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稳态和瞬时压力-流量关系:犬腹部外周的特征描述

Steady state and instantaneous pressure-flow relationships: characterisation of the canine abdominal periphery.

作者信息

Braakman R, Sipkema P, Westerhof N

出版信息

Cardiovasc Res. 1983 Oct;17(10):577-88. doi: 10.1093/cvr/17.10.577.

Abstract

This study was performed to characterise a vascular bed in terms of pressure-flow relationships. Steady state and instantaneous relationships were obtained in the flow perfused isolated femoral beds of six mongrel dogs. The steady state pressure-flow relations were obtained by applying a series of stepwise changes of flow in random order. The relations were found to be straight and to have a zero-flow pressure intercept (P0). The slope of this relation is the differential resistance (Rd). On each steady state flow level a ramp-flow was superimposed. The pressure response was measured between 1.5 and 5 s after the start of the ramp-flow, to exclude compliance effects and (auto) regulatory effects, respectively. In this way instantaneous pressure-flow relations were obtained, the slope of this relation is the instantaneous resistance (Ri). The instantaneous resistance expresses the true physical resistance value at a working point of the steady state pressure-flow relation before the bed has performed its (auto)regulatory adaptation after a change in flow. Instantaneous resistance therefore characterises the vascular state that exists at that particular working point. After this particular vascular state has been modified by (auto)-regulation the steady state pressure-flow relation is reached again. Instantaneous resistance increases with increasing flow thereby approximating the value of the differential resistance. At the same flow a vasodilator decreases and a vasoconstrictor increases instantaneous resistance. The gain (G) of the system, that characterises the (auto)regulatory capability, was calculated as G = 1--Ri/Rd and was found to decrease with increasing flow. The (partial) reflection of travelling waves depends on both the characteristic impedance (Zc) and the instantaneous resistance rather than on differential or peripheral resistance. Furthermore it is the product of the instantaneous resistance (Ri) and vascular compliance (C) that determines the time constant of a vascular bed.

摘要

本研究旨在根据压力-流量关系对一个血管床进行特性描述。在六只杂种狗的灌注血流的离体股血管床中获得了稳态和瞬时关系。通过以随机顺序施加一系列流量的逐步变化来获得稳态压力-流量关系。发现这些关系是线性的,并且具有零流量压力截距(P0)。该关系的斜率是微分阻力(Rd)。在每个稳态流量水平上叠加一个斜坡流量。在斜坡流量开始后1.5至5秒之间测量压力响应,以分别排除顺应性效应和(自身)调节效应。通过这种方式获得了瞬时压力-流量关系,该关系的斜率是瞬时阻力(Ri)。瞬时阻力表示在血管床在流量变化后进行其(自身)调节适应之前的稳态压力-流量关系的工作点处的真实物理阻力值。因此,瞬时阻力表征了在该特定工作点存在的血管状态。在这种特定的血管状态通过(自身)调节被改变之后,再次达到稳态压力-流量关系。瞬时阻力随着流量增加而增加,从而接近微分阻力的值。在相同流量下,血管扩张剂会降低而血管收缩剂会增加瞬时阻力。系统的增益(G)表征(自身)调节能力,计算为G = 1 - Ri/Rd,并且发现其随着流量增加而降低。行波的(部分)反射取决于特性阻抗(Zc)和瞬时阻力,而不是微分阻力或外周阻力。此外,正是瞬时阻力(Ri)和血管顺应性(C)的乘积决定了血管床的时间常数。

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