Department of Engineering Design, Indian Institute of Technology Madras, Chennai, India.
Department of Bioengineering, Christian Medical College, Vellore, India.
Clin Exp Pharmacol Physiol. 2022 Feb;49(2):242-253. doi: 10.1111/1440-1681.13606. Epub 2021 Nov 24.
This study presents electrical modelling of the arterial system to understand the effect of adrenaline on the aortae and small arteries in terms of their resistance and compliance. There is no categorical documentation in the current literature on the precise locations of arterial resistance (R) and compliance (C) in vasculature. Knowledge of their exact locations in the arterial tree enables re-assessment of the differential action of vasoactive drugs on resistance versus compliance vessels once we resolve beat-to-beat changes in R and C in response to these drugs. Isolated goat aortae and small arteries were perfused with a pulsatile pump and lumen pressures were recorded before and after addition of adrenaline. Equivalent electrical models were simulated, and biological data was compared against the electrical equivalents to derive interpretations. In the aortae, systolic pressure increased, diastolic pressure decreased, pulse pressure increased (P = .018); but the mean pressure remained the same (P = .357). Whereas in small artery, vasoconstriction caused an increase in systolic, diastolic, and mean pressures (P = .028). Simulations allow us to infer that vasoconstriction in the aorta leads to a reduction in compliance, but an increase in resistance if any, is not sufficient to alter the mean aortic pressure. Whereas vasoconstriction in small arteries increases resistance, but a decrease in compliance, if any, does not affect any of the pressure parameters measured. The presented study is first of its kind to give experimental evidence that large arteries and aorta are the only compliance vessels and small arteries are the only resistance vessels.
本研究通过对动脉系统进行电气建模,来了解肾上腺素对主动脉和小动脉的阻力和顺应性的影响。目前的文献中没有关于血管中动脉阻力(R)和顺应性(C)的确切位置的分类记录。了解它们在动脉树中的确切位置,可以使我们重新评估血管活性药物对阻力和顺应性血管的不同作用,一旦我们解决了这些药物引起的 R 和 C 的搏动变化。用脉动泵灌注分离的山羊主动脉和小动脉,并在加入肾上腺素前后记录管腔压力。模拟等效电气模型,并将生物数据与电气等效物进行比较,以得出解释。在主动脉中,收缩压升高,舒张压降低,脉压升高(P=0.018);但平均压力保持不变(P=0.357)。而在小动脉中,血管收缩导致收缩压、舒张压和平均压升高(P=0.028)。模拟允许我们推断出主动脉中的血管收缩导致顺应性降低,但如果有任何增加的阻力,则不足以改变主动脉的平均压力。而小动脉中的血管收缩增加阻力,但如果顺应性有任何降低,则不会影响测量的任何压力参数。本研究首次提供实验证据表明,大动脉和主动脉是唯一的顺应性血管,小动脉是唯一的阻力血管。