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[实验性心肌梗死时左心室完整区域冠状动脉循环障碍的可能代谢机制]

[Possible metabolic mechanisms of coronary circulatory disorder in an intact area of the left ventricle in experimental myocardial infarct].

作者信息

Khomaziuk A I, Fetisova T V, Neshcheret A P, Razumnaia N M, Vorob'eva T M

出版信息

Kardiologiia. 1979 Oct;19(10):97-101.

PMID:502180
Abstract

In dogs with experimental myocardial infarction the anterior descending branch of the left coronary artery was ligated and 1, 2, 3, 5, and 10 days later its circumflex branch was catheterized and perfused, and coronary circulation in the intact myocardial zone, systemic hemodynamics, the AMP content and the activity of enzymes catalysing adenosine metabolism were studied. In the intact myocardial zone resistance increases in the coronary vessels and neurohumoral regulation is disturbed, the beta-adrenergic and cholinergic reactions of dilation are weakened, alpha-adrenergic pressor effect of catecholamines on the cardiac vessels is manifested, and adenosine metabolism is disturbed. Disorders of adenosine metabolism are regarded among the possible mechanisms of coronary circulatory disorders in the intact zone of the myocardium.

摘要

在患有实验性心肌梗死的犬中,结扎左冠状动脉前降支,在1、2、3、5和10天后对其回旋支进行插管和灌注,并研究完整心肌区域的冠状动脉循环、全身血流动力学、AMP含量以及催化腺苷代谢的酶的活性。在完整心肌区域,冠状动脉血管阻力增加,神经体液调节受到干扰,β-肾上腺素能和胆碱能舒张反应减弱,儿茶酚胺对心脏血管的α-肾上腺素能升压作用显现,腺苷代谢受到干扰。腺苷代谢紊乱被认为是心肌完整区域冠状动脉循环紊乱的可能机制之一。

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