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急性高血压时主动脉舒张压口径扩张的时间进程对压力感受器重调定的重要性。

Importance of the time course of aortic diastolic calibre dilation for baroreceptor resetting in acute hypertension.

作者信息

Michelini L C, Krieger E M

出版信息

J Hypertens Suppl. 1984 Dec;2(3):S387-9.

PMID:6599686
Abstract

By means of a chronically implanted electrolytic transducer, changes in the aortic calibre were studied in conscious rats during the onset of acute hypertension produced by subdiaphragmatic aortic constriction. The rise of pressure to its maximum (153 +/- 5 versus 101 +/- 4 mmHg during the control period) was immediate after aortic constriction and hypertension remained stable during the entire period of observation. An equivalent (50 mmHg) but transient increase in pressure produced an increase of 0.8% in mean aortic calibre, whereas after 6 h of hypertension, dilation was 1.2%, the distensibility remaining unchanged. However, in both circumstances the displacement of the diastolic calibre was greater (80%) than the increase in pulsation (20%). After 48 h of hypertension, distensibility increased, allowing the aorta to achieve maximal dilation (6.8%) and maximal pulsation. Therefore the time taken (48 h) for the aorta to achieve a new state of resting diastolic equilibrium in acute hypertension coincides with the time course for complete resetting of the aortic baroreceptors, demonstrated before in the same preparation.

摘要

通过长期植入的电解换能器,在膈下主动脉缩窄诱发急性高血压发作期间,对清醒大鼠的主动脉管径变化进行了研究。主动脉缩窄后血压立即升至最大值(对照期为101±4 mmHg,此时为153±5 mmHg),且在整个观察期内高血压保持稳定。同等程度(50 mmHg)但短暂的血压升高使平均主动脉管径增加了0.8%,而高血压6小时后,管径扩张为1.2%,可扩张性保持不变。然而,在这两种情况下,舒张期管径的位移(80%)均大于搏动增加幅度(20%)。高血压48小时后,可扩张性增加,使主动脉达到最大扩张(6.8%)和最大搏动。因此,在急性高血压中主动脉达到新的静息舒张平衡状态所需的时间(48小时)与主动脉压力感受器完全重置的时间进程一致,这在同一实验准备中之前已得到证实。

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