitive to a reduction of preload than the contraction phase. When L decreased the peaks of maximal force derivative of the contraction phase (+dF.dt-1 max) and relaxation phase (-dF.dt-1 max) were linearly and significantly lowered at L = 94 p. 100 Lmax and L = 90 p. 100 Lmax respectively. Conversely, in isotonia the relaxation phase was much more sensitive to a reduction of preload than the contraction phase. On a muscle preloaded from 82 p. 100 Lmax to Lmax, the highest max Vr value (i.e. maximal speed of isotonic relaxation) was measured at Lmax, which is the apex of the Starling's isometric curve. When L decreased max Vr decreased linearly and significantly at 94 p. 100 Lmax. In contrast, the maximal speed of contraction (max Vc) increased between Lmax and 94 p. 100 Lmax, became maximal, then significantly decreased beyond 82 p. 100 Lmax. Thus, in the physiological range of the myocardium (Lmax - 85 p. 100 Lmax) the rat papillary muscle tended to maintain its maximal isotonic speed of contraction, or even to increase that speed, whereas the isometric contraction, isometric relaxation and isotonic relaxation phases were early and significantly depressed.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

前负荷决定初始肌肉长度,已被证明是肌肉舒张期的一个基本决定因素。研究了20只Wistar大鼠乳头肌在不同初始长度(L)下的力学特性:Lmax以及Lmax的98%、94%、90%、86%和82%。在等长收缩时,舒张期对前负荷降低的敏感性比收缩期成比例地更低。当L降低时,收缩期最大力导数峰值(+dF/dt-1 max)和舒张期最大力导数峰值(-dF/dt-1 max)在L = 94%Lmax和L = 90%Lmax时分别呈线性且显著降低。相反,在等张收缩时,舒张期对前负荷降低的敏感性比收缩期高得多。在从82%Lmax预负荷到Lmax的肌肉上,在Lmax(即斯塔林等长曲线的顶点)测得最高的最大Vr值(即等张舒张的最大速度)。当L降低时,最大Vr在94%Lmax时呈线性且显著降低。相比之下,收缩最大速度(max Vc)在Lmax和94%Lmax之间增加,达到最大值,然后在超过82%Lmax时显著降低。因此,在心肌的生理范围内(Lmax - 85%Lmax),大鼠乳头肌倾向于维持其最大等张收缩速度,甚至提高该速度,而等长收缩、等长舒张和等张舒张期则较早且显著降低。(摘要截取自250字)

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