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在 7 天洛沙坦给药方案中及伴有冷应激时心血管波动的频谱分析。

Spectral analysis of cardiovascular oscillations in the 7-day regimen of losartan administration with and without cold stress.

机构信息

Department of Psychiatry, Cheng Hsin General Hospital; Department of Physiology, National Defense Medical Center, Taipei, Taiwan.

Division of Medical Research and Education, Cheng Hsin General Hospital, Taipei, Taiwan.

出版信息

Chin J Physiol. 2022 Jul-Aug;65(4):171-178. doi: 10.4103/0304-4920.354802.

DOI:10.4103/0304-4920.354802
PMID:36073565
Abstract

Spectral analysis of heart rate (HR) and blood pressure (BP) variabilities (BPV and HRV) is widely available and utilized in understanding the dynamic cardiovascular autonomic regulation in a variety of pathophysiological conditions. In conscious cold-stressed (CS) rats, we examined the effect of a 7-day regimen administration of losartan, a selective nonpeptide angiotensin AT1 receptor blockade, on BPV and HRV at three frequency components: very-low frequency (VLF), low frequency (LF), and high frequency (HF). Key findings in changes of systolic BP (SBP), HR, and spectral power densities for cardiopulmonary oscillations (HF), sympathetic oscillations (LF), cardiovascular myogenic oscillations (VLF), and overall autonomic activity total power (TP) showed: (I) In the resting PreCS trial, compared with the saline, losartan increased HFBPV, TPHRV, all three HRV frequency powers, and the occurrence of the dicrotic notch (DN). However, it decreased SBP, HR, and the LFBPV frequency power. (II) In the CS trial, losartan significantly decreased SBP and DN occurrence and HR and LF/HFHRV but significantly increased HFHRV, TPBPV, and all three BPV frequency powers. In addition, similar to the saline, losartan showed positively correlated LFBPV and VLFBPV. Conversely, losartan converted the original inverse correlations between LFHRV and LFBPV of CS to a positive correlation. (III) Compared with saline in PreCS and CS trials, losartan detached the corresponding sympathetic oscillations between LFBPV and LFHRV. The overall result indicates that endogenous angiotensin II, through stimulation of the AT1 receptor, augments sympathetic tone but attenuates sympathetic oscillations in rats, particularly under the stressful cooling impacts.

摘要

心率(HR)和血压(BP)变异性(BPV 和 HRV)的频谱分析广泛应用于理解各种病理生理条件下心血管自主调节的动态变化。在清醒的冷应激(CS)大鼠中,我们研究了 7 天洛沙坦给药方案对血压变异性和心率变异性的三个频率成分(非常低频率(VLF)、低频率(LF)和高频率(HF))的影响。SBP、HR 和心肺波动(HF)、交感神经波动(LF)、心血管肌源性波动(VLF)的收缩压(SBP)、HR 和频谱功率密度以及总自主活动总功率(TP)的变化的主要发现显示:(I)在休息前 CS 试验中,与盐水相比,洛沙坦增加了 HFBPV、TPHRV、所有三种 HRV 频率功率和双切迹(DN)的发生。然而,它降低了 SBP、HR 和 LFBPV 频率功率。(II)在 CS 试验中,洛沙坦显著降低了 SBP 和 DN 的发生以及 HR 和 LF/HFHRV,但显著增加了 HFHRV、TPBPV 和所有三种 BPV 频率功率。此外,与盐水一样,洛沙坦显示 LFBPV 和 VLFBPV 呈正相关。相反,洛沙坦将 CS 中 LFHRV 和 LFBPV 之间的原始负相关转换为正相关。(III)与 PreCS 和 CS 试验中的盐水相比,洛沙坦分离了 LFBPV 和 LFHRV 之间相应的交感神经波动。总体结果表明,内源性血管紧张素 II 通过刺激 AT1 受体,增强了交感神经张力,但在应激冷却的影响下,减弱了大鼠的交感神经波动。

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