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普萘洛尔对心血管交感传入纤维冲动活动的影响。

Effects of propranolol on the impulse activity of cardiovascular sympathetic afferent fibers.

作者信息

Lombardi F, Casalone C, Malfatto G, Gnecchi Ruscone T, Casati R, Malliani A

出版信息

Hypertension. 1986 Jan;8(1):50-5. doi: 10.1161/01.hyp.8.1.50.

Abstract

The influence of beta-adrenergic receptor blockade on the impulse activity of 21 cardiovascular sympathetic afferent nerve fibers (11 from the thoracic aorta, 10 from the pulmonary veins), isolated from the left sympathetic rami communicantes T-3 and T-4 was studied in anesthetized, vagotomized cats. Aortic pressure, heart rate, and neural discharge were recorded during control conditions and during brief aortic occlusions of comparable amplitude and duration. Administration of dl-propranolol (0.2-0-4 mg/kg) did not modify aortic pressure or neural discharge of the fibers during control conditions, although, as expected, heart rate was diminished. dl-Propranolol administration did change the response of cardiovascular sympathetic afferents to similar aortic pressure increases. Before drug administration, aortic occlusion caused a significant increase in neural discharge of both aortic and pulmonary vein sympathetic afferent fibers, from 0.52 +/- 0.12 to 1.64 +/- 0.31 and from 0.67 +/- 0.10 to 2.08 +/- 0.25 impulses/sec, respectively (p less than 0.05). After dl-propranolol administration, comparable increases in aortic pressure resulted in slight but not significant increases in neural discharge of aortic and pulmonary vein fibers. Administration of d-propranolol (0.4-0.6 mg/kg), which possesses only membrane-stabilizing properties, did not modify the firing rate of four pulmonary sympathetic afferents, which subsequently decreased their response to pressure rises after administration of dl-propranolol. These results indicate that beta-adrenergic receptor blockade reduces the responsiveness to hemodynamic stimuli of sympathetic cardiovascular afferent fibers that are capable of mediating excitatory pressor reflexes.

摘要

在麻醉、切断迷走神经的猫身上,研究了β-肾上腺素能受体阻断对从左交感干T-3和T-4节段分离出的21条心血管交感传入神经纤维(11条来自胸主动脉,10条来自肺静脉)冲动活动的影响。在对照条件下以及在幅度和持续时间相当的短暂主动脉阻断期间,记录主动脉压力、心率和神经放电。给予dl-普萘洛尔(0.2 - 0.4mg/kg)在对照条件下并未改变主动脉压力或纤维的神经放电,尽管正如预期的那样,心率降低。给予dl-普萘洛尔确实改变了心血管交感传入神经对类似主动脉压力升高的反应。在给药前,主动脉阻断导致主动脉和肺静脉交感传入纤维的神经放电显著增加,分别从0.52±0.12增加到1.64±0.31以及从0.67±0.10增加到2.08±0.25冲动/秒(p<0.05)。给予dl-普萘洛尔后,相当的主动脉压力升高导致主动脉和肺静脉纤维的神经放电轻微但不显著增加。给予仅具有膜稳定特性的d-普萘洛尔(0.4 - 0.6mg/kg)并未改变四条肺交感传入神经的放电频率,这些神经在给予dl-普萘洛尔后对压力升高的反应随后降低。这些结果表明,β-肾上腺素能受体阻断降低了能够介导兴奋性升压反射的交感心血管传入纤维对血流动力学刺激的反应性。

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