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硝酸甘油对跳动猪心脏心内膜下小动脉直径和搏动幅度的影响。

Effects of nitroglycerin on diameter and pulsation amplitude of subendocardial arterioles in beating porcine heart.

作者信息

Yada T, Hiramatsu O, Goto M, Ogasawara Y, Kimura A, Yamamoto T, Tsujioka K, Kajiya F

机构信息

Department of Medical Engineering and Systems Cardiology, Kawasaki Medical School, Kurashiki, Japan.

出版信息

Am J Physiol. 1994 Nov;267(5 Pt 2):H1719-25. doi: 10.1152/ajpheart.1994.267.5.H1719.

Abstract

We examined the effect of nitroglycerin (NTG) on the diameter and diastolic-to-systolic pulsation amplitude of large (ID > 100 microns) and small (ID < 100 microns) subendocardial arterioles with their segmental responses. In 10 open-chest, anesthetized pigs, subendocardial arterioles of beating hearts (n = 18) were videorecorded using a needle-probe videomicroscope. Subendocardial arteriolar diameter was determined before and 1-2 min after NTG administration (25 micrograms/kg i.v.). In an additional experiment using three pigs, we monitored the transient response of subendocardial small arterioles (n = 5) from the time before NTG administration until 3 min after NTG. NTG dilated large subendocardial arterioles by 13 +/- 4% (means +/- SD, n = 10, P < 0.001) at about 1.5 min after NTG, but not small subendocardial arterioles (2 +/- 2%, n = 8, not significant). However, the small arterioles responded transiently to NTG in an earlier phase, especially to a higher dose. The percent diameter change of large subendocardial arterioles between diastole and systole at 1.5 min after NTG administration was 32 +/- 4%, which was larger than that under control conditions (19 +/- 8%, P < 0.05). The pulsation amplitude of small subendocardial arterioles at this time was almost unchanged by NTG (16 +/- 8 vs. 17 +/- 6%, NS) but increased transiently in an earlier phase. In conclusion, NTG dilated large subendocardial arterioles on the plateau phase of its impulse (intravenously) response (approximately 1.5 min after NTG).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

我们研究了硝酸甘油(NTG)对大(内径>100微米)、小(内径<100微米)心内膜下小动脉直径及其节段性反应的舒张期与收缩期搏动幅度的影响。在10只开胸麻醉猪中,使用针型探头视频显微镜对跳动心脏的心内膜下小动脉(n = 18)进行视频记录。在静脉注射NTG(25微克/千克)前及给药后1 - 2分钟测定心内膜下小动脉直径。在另一项使用3只猪的实验中,我们监测了心内膜下小动脉(n = 5)从NTG给药前至给药后3分钟的瞬时反应。NTG在给药后约1.5分钟使大的心内膜下小动脉扩张13±4%(平均值±标准差,n = 10,P<0.001),但对小的心内膜下小动脉无扩张作用(2±2%,n = 8,无统计学意义)。然而,小动脉在更早阶段对NTG有瞬时反应,尤其是对更高剂量。NTG给药后1.5分钟,大的心内膜下小动脉舒张期与收缩期之间的直径变化百分比为32±4%,大于对照条件下的变化(19±8%,P<0.05)。此时小的心内膜下小动脉的搏动幅度几乎未被NTG改变(16±8%对17±6%,无统计学意义),但在更早阶段有瞬时增加。总之,NTG在其静脉注射反应的平台期(NTG给药后约1.5分钟)使大的心内膜下小动脉扩张。(摘要截短于250字)

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