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对氯化钠高血压敏感和耐受的大鼠品系的心输出量和外周阻力

Cardiac output and peripheral resistance in strains of rats sensitive and resistant to NaCl hypertension.

作者信息

Ganguli M, Tobian L, Iwai J

出版信息

Hypertension. 1979 Jan-Feb;1(1):3-7. doi: 10.1161/01.hyp.1.1.3.

Abstract

The interrelationship of blood pressure, cardiac output, and peripheral resistance was studied in Dahl "S" and "R" rats after 3 days on a high (8%) NaCl diet. Both "S" and "R" rats were normotensive when fed a normal (0.3%) NaCl diet. After 3 days of the high NaCl diet, the "R" rats remained normotensive (BP 112 mm Hg), while the "S" rats had an elevation of arterial pressure (BP 133 mm Hg) (p less than 0.001). The cardiac outputs of both "S" and "R" rats were similar on the low NaCl diet. After 3 days of high NaCl feeding, the cardiac output of the "R" rats rose 18% above the "R" control level (p less than 0.0001), while the peripheral resistance declined 14% below the "R" control level (p less than 0.005), and the blood pressure (BP) did not change, a pattern quite contrary to the concept of "whole-body" autoregulation. With a similar 3-day high NaCl feeding in "S" rats, cardiac output (p less than 0.005) and peripheral resistance (p less than 0.05) both increased 10%, while BP rose 20%. After 7 days of high NaCl feeding, the cardiac output of the "S" rats had returned to normal, while blood pressure and peripheral resistance both continued to be elevated. This pattern of response in "S" rats could be compatible with the concept of "whole-body" autoregulation. However, since both NaCl hypertension and Goldblatt hypertension can occur in settings in which "whole-body" autoregulation appears not be to causally related, one cannot be certain whether "whole-body" autoregulation is playing a causal role in the mechanism of NaCl-induced hypertension in "S" rats. It is a striking dichotomy that 3 days of high salt feeding produces vasoconstriction in "S" rats and vasodilation in "R" rats.

摘要

在给予高(8%)氯化钠饮食3天后,对 Dahl “S” 大鼠和 “R” 大鼠的血压、心输出量和外周阻力之间的相互关系进行了研究。当给予正常(0.3%)氯化钠饮食时,“S” 大鼠和 “R” 大鼠血压均正常。给予高氯化钠饮食3天后,“R” 大鼠血压仍正常(血压 112 mmHg),而 “S” 大鼠动脉压升高(血压 133 mmHg)(p<0.001)。在低氯化钠饮食时,“S” 大鼠和 “R” 大鼠的心输出量相似。给予高氯化钠饮食3天后,“R” 大鼠的心输出量比 “R” 对照组水平升高了 18%(p<0.0001),而外周阻力比 “R” 对照组水平下降了 14%(p<0.005),且血压未改变,这一模式与 “全身” 自动调节的概念完全相反。在 “S” 大鼠中进行类似的3天高氯化钠喂养时,心输出量(p<0.005)和外周阻力(p<0.05)均增加了 10%,而血压升高了 20%。给予高氯化钠饮食7天后,“S” 大鼠的心输出量恢复正常,而血压和外周阻力均持续升高。“S” 大鼠的这种反应模式可能与 “全身” 自动调节的概念相符。然而,由于氯化钠性高血压和 Goldblatt 高血压都可能在 “全身” 自动调节似乎无因果关系的情况下发生,因此无法确定 “全身” 自动调节在 “S” 大鼠氯化钠诱导的高血压机制中是否起因果作用。一个显著的二分法是,3天高盐喂养在 “S” 大鼠中产生血管收缩,而在 “R” 大鼠中产生血管舒张。

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