Wang W, Brändle M, Zucker I H
Department of Physiology and Biophysics, University of Nebraska College of Medicine, Omaha 68198-4575.
Am J Physiol. 1993 Oct;265(4 Pt 2):H1310-7. doi: 10.1152/ajpheart.1993.265.4.H1310.
In a previous study (Wang, W., J. S. Chen, and I. H. Zucker. Circ. Res. 68: 1294-1301, 1991), we showed a depression in baroreflex gain in dogs with pacing-induced heart failure. This depression was not accompanied by a decrease in the central gain (carotid sinus nerve stimulation vs. renal nerve activity). These previous experiments were carried out on animals that were vagotomized and aortic denervated. In the present study these experiments were repeated, and the data were analyzed both in the intact and vagotomized state. Dogs were cardiac paced at 250 beats/min until heart failure was noted. Sham dogs were used as controls. The carotid sinuses were isolated, and the aortic nerves were sectioned. Activity from a renal sympathetic nerve (RSNA) was recorded with arterial pressure and carotid sinus pressure (CSP) during bilateral step increases in CSP from 25 to 300 mmHg. Mean arterial pressure (MAP) and RSNA responses to carotid sinus pressurization and to carotid sinus nerve stimulation were tested before and after bilateral vagotomy, and curves describing these relationships were constructed. Before vagotomy, the peak response relating stimulation frequency to MAP was significantly depressed in dogs with heart failure (-18.3 +/- 4.7 vs. -37.0 +/- 2.2%, P < 0.001). In addition, the CSP-MAP curves were depressed in dogs with heart failure. Frequency-RSNA curves were not altered in heart failure. There were no significant changes in the baroreflex gain responses to pressurization or electrical stimulation after vagotomy in either sham or heart failure groups.(ABSTRACT TRUNCATED AT 250 WORDS)
在之前的一项研究中(Wang, W., J. S. Chen, and I. H. Zucker. Circ. Res. 68: 1294 - 1301, 1991),我们发现起搏诱导的心力衰竭犬的压力反射增益降低。这种降低并未伴随着中枢增益的下降(颈动脉窦神经刺激与肾神经活动相比)。之前的这些实验是在迷走神经切断和主动脉去神经支配的动物身上进行的。在本研究中,重复了这些实验,并在完整状态和迷走神经切断状态下对数据进行了分析。将犬以250次/分钟的频率进行心脏起搏,直至出现心力衰竭。假手术犬用作对照。分离颈动脉窦,切断主动脉神经。在双侧颈动脉窦压力(CSP)从25 mmHg逐步升至300 mmHg期间,记录肾交感神经(RSNA)活动以及动脉压和颈动脉窦压力(CSP)。在双侧迷走神经切断前后,测试平均动脉压(MAP)和RSNA对颈动脉窦加压和颈动脉窦神经刺激的反应,并构建描述这些关系的曲线。在迷走神经切断前,心力衰竭犬中刺激频率与MAP的峰值反应显著降低(-18.3±4.7%对-37.0±2.2%,P<0.001)。此外,心力衰竭犬的CSP - MAP曲线降低。心力衰竭时频率 - RSNA曲线未改变。在假手术组或心力衰竭组中,迷走神经切断后压力反射增益对加压或电刺激的反应均无显著变化。(摘要截短于250字)