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血管收缩剂循环水平对全身对血管紧张素II和去甲肾上腺素升压反应性的影响。

Effects of circulating levels of vasoconstrictors on systemic pressor responsiveness to angiotensin II and norepinephrine.

作者信息

Clark K E

出版信息

Am J Obstet Gynecol. 1984 Jul 1;149(5):480-4. doi: 10.1016/0002-9378(84)90020-6.

Abstract

Pregnancy is associated with vascular refractoriness to systemic pressor responses produced by angiotensin II. The present study was designed to determine if pregnancy-induced increases in circulating levels of angiotensin II are responsible for this refractoriness. Ten ovariectomized ewes received intravenous infusions of graded doses of angiotensin II (3, 10, 30, and 100 ng/kg/min) and norepinephrine (0.1, 0.3, 1.0, and 3.0 micrograms/kg/min) prior to (control response) and during (test response) the continuous infusion of either angiotensin II (8 ng/kg/min) or norepinephrine (0.2 microgram/kg/min). Systemic pressor responses (increases in blood pressure, millimeters of mercury) to graded doses of angiotensin II were significantly depressed during the continuous angiotensin II infusion while responses to norepinephrine were not modified. In contrast, elevation of baseline levels of a second vasoconstrictor, norepinephrine, did not alter pressor responsiveness to either angiotensin II or norepinephrine. These data suggest that vascular responses to exogenously administered angiotensin II can be selectively depressed by elevated baseline levels of angiotensin II in nonpregnant sheep.

摘要

妊娠与血管对血管紧张素 II 产生的全身加压反应的不应性有关。本研究旨在确定妊娠引起的循环血管紧张素 II 水平升高是否是这种不应性的原因。十只去卵巢母羊在持续输注血管紧张素 II(8 ng/kg/min)或去甲肾上腺素(0.2 μg/kg/min)之前(对照反应)和期间(测试反应)接受了静脉输注分级剂量的血管紧张素 II(3、10、30 和 100 ng/kg/min)和去甲肾上腺素(0.1、0.3、1.0 和 3.0 μg/kg/min)。在持续输注血管紧张素 II 期间,对分级剂量血管紧张素 II 的全身加压反应(血压升高,毫米汞柱)明显降低,而对去甲肾上腺素的反应未改变。相比之下,第二种血管收缩剂去甲肾上腺素的基线水平升高并未改变对血管紧张素 II 或去甲肾上腺素的加压反应性。这些数据表明,在未怀孕的绵羊中,血管紧张素 II 的基线水平升高可选择性地抑制对外源性血管紧张素 II 的血管反应。

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