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运动训练对冠状动脉阻力的影响。

Effect of exercise conditioning on coronary resistance.

作者信息

Liang I Y, Stone H L

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1982 Sep;53(3):631-6. doi: 10.1152/jappl.1982.53.3.631.

Abstract

Diastolic coronary resistance (DCR) was determined in seven conscious dogs in the untrained state and after 4-5 wk of daily exercise conditioning (partial training). The conditioning regime consisted of treadmill running 5 days/wk. The dogs were instrumented to measure aortic pressure and left circumflex coronary flow during atrial pacing with implanted electrodes. Heart rate was varied from the resting value to 240 beats/min before and after adrenergic blockade with propranolol (beta B, 1 mg/kg) or phentolamine (alpha B, 1 mg/kg); myocardial oxygen consumption (MVO2) was measured in three dogs under the same condition in both the untrained (UT) and partially trained (PT) condition. DCR decreased with increasing heart rate [from 4.75 +/- 0.56 (SE) to 2.48 +/- 0.22 Torr . ml-1 . min at 240 beats/min]; alpha B reduced DCR, whereas beta B increased DCR. In the PT condition, DCR decreased to 4.02 +/- 0.40 Torr . ml-1 . min at rest and was decreased to 1.82 +/- 0.16 Torr . ml-1 . min at 240 beats/min (P less than 0.05 compared with UT). alpha-Adrenergic and beta-adrenergic blockade in the PT condition resulted in parallel reduction in DCR compared with the UT condition. MVO2 was unaffected by either PT or adrenergic blockade but increased as heart rate increased with atrial pacing. These data suggest a change in caliber of the coronary resistance vessel because of the parallel shift in the relationship between DCR and heart rate.

摘要

在7只清醒犬处于未训练状态时以及经过4 - 5周每日运动训练(部分训练)后,测定舒张期冠脉阻力(DCR)。训练方案为每周5天在跑步机上跑步。通过植入电极在心房起搏期间对犬进行仪器安装以测量主动脉压力和左旋支冠脉血流。在用普萘洛尔(β阻滞剂,1 mg/kg)或酚妥拉明(α阻滞剂,1 mg/kg)进行肾上腺素能阻断前后,心率从静息值变化至240次/分钟;在未训练(UT)和部分训练(PT)状态下的相同条件下,对3只犬测量心肌耗氧量(MVO2)。DCR随心率增加而降低[从4.75±0.56(SE)降至240次/分钟时的2.48±0.22 Torr·ml⁻¹·min];α阻滞剂降低DCR,而β阻滞剂增加DCR。在PT状态下,静息时DCR降至4.02±0.40 Torr·ml⁻¹·min,在240次/分钟时降至1.82±0.16 Torr·ml⁻¹·min(与UT相比,P<0.05)。与UT状态相比,PT状态下的α - 肾上腺素能和β - 肾上腺素能阻断导致DCR平行降低。MVO2不受PT或肾上腺素能阻断的影响,但随心房起搏时心率增加而增加。这些数据表明,由于DCR与心率关系的平行变化,冠脉阻力血管口径发生了改变。

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