Wolfer R S, Lovell N H, Brunner M J
Department of Surgery, University of Maryland, Baltimore 21201.
Am J Physiol. 1994 May;266(5 Pt 2):R1510-6. doi: 10.1152/ajpregu.1994.266.5.R1510.
Arginine vasopressin (AVP) has profound effects on the cardiovascular system, yet has minimal pressor activity at physiological levels in intact subjects. We designed an investigation to delineate the effects of AVP on open-loop carotid baroreflex control of mean arterial pressure (MAP), total peripheral resistance (TPR), and cardiac output (CO) in conscious, chronically instrumented dogs. During graded infusions of AVP (0.5-2.0 ng.kg-1.min-1), the open-loop hemodynamic responses to controlled changes in isolated carotid sinus pressure (CSP) were determined. Increasing levels of AVP infusion led to significant increases in plasma AVP levels (P < 0.01). Increasing doses of AVP led to significant increases in TPR at all levels of CSP (P < 0.01). The overall range and gain of the response were not significantly different at any level of AVP infusion. Despite this increase in systemic resistance, there was no significant change in the MAP-CSP relationship. Infusion of AVP led to a dose-dependent depression in CO (P < 0.01) and heart rate (HR; P < 0.05) at all levels of CSP with no significant effect on open-loop baroreflex control. We conclude that although exogenous AVP induces profound changes in cardiovascular function, it does not alter carotid baroreflex control of MAP, TPR, CO, and HR.
精氨酸加压素(AVP)对心血管系统有深远影响,但在完整受试者的生理水平下其升压活性极小。我们设计了一项研究,以描绘AVP对清醒、长期植入仪器的犬类平均动脉压(MAP)、总外周阻力(TPR)和心输出量(CO)的开环颈动脉压力反射控制的影响。在分级输注AVP(0.5 - 2.0 ng·kg⁻¹·min⁻¹)期间,确定了对孤立颈动脉窦压力(CSP)受控变化的开环血流动力学反应。AVP输注水平的增加导致血浆AVP水平显著升高(P < 0.01)。在所有CSP水平下,AVP剂量的增加导致TPR显著增加(P < 0.01)。在任何AVP输注水平下,反应的总体范围和增益均无显著差异。尽管全身阻力增加,但MAP - CSP关系没有显著变化。在所有CSP水平下,AVP输注导致CO剂量依赖性降低(P < 0.01)和心率(HR;P < 0.05)降低,对开环压力反射控制无显著影响。我们得出结论,尽管外源性AVP会引起心血管功能的深刻变化,但它不会改变颈动脉压力反射对MAP、TPR、CO和HR的控制。