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低温下心肌舒张张力的增加:一种钙现象?

Increase of myocardial diastolic tonus at low temperatures: a Ca-phenomenon?

作者信息

Szymanski G, Wussling M

出版信息

Acta Biol Med Ger. 1980;39(5):599-607.

PMID:7445905
Abstract

Myocardial diastolic tonus increases at low temperature. The chief aim of the present series of experiments was to decide whether this phenomenon should be interpreted as being caused by thermoelastic alteration or by an impairment of the Ca-pump. All experiments were performed on isolated right ventricular rabbit papillary muscles. In order to impose ramp-like and sinusoidally modulated changes of the temperature on the perfusate, a Peltier-battery was used. In Krebs-Henseleit solution with normal Ca-content (2.52 mmoles/l) changes of diastolic tonus of the driven muscle within a narrow range at low temperature amount approximately to isometric twitch tension (10(-2) up to 3.10(-2) N mm-2). Non-stimulated preparations show tension alterations of 2.10(-4) N mm-2 at best. With increasing stimulation interval the hysteresis-like loop representing changes of diastolic tonus shifts to lower temperatures. Under threefold Ca2+-concentration of the perfusate the diastolic tension varies over the total range of periodically modulated temperature in both stimulated and non-stimulated muscles. From these results it may be concluded that increasing myocardial diastolic tonus under low temperature is caused by an insufficiency of the Ca-sequestration system.

摘要

低温时心肌舒张张力增加。本系列实验的主要目的是确定这种现象应被解释为是由热弹性改变还是钙泵功能受损所致。所有实验均在离体兔右心室乳头肌上进行。为了使灌注液的温度呈斜坡状和正弦调制变化,使用了一个珀耳帖电池。在正常钙含量(2.52毫摩尔/升)的克雷布斯 - 亨泽莱特溶液中,低温下受驱动肌肉的舒张张力在狭窄范围内的变化量约等于等长收缩张力(10^(-2)至3×10^(-2)牛·毫米^(-2))。未受刺激的标本舒张张力变化最多为2×10^(-4)牛·毫米^(-2)。随着刺激间隔时间增加,代表舒张张力变化的滞后样环向低温方向移动。在灌注液钙浓度增加三倍时,受刺激和未受刺激肌肉的舒张张力在周期性调制温度的整个范围内均有变化。从这些结果可以得出结论,低温下心肌舒张张力增加是由钙隔离系统功能不足引起的。

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