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麻醉仔猪中儿茶酚胺与年龄相关的心血管效应

Age-related cardiovascular effects of catecholamines in anesthetized piglets.

作者信息

Buckley N M, Gootman P M, Yellin E L, Brazeau P

出版信息

Circ Res. 1979 Aug;45(2):282-92. doi: 10.1161/01.res.45.2.282.

DOI:10.1161/01.res.45.2.282
PMID:445709
Abstract

We studied cardiac and peripheral circulatory effects of graded doses of catecholamines (0.05-1.0 microgram/kg) in piglets aged less than or equal to 1 day, 2--4 days, 1 wweek, 2 weeks, and 2.5-3 months, under anesthesia with pentobarbital. We evaluated cardiovascular function from simultaneous recordings of aortic pressure, ventricular pressure and its first derivative, heart rate, and phasic carotid and femoral blood flows. We calculated vascular resistance as the ratio of mean aortic pressure to mean flow. The age of onset of a given cardiovascular response was determined, and magnitudes of each type of response were compared among the age groups. Norepinephrine elevated the blood pressure at all doses in piglets of all ages, elicited reflex bradycardia only in older piglets, and increased carotid resistance. Epinephrine elevated the blood pressure at all doses in piglets less than 1 week old, but low doses lowered the blood pressure in piglets older than 1 week of age; resistance changes in the femoral and carotid circulations were variable except in the 2.5-3 month age group. Isoproterenol increased cardiac contractility at all doses in piglets of all ages and increased heart rate at low doses in piglets older than 2 days of age; however, blood pressure and femoral resistance decreases were age and dose dependent. There were age-related differences in the catecholamine dose required to elicit a given cardiac or peripheral circulatory effect and age-related differences in the direction and magnitude of such effects. These results provide evidence for differing rates of postnatal maturation of cardiovascular alpha- and beta- adrenergic mechanisms in swine.

摘要

我们在戊巴比妥麻醉下,研究了不同剂量(0.05 - 1.0微克/千克)儿茶酚胺对小于或等于1日龄、2 - 4日龄、1周龄、2周龄以及2.5 - 3月龄仔猪心脏和外周循环的影响。我们通过同步记录主动脉压力、心室压力及其一阶导数、心率以及颈动脉和股动脉的相位血流来评估心血管功能。我们将血管阻力计算为平均主动脉压力与平均血流的比值。确定了特定心血管反应出现的年龄,并比较了各年龄组中每种反应的幅度。去甲肾上腺素在所有年龄的仔猪中,所有剂量都能升高血压,仅在较大的仔猪中引发反射性心动过缓,并增加颈动脉阻力。肾上腺素在小于1周龄的仔猪中,所有剂量都能升高血压,但在大于1周龄的仔猪中,低剂量会降低血压;除了2.5 - 3月龄组外,股动脉和颈动脉循环中的阻力变化是可变的。异丙肾上腺素在所有年龄的仔猪中,所有剂量都能增加心脏收缩力,在大于2日龄的仔猪中,低剂量会增加心率;然而,血压和股动脉阻力的降低与年龄和剂量有关。引发特定心脏或外周循环效应所需的儿茶酚胺剂量存在年龄相关差异,且此类效应的方向和幅度也存在年龄相关差异。这些结果为猪心血管α和β肾上腺素能机制出生后成熟速率的差异提供了证据。

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