Liard J F
Am J Physiol. 1987 Apr;252(4 Pt 2):R668-73. doi: 10.1152/ajpregu.1987.252.4.R668.
I have examined the systemic and regional hemodynamic effects of an intravenous arginine vasopressin (AVP) infusion at a rate of 220 pg X kg-1 X min-1 maintained for 48 h in 12 conscious dogs. Plasma AVP concentration increased from 2.8 +/- 1.1 to 8.2 +/- 1.4 pg/ml, and plasma osmolality fell from 294.8 +/- 1.4 to 287.1 +/- 1.5 mosmol/kg. Mean arterial pressure increased slightly but significantly despite a reduction in blood volume. Contrary to what we previously observed with 1-h AVP infusion at the same rate, cardiac output and heart rate did not decrease, and total peripheral resistance did not increase. Most vascular beds sensitive to the acute vasoconstrictor effects of AVP, such as those of the skeletal muscle, fat, colon, and skin, did not show any significant reduction in blood flow after 48 h. Only in the pancreas and in the thyroid gland was there a significant flow decrease, which was similar in magnitude to that measured after 1 h of infusion. It therefore appears that vasoconstriction induced by modest increases in plasma concentrations of AVP is not maintained during prolonged administration in most vascular beds. However, injection of a specific antagonist of the pressor action of AVP [1-(beta-mercapto-beta,beta-cyclopentamethylenepropionic acid), 2-(O-methyl)tyrosine]arginine vasopressin, 10 micrograms/kg, induced a significant increase in cardiac output and heart rate, as well as a fall in total peripheral resistance and significant increases in myocardial, fat, and skin blood flows after 48 h of AVP infusion.(ABSTRACT TRUNCATED AT 250 WORDS)
我已研究了以220皮克×千克⁻¹×分钟⁻¹的速率静脉输注精氨酸加压素(AVP)48小时对12只清醒犬的全身和局部血流动力学的影响。血浆AVP浓度从2.8±1.1皮克/毫升升至8.2±1.4皮克/毫升,血浆渗透压从294.8±1.4毫摩尔/千克降至287.1±1.5毫摩尔/千克。尽管血容量减少,但平均动脉压仍略有显著升高。与我们之前以相同速率输注AVP 1小时时所观察到的情况相反,心输出量和心率并未降低,总外周阻力也未增加。大多数对AVP急性血管收缩作用敏感的血管床,如骨骼肌、脂肪、结肠和皮肤的血管床,在48小时后血流并未出现任何显著减少。仅胰腺和甲状腺的血流有显著减少,其幅度与输注1小时后测得的相似。因此,在大多数血管床中,长时间给药期间由血浆AVP浓度适度升高诱导的血管收缩并未持续。然而,注射AVP升压作用的特异性拮抗剂[1-(β-巯基-β,β-环戊亚甲基丙酸),2-(O-甲基)酪氨酸]精氨酸加压素,10微克/千克,在AVP输注48小时后可使心输出量和心率显著增加,总外周阻力下降,心肌、脂肪和皮肤血流显著增加。(摘要截短于250字)