Rimoldi O, Pagani M R, Piazza S, Pagani M, Malliani A
Centro Ricerche Cardiovascolari, Ospedale L. Sacco, Università di Milano, Italy.
Am J Physiol. 1994 Oct;267(4 Pt 2):H1608-18. doi: 10.1152/ajpheart.1994.267.4.H1608.
This study was planned to clarify the effects of captopril administration on the autonomic control of the circulation in conscious dogs and in dynamic conditions using spectral analysis of R-R interval and systolic arterial pressure (SAP) variabilities. Changes in sympathovagal balance modulating the sinoatrial (SA) node were inferred, respectively, from the low (LFR-R)- and high-frequency (HFR-R) components of R-R variability; LFSAP furnished a marker of sympathetic vasomotor control. Increases in sympathetic activity were induced by three different experimental maneuvers [bilateral carotid occlusion (BCO), coronary artery occlusion (CAO), and dynamic exercise] capable of increasing sympathetic outflow to the SA node and to the vessels. Studies were performed both before and after intravenous captopril administration. During BCO, only LFSAP increased from 4.3 +/- 1.5 to 19.7 +/- 4.1 mmHg2; during CAO, both LFR-R and LFSAP increased, respectively, from 3 +/- 1 to 21 +/- 2 normalized units (nu) and from 4.1 +/- 1.3 to 7.2 +/- 1.5 mmHg2. Dynamic exercise at 2 and 4 km/h progressively raised LFR-R from 8 +/- 2 to 58 +/- 7 and 75 +/- 5 nu, respectively; LFSAP showed a parallel trend increasing from 2.5 +/- 0.7 to 8.04 +/- 1.9 and 12.7 +/- 2.2 mmHg2. In all experimental conditions, captopril significantly (P < 0.05) blunted the increase of LFSAP. A restraining effect on LFR-R was apparent only with CAO. Spectral analysis of cardiovascular variabilities indicates that, in the conscious dog, acute captopril administration has an important inhibitory effect on cardiac sympathetic excitatory mechanisms as well as on sympathetic vasomotor control.
本研究旨在利用R-R间期和收缩期动脉压(SAP)变异性的频谱分析,阐明卡托普利给药对清醒犬动态条件下循环自主控制的影响。分别从R-R变异性的低频(LFR-R)和高频(HFR-R)成分推断调节窦房(SA)结的交感迷走平衡变化;LFSAP是交感血管运动控制的一个指标。通过三种不同的实验操作[双侧颈动脉闭塞(BCO)、冠状动脉闭塞(CAO)和动态运动]诱导交感神经活动增加,这些操作能够增加交感神经向SA结和血管的输出。在静脉注射卡托普利前后均进行了研究。在BCO期间,仅LFSAP从4.3±1.5 mmHg2增加到19.7±4.1 mmHg2;在CAO期间,LFR-R和LFSAP均分别从3±1归一化单位(nu)增加到21±2 nu,以及从4.1±1.3 mmHg2增加到7.2±1.5 mmHg2。以2 km/h和4 km/h的速度进行动态运动时,LFR-R分别从8±2 nu逐渐升高到58±7 nu和75±5 nu;LFSAP呈现平行趋势,从2.5±0.7 mmHg2增加到8.04±1.9 mmHg2和12.7±2.2 mmHg2。在所有实验条件下,卡托普利均显著(P<0.05)减弱了LFSAP的升高。仅在CAO时,对LFR-R有明显的抑制作用。心血管变异性的频谱分析表明,在清醒犬中,急性给予卡托普利对心脏交感兴奋机制以及交感血管运动控制具有重要的抑制作用。