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钙拮抗剂:清醒自发性高血压大鼠(SHR)的全身和局部血流动力学效应

Calcium antagonists: systemic and regional haemodynamic effects in conscious spontaneously hypertensive rats (SHR).

作者信息

Struyker-Boudier H A, Nievelstein H M, van Essen H, Smits J F

出版信息

J Hypertens Suppl. 1984 Dec;2(3):S527-9.

PMID:6599710
Abstract

The systemic and regional (renal, mesenteric and hindquarter) haemodynamic effects of the calcium antagonists verapamil, nifedipine and PY 108-068 [diethyl 4-(2, 1, 3-benzoxadiazol-4-yl)-1, 4-dihydro-2, 6-dimethylpyridine-3, 5-dicarboxylate] were studied in conscious, chronically instrumented spontaneously hypertensive rats (SHR). All three calcium antagonists caused a dose-dependent fall in mean arterial pressure (MAP) and total peripheral resistance. In intact animals the fall in resistance was related primarily to a vasodilatation in the hindquarter (mainly muscular) vascular bed. During the early fall in blood pressure a reflex rise in cardiac output and heart rate was observed following nifedipine and PY 108-068, but not after verapamil. Following sinoaortic baroreflex denervation the dose-response curve for the calcium antagonist-induced fall in blood pressure and total peripheral resistance was shifted to the left. Moreover, the calcium antagonists then caused a comparable degree of vasodilation in all three vascular beds studied. It is concluded that calcium antagonists preferentially dilate the muscular bed in intact animals; however, sinoaortic baroreflex denervation unmasks an unselective pattern of vasodilatation.

摘要

在清醒、长期植入仪器的自发性高血压大鼠(SHR)中,研究了钙拮抗剂维拉帕米、硝苯地平和PY 108-068[4-(2,1,3-苯并恶二唑-4-基)-1,4-二氢-2,6-二甲基吡啶-3,5-二羧酸二乙酯]对全身和局部(肾、肠系膜和后肢)血流动力学的影响。所有三种钙拮抗剂均引起平均动脉压(MAP)和总外周阻力呈剂量依赖性下降。在完整动物中,阻力下降主要与后肢(主要是肌肉)血管床的血管舒张有关。在血压早期下降期间,硝苯地平和PY 108-068给药后观察到心输出量和心率反射性升高,但维拉帕米给药后未观察到。在去窦主动脉压力反射后,钙拮抗剂引起的血压下降和总外周阻力下降的剂量反应曲线向左移动。此外,钙拮抗剂在所有三个研究的血管床中引起了相当程度的血管舒张。结论是,钙拮抗剂在完整动物中优先扩张肌肉血管床;然而,去窦主动脉压力反射会揭示出一种非选择性的血管舒张模式。

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