Yamamoto J, Goto Y, Nakai M, Ogino K, Ikeda M
Hypertension. 1983 Jul-Aug;5(4):507-13. doi: 10.1161/01.hyp.5.4.507.
We studied the total vascular pressure-volume relationship and cardiac output (CO) in conscious rats receiving DOCA-salt or sham treatment. The mean circulatory filling pressure (MCFP) was measured by briefly inflation an indwelling balloon in the right atrium, and the MCFP-blood volume (BV) relationship over +/- 10% of BV was determined by rapid blood infusion or withdrawal. CO was measured in separate experiments using Fick's principle. Arterial pressure-volume relationship was also determined in additional experiments on anesthetized rats. Compared with sham rats, the mean arterial pressure was unchanged at 1 week, increased at 2 weeks, and increased further thereafter in the DOCA-salt rats. The BV was unchanged at 1 week, expanded at 2 weeks, unchanged at 5 weeks, and contracted at 8 weeks. There were no significant changes in MCFP, total vascular compliance (the inverse of the slope), nor unstressed volume (extrapolated volume axis intercept) at 2, 5, and 8 weeks. Total vascular capacity, assessed as BV at MCFP of 7.6 mm Hg, increased at 2 weeks, was unchanged at 5 weeks, and decreased at 8 weeks. Arterial compliance decreased at 5 and 8 weeks. CO remained unaltered at 1, 2, 5, and 8 weeks. These results suggest that the altered total vascular capacity may serve to maintain a normal CO against a rising afterload in the conscious DOCA-salt hypertensive rats, and that the decreased total vascular capacity may be a secondary hemodynamic feature with progression of hypertension.
我们研究了接受去氧皮质酮醋酸盐(DOCA)-盐处理或假手术处理的清醒大鼠的总血管压力-容积关系及心输出量(CO)。通过短暂充盈右心房内留置的球囊来测量平均循环充盈压(MCFP),并通过快速输注或抽取血液来确定在±10%血容量(BV)范围内的MCFP-血容量(BV)关系。在单独的实验中使用菲克原理测量CO。在另外的麻醉大鼠实验中也确定了动脉压力-容积关系。与假手术大鼠相比,DOCA-盐处理大鼠的平均动脉压在1周时无变化,2周时升高,此后进一步升高。BV在1周时无变化,2周时增加,5周时无变化,8周时减少。在2周、5周和8周时,MCFP、总血管顺应性(斜率的倒数)和无应激容积(外推容积轴截距)均无显著变化。以MCFP为7.6 mmHg时的BV评估的总血管容量在2周时增加,5周时无变化,8周时减少。动脉顺应性在5周和8周时降低。CO在1周、2周、5周和8周时保持不变。这些结果表明,在清醒的DOCA-盐高血压大鼠中,总血管容量的改变可能有助于在心脏后负荷增加的情况下维持正常的心输出量,并且总血管容量的降低可能是高血压进展过程中的一种继发性血流动力学特征。