Koerner J E, Terjung R L
J Appl Physiol Respir Environ Exerc Physiol. 1982 Feb;52(2):376-87. doi: 10.1152/jappl.1982.52.2.376.
The influence of physical training on coronary collateral circulation following acute ligation of the left coronary artery was determined in pentobarbital-anesthetized rats. Coronary blood flows were determined with 15-microns microspheres during a wide range of perfusion pressures and during adenosine infusion. The demarcation between normal and ischemic tissue was achieved using nitroblue tetrazolium strain and thioflavin S fluorescence. Contractile performance was not altered by training, with the exception of a lower left ventricular end-diastolic pressure when afterload was elevated. Blood flow to and the size of the central ischemic zone were not influenced by training. However, in border zones, where collateral dependent flow is expected to be most pronounced, blood flow as a percent of normal was increased (16%, P less than 0.02) in trained animals. This increased was abolished by coronary vasodilation with adenosine. These results indicate that training caused a limited increase in collateral blood flow to the border zone. Further, tissue reactivity to adenosine following short periods of ischemia is normal in trained rats but decreased in border (11%) and ischemic (21%, P less than 0.05) zones in sedentary rats. Whether his small increase in blood flow to the border tissue, along with a retained capacity for dilatation, could lead to an improved salvage of tissue remains to be evaluated.
在戊巴比妥麻醉的大鼠中,研究了体育锻炼对左冠状动脉急性结扎后冠脉侧支循环的影响。在广泛的灌注压力范围内以及腺苷输注期间,用15微米的微球测定冠脉血流量。使用硝基蓝四氮唑染色和硫黄素S荧光来区分正常组织和缺血组织。除后负荷升高时左心室舒张末期压力较低外,训练对收缩性能没有影响。训练对中央缺血区的血流量和大小没有影响。然而,在预计侧支依赖性血流最为明显的边缘区,训练大鼠的血流量相对于正常血流量的百分比增加了(16%,P<0.02)。腺苷引起的冠脉血管舒张消除了这种增加。这些结果表明,训练使边缘区的侧支血流量有有限增加。此外,训练大鼠在短时间缺血后对腺苷的组织反应性正常,但久坐大鼠的边缘区(11%)和缺血区(21%,P<0.05)的反应性降低。边缘组织血流量的这种小幅增加以及保留的扩张能力是否能改善组织挽救情况仍有待评估。