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[实验性慢性心肌肥厚中的心脏舒张:肌浆网的作用]

[Cardiac relaxation in experimental chronic myocardial hypertrophy: role of the sarcoplasmic reticulum].

作者信息

Lecarpentier Y, Martin J L, Grillon G, Dos Santos A, Antonetti A, Hatt P Y

出版信息

Arch Mal Coeur Vaiss. 1984 Jul;77(7):820-5.

PMID:6236768
Abstract

The relaxation phase was studied in normal rat hearts submitted to chronic myocardial pressure and/or volume overload (stenosis of the abdominal aorta, aortic regurgitation, aorto-caval fistula) and in spontaneously hypertensive rats, some of which also had aorto-caval fistulae. Four indices were chosen to quantify the relaxation phase: maximal velocity of relaxation during contraction with preload alone, the negative peak of the derivative of isometric tension, and two other indices testing the sensitivity of the relaxation phase to other conditions of load. The first two indices were found to be depressed during chronic myocardial overload, especially with aorto-caval fistulae and mixed overload. On the other hand, the other two indices of the degree of sensitivity to the relaxation load by two different methods showed no significant difference between chronically overloaded and control hearts, though changes were observed after acute hypoxia. These two indices are related to morphological development and to the functional state of the sarcoplasmic reticulum. These results suggest that the rate of calcium uptake by the sarcoplasmic reticulum is reduced during chronic myocardial overload but that the myocardium retains its ability to regulate the relaxation phase with respect to time and the degree of total load. This property disappears temporarily after hypoxia when the heart behaves like frog myocardium which has practically no sarcoplasmic reticulum.

摘要

对正常大鼠心脏进行慢性心肌压力和/或容量超负荷(腹主动脉狭窄、主动脉瓣反流、主动脉腔静脉瘘)实验,并对自发性高血压大鼠进行研究,其中一些自发性高血压大鼠也有主动脉腔静脉瘘,观察其舒张期情况。选择四个指标来量化舒张期:仅在有前负荷时收缩期的最大舒张速度、等长张力导数的负峰值,以及另外两个测试舒张期对其他负荷条件敏感性的指标。结果发现,在前两个指标在慢性心肌超负荷时降低,尤其是在主动脉腔静脉瘘和混合性超负荷时。另一方面,通过两种不同方法得到的另外两个反映舒张负荷敏感程度的指标显示,慢性超负荷心脏与对照心脏之间无显著差异,不过在急性缺氧后观察到了变化。这两个指标与肌浆网的形态发育和功能状态有关。这些结果表明,在慢性心肌超负荷时,肌浆网摄取钙的速率降低,但心肌在时间和总负荷程度方面仍保留调节舒张期的能力。缺氧后,这种特性会暂时消失,此时心脏的表现类似于几乎没有肌浆网的蛙心肌。

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