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合成代谢类固醇会改变犬类左心室的血流动力学反应。

Anabolic steroids alter the haemodynamic responses of the canine left ventricle.

作者信息

Rämö P

出版信息

Acta Physiol Scand. 1987 Jun;130(2):209-17. doi: 10.1111/j.1748-1716.1987.tb08130.x.

Abstract

The effect of an anabolic steroid on canine left ventricular function was studied by catheterization exposing control (n = 7) and methandienone-treated (n = 6) dogs to pacing, volume and isoproterenol tests at the beginning of the experiment and 6 weeks later. The physical performance of the animals was evaluated by submaximal exercise test (SMT), in which the steroid-treated dogs had lower heart rate than the sedentary controls (P less than 0.001). Heart weight was greater in the steroid than in the control group (P less than 0.05). Isoproterenol infusion increased the maximum value of the left ventricular pressure curve (dP/dtmax) less in the steroid-treated than in the control animals (P less than 0.05). Also heart rate was lower in the steroid than in the control group after inotropic load, while end-diastolic, end-systolic and stroke volumes decreased significantly more in the control group (P less than 0.05). Systemic vascular resistance decreased in the steroid treated animals, but remained unchanged in the control group (P less than 0.05 between the groups). During volume overload dP/dtmax increased in the control group but decreased slightly in the steroid group (P less than 0.05 between the groups). The pressure-volume diagram showed that the left ventricle of the steroid-treated animals worked on higher ventricular volumes than in the control group. In conclusion, long-term methandienone treatment results in cardiac hypertrophy in dogs, reduces its response to an inotropic loads and leads to working on larger ventricular volumes.

摘要

通过导管插入术研究了合成代谢类固醇对犬左心室功能的影响,在实验开始时和6周后,分别对对照组(n = 7)和接受美雄酮治疗的犬(n = 6)进行起搏、容量和异丙肾上腺素测试。通过次极量运动试验(SMT)评估动物的体能,结果显示接受类固醇治疗的犬心率低于久坐不动的对照组(P < 0.001)。类固醇组的心脏重量大于对照组(P < 0.05)。与对照组动物相比,接受类固醇治疗的动物在输注异丙肾上腺素后左心室压力曲线的最大值(dP/dtmax)增加较少(P < 0.05)。此外,在变力负荷后,类固醇组的心率低于对照组,而对照组的舒张末期、收缩末期和每搏输出量下降更为显著(P < 0.05)。接受类固醇治疗的动物全身血管阻力降低,但对照组保持不变(两组之间P < 0.05)。在容量超负荷期间,对照组的dP/dtmax增加,而类固醇组略有下降(两组之间P < 0.05)。压力-容量图显示,接受类固醇治疗的动物左心室在比对照组更高的心室容量下工作。总之,长期美雄酮治疗会导致犬心脏肥大,降低其对变力负荷的反应,并导致在更大的心室容量下工作。

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