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外源性胰高血糖素对健康男性运动后恢复过程中左心室收缩动力学的影响。

Effect of exogenous glucagon on left-ventricular contraction dynamics during restitution after exercise in healthy men.

作者信息

Markiewicz K, Cholewa M, Górski L

出版信息

Acta Physiol Pol. 1982 May-Jun;33(3):215-21.

PMID:7180523
Abstract

In two groups of healthy men the dynamics of left-ventricular contraction was studied by Weissler's method based on synchronous recording of ECG, phonocardiogram and carotid sphygmogram. Group I comprised 20 subjects in whom this recording was performed during maximal exercise and 90-minute restitution (1 W/kg/6 min, 2 W/kg/6 min, 3 W/kg/6 min). Group II (n = 17) performed the same exercise immediately after intravenous injection of glucagon 50 micrograms/kg of body weight. Glucagon administration before the exercise reduced the functional reserve of the left ventricle during the exercise impairing the pumping action of the left ventricle during the restitution. After glucagon administration the restitution of left-ventricular contraction periods was characterized by decreased value of the ejection time index (LVETI), prolonged pre-ejection period (PEP), isovolumetric contraction time (ICT), and diminished LVET/PEP index in relation to the values obtained at the same time in the control group (p less than 0.05). Glucagon caused no changes in the exercise tolerance of the studied subjects and had no effect on the time of postexercise restitution.

摘要

在两组健康男性中,采用魏斯勒法,通过同步记录心电图、心音图和颈动脉脉搏图,研究左心室收缩的动态变化。第一组有20名受试者,在最大运动及90分钟恢复过程中进行上述记录(1瓦/千克/6分钟、2瓦/千克/6分钟、3瓦/千克/6分钟)。第二组(n = 17)在静脉注射50微克/千克体重的胰高血糖素后立即进行同样的运动。运动前给予胰高血糖素会降低运动期间左心室的功能储备,损害恢复过程中左心室的泵血功能。给予胰高血糖素后,左心室收缩期的恢复表现为射血时间指数(LVETI)值降低、射血前期(PEP)延长、等容收缩时间(ICT)延长,且与对照组同时获得的值相比,LVET/PEP指数减小(p < 0.05)。胰高血糖素对所研究受试者的运动耐力无影响,对运动后恢复时间也无作用。

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