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心脏去神经犬中颈动脉化学感受器刺激所致的冠状动脉扩张

Coronary dilation with carotid chemoreceptor stimulation in cardiac-denervated dogs.

作者信息

Nagata M, Pichet R, Lavallee M

机构信息

Department of Physiology, Faculty of Medicine, Université de Montréal, Quebec, Canada.

出版信息

Am J Physiol. 1988 Dec;255(6 Pt 2):H1331-5. doi: 10.1152/ajpheart.1988.255.6.H1330.

DOI:10.1152/ajpheart.1988.255.6.H1330
PMID:3202196
Abstract

The coronary vasodilation that is secondary to carotid chemoreceptor stimulation (CCS) was compared in normal (N) and in cardiac-denervated (CD) conscious dogs. Under base-line conditions, CD only differed from N dogs by greater (P less than 0.01) increases in mean arterial pressure (MAP) with CCS. Coronary blood flow (CBF) increased similarly in N (146 +/- 18%) and CD (126 +/- 15%) dogs, and coronary resistance (CR) fell to a similar extent in N (53 +/- 3%) and CD (43 +/- 5%) dogs. After muscarinic and beta-adrenergic blockade, CCS resulted in similar increases in MAP in N and CD dogs; increases in CBF averaged 122 +/- 15 and 115 +/- 12% in N and CD dogs, respectively. Decreases in CR with CCS averaged 46 +/- 3 and 40 +/- 5% in N and CD dogs, respectively. alpha 1-Adrenergic blockade prevented the increases in MAP with CCS and resulted in smaller (P less than 0.01) increases in CBF, similar in N (77 +/- 13%) and in CD (69 +/- 10%) dogs. CR fell to the same extent in N (40 +/- 4%) and CD (37 +/- 5%) dogs. Additional blockade of alpha 2-adrenergic receptors further limited the increases in CBF with CCS in N (20 +/- 5%) and CD (28 +/- 7%) dogs; decreases in CR were attenuated similarly in N (13 +/- 5%) and CD (21 +/- 5%) dogs. Thus, in conscious dogs, cardiac nerves contribute little to the coronary dilation after carotid chemoreceptor stimulation.

摘要

在正常(N)和心脏去神经支配(CD)的清醒犬中,比较了继发于颈动脉化学感受器刺激(CCS)的冠状动脉扩张情况。在基线条件下,CD犬与N犬的区别仅在于CCS时平均动脉压(MAP)升高幅度更大(P<0.01)。N犬(146±18%)和CD犬(126±15%)的冠状动脉血流量(CBF)以相似的幅度增加,N犬(53±3%)和CD犬(43±5%)的冠状动脉阻力(CR)下降幅度相似。在毒蕈碱和β-肾上腺素能阻断后,CCS使N犬和CD犬的MAP出现相似程度的升高;N犬和CD犬的CBF平均升高分别为122±15%和115±12%。CCS使N犬和CD犬的CR平均下降分别为46±3%和40±5%。α1-肾上腺素能阻断可防止CCS引起的MAP升高,并导致CBF升高幅度较小(P<0.01),N犬(77±13%)和CD犬(69±10%)的情况相似。N犬(40±4%)和CD犬(37±5%)的CR下降幅度相同。进一步阻断α2-肾上腺素能受体进一步限制了N犬(20±5%)和CD犬(28±7%)CCS时CBF的升高;N犬(13±5%)和CD犬(21±5%)的CR下降幅度也同样减弱。因此,在清醒犬中,心脏神经对颈动脉化学感受器刺激后的冠状动脉扩张作用不大。

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