Edoute Y, Luscher T F, Rubanyi G M
J Hypertens Suppl. 1986 Dec;4(5):S290-2.
Hypertension causes structural and functioning changes in blood vessels. Experiments were performed in isolated hearts of spontaneously hypertensive rats (SHR) and Wistar-Kyoto (WKY) rats perfused by the Langendorff technique. Spontaneously hypertensive rats had significantly higher left heart to body weight ratios than WKY rats, indicating left ventricular hypertrophy. Coronary flow per unit cardiac mass was lower and vascular resistance was higher at 75 cm H2O perfusion pressure in SHR. This difference was maintained during maximal vasodilatation. In WKY rats, but not in SHR, autoregulation of flow was observed in the pressure range 75-150 cm H2O due to an increase in coronary vascular resistance. After maximal vasodilatation the pressure-flow relationship was linear in SHR and WKY rats, but less steep and shifted to the right in SHR. We conclude that structural adaptations of the coronary circulation in SHR lead to decreased coronary vascular reserve and a loss of autoregulation in the normal blood pressure range.
高血压会导致血管结构和功能发生变化。采用Langendorff技术对自发性高血压大鼠(SHR)和Wistar-Kyoto(WKY)大鼠的离体心脏进行实验。自发性高血压大鼠的左心与体重之比显著高于WKY大鼠,表明存在左心室肥厚。在75 cm H₂O灌注压下,SHR每单位心脏质量的冠脉血流量较低,血管阻力较高。在最大血管舒张期间,这种差异仍然存在。在WKY大鼠中,而非SHR中,由于冠脉血管阻力增加,在75 - 150 cm H₂O压力范围内观察到血流的自动调节。最大血管舒张后,SHR和WKY大鼠的压力-流量关系呈线性,但SHR的斜率较小且向右偏移。我们得出结论,SHR冠脉循环的结构适应性导致冠脉血管储备减少,以及在正常血压范围内自动调节功能丧失。