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通过袖带法和药物法对两种兔品系心脏压力反射特性的区分

Differentiation of cardiac baroreflex properties by cuff and drug methods in two rabbit strains.

作者信息

Weinstock M, Korner P I, Head G A, Dorward P K

机构信息

Baker Medical Research Institute, Melbourne, Victoria, Australia.

出版信息

Am J Physiol. 1988 Oct;255(4 Pt 2):R654-64. doi: 10.1152/ajpregu.1988.255.4.R654.

Abstract

Sigmoidal mean arterial pressure (MAP)-heart rate (HR) curves were obtained in two genetically related strains of rabbits (groups I and II). We examined vagal (V) and sympathetic (S) effects on HR using perivascular cuffs and vasoactive drugs to alter MAP, and we studied the effects of intravenous naloxone, which affected only I. With the cuff method, both V and S components of gain were much greater in I than in II, and naloxone greatly reduced the difference. With the drug method, gain was similar in I and II and unaffected by naloxone. With both methods, the V component of HR range between plateaus was greater in I than in II because of more pronounced bradycardia at the lower plateau; naloxone eliminated the latter difference when the reflex was drug induced but not when it was cuff induced. The S component of HR range was similar in I and II; with both methods, the tachycardia plateau was reduced by naloxone. The cuff method alters cardiac load more than the drug method, leading to engagement of different groups of afferents for a given change in MAP (delta MAP). We have derived an input-output model, which suggests that with the drug method, gain is almost entirely determined by the input from the arterial baroreceptors, accounting for the minimal difference between I and II. With the cuff method, gain is determined by a nonlinear interaction involving the arterial and nonarterial baroreceptors, which accentuates the response. The opiate mechanism is associated with the nonarterial baroreceptor input and has amplifying properties, which account for the difference in gain between I and II. The two methods and naloxone provide a novel way of differentiating the effector patterns of the reflex; naloxone serves as a marker of activity in a particular pathway.

摘要

在两种遗传相关的兔品系(I组和II组)中获得了S形平均动脉压(MAP)-心率(HR)曲线。我们使用血管周围袖带和血管活性药物改变MAP来研究迷走神经(V)和交感神经(S)对HR的影响,并研究了仅影响I组的静脉注射纳洛酮的作用。采用袖带法时,I组增益的V和S成分均比II组大得多,纳洛酮大大缩小了这种差异。采用药物法时,I组和II组的增益相似且不受纳洛酮影响。两种方法中,由于较低平台期更明显的心动过缓,I组平台期之间HR范围的V成分比II组大;当反射由药物诱导时,纳洛酮消除了后一种差异,但当由袖带诱导时则没有。I组和II组HR范围的S成分相似;两种方法中,心动过速平台期均被纳洛酮降低。袖带法比药物法对心脏负荷的改变更大,导致对于给定的MAP变化(δMAP)不同传入神经组被激活。我们推导了一个输入-输出模型,该模型表明采用药物法时,增益几乎完全由动脉压力感受器的输入决定,这解释了I组和II组之间的微小差异。采用袖带法时,增益由涉及动脉和非动脉压力感受器的非线性相互作用决定,这会增强反应。阿片机制与非动脉压力感受器输入相关且具有放大特性,这解释了I组和II组之间增益的差异。这两种方法和纳洛酮提供了一种区分反射效应模式的新方法;纳洛酮作为特定通路中活动的标志物。

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