Lundgren Y, Karlsson K, Ljungblad U
Clin Exp Hypertens B. 1982;1(4):441-53. doi: 10.3109/10641958209009618.
Central hemodynamics during late pregnancy were studied in normotensive rats and in rats with short-standing and "established" renal hypertension. In normal pregnancy cardiac output was increased 33%, due to increased stroke volume while mean arterial pressure and systemic resistance were reduced 17 and 40% respectively. The same changes, though less pronounced were noted during pregnancy in rats with short-standing renal hypertension, where cardiac output was increased 31%, due to equal increases in heart rate and stroke volume while systemic resistance was reduced only 27%. By contrast, no significant cardiac output increase, nor any resistance reduction was noted during pregnancy in rats with established hypertension. Thus, renal hypertension in rats seems to interfere with circulation during pregnancy mainly by restricting both the cardiac output increase and the systemic resistance reduction seen during normal pregnancy. This restriction seems to be more pronounced the longer the duration of hypertension.
对正常血压大鼠以及患有短期和“慢性”肾性高血压的大鼠在妊娠晚期的中心血流动力学进行了研究。在正常妊娠中,心输出量增加了33%,这是由于每搏输出量增加所致,而平均动脉压和全身阻力分别降低了17%和40%。在患有短期肾性高血压的大鼠妊娠期间也观察到了同样的变化,不过不太明显,其中心输出量增加了31%,这是由于心率和每搏输出量同等增加所致,而全身阻力仅降低了27%。相比之下,在患有慢性高血压的大鼠妊娠期间,未观察到心输出量有显著增加,也未观察到阻力降低。因此,大鼠的肾性高血压似乎主要通过限制正常妊娠期间的心输出量增加和全身阻力降低来干扰妊娠期间的循环。高血压持续时间越长,这种限制似乎越明显。