Orlov V V, Osadchiĭ L I, Sergeev I V, Morov G V
Fiziol Zh SSSR Im I M Sechenova. 1983 Feb;69(2):227-33.
The changes of cardio- and hemodynamics on increase of hydraulic resistance in the initial part of aorta under conditions of external occlusion (EO) of the ascending aorta or internal occlusion (IO) of aortic valve opening or of the ascending aorta lumen, were studied in anesthetized cats. Under EO to 50% of square section of the ascending aorta a considerable increase of cardiac output (CO) with small rise of aortic pressure proximal to site of occlusion (AP-1) was observed. Further EO was accompanied by a decrease of CO with a more pronounced rise of AP-1. AP distal to EO kept unchanged within wide range of aorta narrowing. 10 of ascending aorta lumen caused similar correlations of CO, left ventricle systolic pressure (LVP) and AP distal to the occlusion site. Under 10 of aortic valve opening, progressive decrease of CO with simultaneous increase of LVP and lowering of AP takes place. The role of the coronary blood flow as a factor increasing the myocardial contractility under increase of AP and the significance of baroreceptor reflexes, are discussed.
在麻醉猫身上研究了在升主动脉外部闭塞(EO)、主动脉瓣开口或升主动脉管腔内闭塞(IO)的情况下,主动脉起始部水力阻力增加时心脏和血液动力学的变化。在将升主动脉横截面积闭塞50%的外部闭塞情况下,观察到心输出量(CO)显著增加,闭塞部位近端的主动脉压力(AP-1)略有升高。进一步的外部闭塞伴随着心输出量的减少以及AP-1更明显的升高。在升主动脉广泛狭窄范围内,外部闭塞远端的AP保持不变。升主动脉管腔闭塞10%会导致心输出量、左心室收缩压(LVP)和闭塞部位远端AP出现类似的相关性。在主动脉瓣开口闭塞10%的情况下,会出现心输出量逐渐减少,同时左心室压力升高和主动脉压力降低的情况。文中讨论了冠状动脉血流作为在主动脉压力升高时增加心肌收缩力的一个因素的作用以及压力感受器反射的意义。