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清醒大鼠心率的动脉压力反射控制

Arterial baroreflex control of heart rate in the conscious rat.

作者信息

Coleman T G

出版信息

Am J Physiol. 1980 Apr;238(4):H515-20. doi: 10.1152/ajpheart.1980.238.4.H515.

DOI:10.1152/ajpheart.1980.238.4.H515
PMID:7377322
Abstract

Angiotensin II, methoxamine and phenylephrine were evaluated in two tests of reflex responsiveness that involve arterial pressure increases (delta BP) and reflex bradycardia (delta HR). First, bolus injections produced comparable ratios (delta HR/delta BP, in beats . min-1 . mmHg-1) for the three agents: 1.69 +/- 0.31, 1.80 +/- 0.30, and 1.59 +/- 0.32, respectively (SE, n = 6). All three agents also had some undesirable direct chronotropic effects on the heart. Phenylephrine and methoxamine produced rapid and predictable pressure changes and were stable in solution. Blockade by atropine and propranolol was used to show that the bradycardia after bolus injection has an early component (1 s after pressure maximum) that is wholly parasympathetic. In the second test, 5-min infusions of the three agents produced comparable final delta HR/delta BP ratios: 2.0 +/- 0.3, 2.2 +/- 0.5, and 2.3 +/- 0.2 for angiotensin, methoxamine, and phenylephrine, respectively (n = 6). delta HR in this case had a predominant (estimated 67% of total) beta-adrenergic component. Therefore, rapid vagal control of heart rate in the conscious rat is temporary; it is replaced and strengthened in time by a more slowly developing beta-adrenergic component. Bolus injection and infusion of vasopressors can be conveniently used in combination to more fully quantitate heart rate responsiveness in conscious animals that have implanted arterial and venous catheters.

摘要

在两项涉及动脉压升高(ΔBP)和反射性心动过缓(ΔHR)的反射反应性测试中,对血管紧张素II、甲氧明和去氧肾上腺素进行了评估。首先,推注给药时,这三种药物产生了可比的比值(ΔHR/ΔBP,单位为 beats·min⁻¹·mmHg⁻¹):分别为1.69±0.31、1.80±0.30和1.59±0.32(标准误,n = 6)。这三种药物对心脏也都有一些不良的直接变时作用。去氧肾上腺素和甲氧明产生快速且可预测的血压变化,并且在溶液中稳定。使用阿托品和普萘洛尔进行阻断,以表明推注给药后心动过缓有一个早期成分(血压峰值后1秒),该成分完全是副交感神经介导的。在第二项测试中,对这三种药物进行5分钟输注产生了可比的最终ΔHR/ΔBP比值:血管紧张素、甲氧明和去氧肾上腺素分别为2.0±0.3、2.2±0.5和2.3±0.2(n = 6)。在这种情况下,ΔHR有一个主要的(估计占总量的67%)β-肾上腺素能成分。因此,清醒大鼠中对心率的快速迷走神经控制是暂时的;它会被一个发展更缓慢的β-肾上腺素能成分及时取代并加强。推注给药和输注血管升压药可方便地联合使用,以更全面地定量评估有意识动物植入动脉和静脉导管后的心率反应性。

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