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缩窄性高血压大鼠正常血压血管床的阻力增加及最大血管舒张功能受损。

Increased resistance and impaired maximal vasodilation in normotensive vascular beds of rats with coarctation hypertension.

作者信息

Bell D R, Overbeck H W

出版信息

Hypertension. 1979 Mar-Apr;1(2):78-85. doi: 10.1161/01.hyp.1.2.78.

Abstract

To study the resistance of normotensive vascular beds in coarctation hypertension, we measured perfusion pressures of pump-perfused (blood), innervated, isolated hindlimbs of 12 rats (Group A) with 4 weeks of hypertension due to partial contriction of the abdominal aorta above the renal arteries, and of three control groups: 11 normotensive rats (Group B) with aorta sham-constricted, nine normotensive rats (Group C) with slight (5%) hindquarters atrophy due to partial constriction of the abdominal aorta below the renal arteries, and six rats with two-kidney, one clip Goldblatt hypertension (Group D). After aortic constriction, measured femoral arterial pressures in Group A rats remained normotensive. In hypertensive rats of Groups A and D, compared to normotensive Group B or C rats, hindlimb pressure-flow curves were displaced toward the pressure axis (p < 0.05). Compared to normotensive rats, drop in hindlimb resistance after acute local nerve section was increased in rats with coarctation hypertension. Residual resistance after maximal vasodilation with intraarterial sodium nitroprusside remained elevated in hypertensive rats of Groups A and D (p < 0.05), as compared to normotensive Group B or C rats; compared to Group B rats, this residual resistance in the coarcted rats of Group A was increased by 9%. Thus, in normotensive vascular beds of rats with chronic hypertension caused by aortic coarctation, resistance is elevated. The neurogenic component contributes to this high resistance, and structural vascular changes, indicated by impaired maximal vasodilation, may also contribute to the elevated resistance. It is most unlikely that these resistance changes are attributable to elevated hindlimb intravascular pressures.

摘要

为研究缩窄性高血压中正常血压血管床的阻力,我们测量了12只大鼠(A组)泵灌注(血液)、有神经支配的离体后肢的灌注压力。A组大鼠因肾动脉上方腹主动脉部分缩窄导致高血压达4周。同时设置了三个对照组:11只假手术缩窄主动脉的正常血压大鼠(B组)、9只因肾动脉下方腹主动脉部分缩窄导致后肢轻度(5%)萎缩的正常血压大鼠(C组)以及6只双肾单夹型戈德布拉特高血压大鼠(D组)。主动脉缩窄后,A组大鼠测得的股动脉血压仍为正常血压。与正常血压的B组或C组大鼠相比,A组和D组高血压大鼠的后肢压力 - 流量曲线向压力轴偏移(p < 0.05)。与正常血压大鼠相比,缩窄性高血压大鼠急性局部神经切断后后肢阻力下降幅度增加。与正常血压的B组或C组大鼠相比,A组和D组高血压大鼠经动脉内硝普钠最大程度血管舒张后的残余阻力仍升高(p < 0.05);与B组大鼠相比,A组缩窄大鼠的这种残余阻力增加了9%。因此,在由主动脉缩窄引起的慢性高血压大鼠的正常血压血管床中,阻力升高。神经源性成分导致了这种高阻力,而最大血管舒张受损所表明的血管结构变化也可能导致阻力升高。这些阻力变化极不可能归因于后肢血管内压力升高。

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