Dambrosio M, Gattullo D, Mary D A, Vacca G
Dipartimento di Anatomia e Fisiologia Umana, dell'Universita di Torino, Italy.
Q J Exp Physiol. 1987 Oct;72(4):537-47. doi: 10.1113/expphysiol.1987.sp003095.
Abrupt reduction in aortic blood pressure by haemorrhage in the anaesthetized dog has previously been used to assess the effect of elastic recoil and myogenic properties of the coronary vascular wall on diastolic coronary resistance. Using such assessments this study examines whether beta-blockade influences the magnitude of the effect of the vessel wall on coronary resistance. In two groups of dogs abrupt reduction in aortic blood pressure caused by haemorrhage resulted in an initial increase in diastolic coronary resistance, followed by its decline to the control value. In the first group with intact vagi, beta-blockade resulted in a greater initial increase in resistance and attenuation of its subsequent decline. Vagotomy in the second group did not abolish the effect of beta-blockade on diastolic coronary resistance. The findings suggest that during abrupt reduction in perfusion pressure, beta-blockade and reduction in heart rate and coronary blood flow resulted in a greater elastic recoil of the coronary vascular wall associated with an initial increase in diastolic coronary resistance and attenuation of myogenic properties related to return of diastolic coronary resistance to the control level.
先前曾利用麻醉犬出血导致主动脉血压骤降来评估冠状动脉血管壁的弹性回缩和肌源性特性对舒张期冠状动脉阻力的影响。本研究采用此类评估方法,探究β受体阻滞剂是否会影响血管壁对冠状动脉阻力的作用程度。在两组犬中,出血导致的主动脉血压骤降均致使舒张期冠状动脉阻力起初升高,随后降至对照值。在第一组迷走神经完整的犬中,β受体阻滞剂致使阻力起初升幅更大,且随后下降幅度减小。第二组进行迷走神经切断术后,并未消除β受体阻滞剂对舒张期冠状动脉阻力的影响。研究结果表明,在灌注压骤降期间,β受体阻滞剂以及心率和冠状动脉血流量的降低致使冠状动脉血管壁弹性回缩增强,这与舒张期冠状动脉阻力起初升高以及舒张期冠状动脉阻力恢复至对照水平时肌源性特性减弱相关。