Kapelko V I, Khatkevich A N
Institute of Experimental Cardiology, Cardiology Research Center, Moscow, Russia.
Cardioscience. 1995 Mar;6(1):25-30.
We have compared the contractile responses of the isovolumic hearts of rat and guinea pig to a rise in the coronary perfusion pressure in the range 60-120 mmHg (Gregg's phenomenon). Left ventricular systolic pressure was lower in guinea pig hearts than in rat hearts at a low coronary perfusion pressure and increased markedly less at a higher perfusion pressure, despite a greater increase in coronary flow. The rise in left ventricular systolic pressure in the guinea pig hearts was entirely due to an increased left ventricular end-diastolic pressure, while left ventricular developed pressure did not increase. The wet weight of the hearts in situ was similar in both species, but after perfusion the guinea pig hearts gained significantly more fluid than the rat hearts (65% of the initial heart weight compared to 37%). The group of rat hearts perfused with a low external concentration of Ca2+ developed a similar left ventricular pressure to the guinea pig hearts and gained a similar amount of fluid (63%), but Gregg's phenomenon was the same as in rat hearts perfused with a normal concentration of Ca2+. The results suggest that the weak Gregg's phenomenon seen in guinea pig hearts can be attributed to factors other than myocardial edema and a lower left ventricular systolic pressure.
我们已经比较了大鼠和豚鼠等容心脏对60-120 mmHg范围内冠状动脉灌注压升高的收缩反应(格雷格现象)。在低冠状动脉灌注压时,豚鼠心脏的左心室收缩压低于大鼠心脏,并且在较高灌注压时,尽管冠状动脉血流量增加明显,但左心室收缩压升高明显较少。豚鼠心脏左心室收缩压的升高完全是由于左心室舒张末期压力增加,而左心室舒张期压力并未增加。两种动物原位心脏的湿重相似,但灌注后豚鼠心脏比大鼠心脏获得的液体明显更多(分别为初始心脏重量的65%和37%)。用低外部钙浓度灌注的大鼠心脏组产生的左心室压力与豚鼠心脏相似,并且获得的液体量也相似(63%),但格雷格现象与用正常钙浓度灌注的大鼠心脏相同。结果表明,豚鼠心脏中观察到的较弱的格雷格现象可归因于除心肌水肿和较低的左心室收缩压之外的其他因素。