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给去神经支配的狗吸氧未能降低心肌收缩力。

The failure of oxygen breathing to decrease the myocardial contractile force in denervated dogs.

作者信息

Ishikawa K, Kanamasa K, Yamakado T, Kohashi Y, Katori R

出版信息

Jpn Circ J. 1983 Jul;47(7):824-9. doi: 10.1253/jcj.47.824.

Abstract

This study was done to discover whether or not the oxygen-induced depression of sympathoadrenal activity contributes to a reduction of myocardial contractile force during oxygen breathing. In 10 open-chest dogs, myocardial contractile force was measured using a myocardial strain gauge arch during air and oxygen breathing before denervation (intact heart) and after bilateral vagotomies, sympathectomies and adrenalectomies with the intravenous administration of propranolol, phenoxybenzamine and atropin (denervated heart). One hundred percent oxygen breathing caused similar increases in arterial pO2 in both the intact (from 94 +/- 10 to 442 +/- 25 mmHg) and the denervated dogs (from 113 +/- 11 to 456 +/- 15 mmHg). Coronary blood flow measured at the left anterior descending coronary artery was reduced by oxygen breathing from 28.4 +/- 3.4 to 21.7 +/- 2.3 ml/min in the intact dogs, and from 19.4 +/- 3.4 to 14.9 +/- 2.6 ml/min in the denervated dogs. Myocardial contractile force was significantly reduced by oxygen breathing in the intact dogs (a reduction of 5.8 +/- 1.4%). In the denervated dogs, on the other hand, no significant changes in myocardial contractile force was seen. This study suggests that the reduction in myocardial contractile force is mediated through sympathoadrenal activity, and thus, is abolished by sympathoadrenal blockade.

摘要

本研究旨在探讨氧诱导的交感肾上腺活动抑制是否会导致吸氧期间心肌收缩力降低。对10只开胸犬,在去神经支配(完整心脏)前及双侧迷走神经切断、交感神经切除和肾上腺切除并静脉注射普萘洛尔、酚苄明和阿托品后(去神经心脏),分别在空气呼吸和吸氧期间使用心肌应变仪弓测量心肌收缩力。100%吸氧导致完整犬(从94±10 mmHg升至442±25 mmHg)和去神经犬(从113±11 mmHg升至456±15 mmHg)的动脉血氧分压有类似升高。左前降支冠状动脉测得的冠状动脉血流量,在完整犬中,吸氧使其从28.4±3.4 ml/min降至21.7±2.3 ml/min,在去神经犬中,从19.4±3.4 ml/min降至14.9±2.6 ml/min。吸氧使完整犬的心肌收缩力显著降低(降低5.8±1.4%)。另一方面,去神经犬的心肌收缩力未见明显变化。本研究提示,心肌收缩力降低是通过交感肾上腺活动介导的,因此,交感肾上腺阻断可消除这种降低。

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