O'Leary D S, Sheriff D D
Department of Physiology, Wayne State University School of Medicine, Detroit, Michigan 48201.
Am J Physiol. 1995 Mar;268(3 Pt 2):H980-6. doi: 10.1152/ajpheart.1995.268.3.H980.
Ischemia of active skeletal muscle induces a reflex increase in sympathetic activity, heart rate, cardiac output, and arterial pressure, termed the muscle metaboreflex. Whether this pressor response contributes importantly in the regulation of blood flow to the ischemic active skeletal muscle is not well understood. If the pressor response is achieved without substantial vasoconstriction in the ischemic muscle, this increase in arterial pressure would act to improve muscle blood flow. Dogs performed treadmill exercise at mild (3.2 km/h, 0% grade) and moderate (6.4 km/h, 10% grade) workloads. During each workload, resistance to blood flow in the hindlimbs (Rh) was increased via graded partial inflation of a vascular occluder implanted on the terminal aorta. The closed-loop gain of the muscle metaboreflex (Gcl) was calculated, based on the steady-state changes in terminal aortic blood flow (TAQ). If no pressor response occurred, then TAQ should decrease in proportion to the increase in total Rh (the sum of resistance due to partial vascular occlusion and hindlimb vascular resistance); i.e., no reflex restoration of hindlimb blood flow would occur. However, with a reflex increase in systemic arterial pressure, TAQ could rise above the level predicted on the basis of the increase in Rh. We observed that with the initial increase in Rh during mild exercise, Gcl was not significantly different from zero (P > 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)
活跃骨骼肌的缺血会引发交感神经活动、心率、心输出量和动脉血压的反射性增加,这被称为肌肉代谢反射。目前尚不清楚这种升压反应在调节流向缺血活跃骨骼肌的血流方面是否起重要作用。如果在缺血肌肉中没有显著血管收缩的情况下实现升压反应,那么动脉血压的这种升高将有助于改善肌肉血流。犬只在轻度(3.2公里/小时,0%坡度)和中度(6.4公里/小时,10%坡度)工作负荷下进行跑步机运动。在每个工作负荷期间,通过对植入终末主动脉的血管阻塞器进行分级部分充气,增加后肢的血流阻力(Rh)。基于终末主动脉血流(TAQ)的稳态变化计算肌肉代谢反射的闭环增益(Gcl)。如果没有升压反应发生,那么TAQ应该与总Rh的增加成比例下降(总Rh为部分血管阻塞引起的阻力与后肢血管阻力之和);即,不会出现后肢血流的反射性恢复。然而,随着全身动脉血压的反射性增加,TAQ可能会升至高于基于Rh增加所预测的水平。我们观察到,在轻度运动期间Rh最初增加时,Gcl与零无显著差异(P>0.05)。(摘要截短于250字)