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异丙肾上腺素对心肌舒张速率的影响:负荷水平的作用

Effects of isoproterenol on myocardial relaxation rate: influence of the level of load.

作者信息

Coudray N, Beregi J P, Lecarpentier Y, Chemla D

机构信息

Institut National de la Santé et de la Recherche Médicale U275, Ecole Nationale Supérieure de Techniques Avancées, Palaiseau, France.

出版信息

Am J Physiol. 1993 Nov;265(5 Pt 2):H1645-53. doi: 10.1152/ajpheart.1993.265.5.H1645.

Abstract

The present work was undertaken to test the hypothesis that the level of the load faced by the myocardium influences the effects of isoproterenol on relaxation rate. Responses to cumulative doses of isoproterenol (from 10(-10) to 10(-6) M) were studied in rat left ventricular papillary muscle stimulated 12 beats/min at 29 degrees C in 0.5 mM extracellular calcium and preloaded at initial muscle length corresponding to apex of length-active tension curve (Lmax; group 1, n = 20) or at 95% of Lmax (group 2, n = 9). A control group (group 3, n = 8) was studied every 15 min for 75 min. We measured maximum unloaded shortening velocity (Vmax), normalized positive and negative peak force derivatives (+dF and -dF, respectively) of the fully isometric twitch, and peak lengthening velocity of the isotonic twitch with preload only (Vlmax). In group 1, Vmax and +dF increased under 10(-10) and 10(-9) M isoproterenol, respectively, and -dF increased under 10(-9) M isoproterenol (115 +/- 13 vs. 96 +/- 12 mN.s-1.mm-2, P = 0.01). Conversely, Vlmax increased under 10(-7) M isoproterenol only (2.34 +/- 0.19 vs. 1.45 +/- 0.18 Lmax/s, P < 0.001). In group 2, both -dF and Vlmax increased under 10(-7) M isoproterenol only (P = 0.015 and 0.011, respectively). In group 3, -dF and Vlmax did not vary in time. Our results suggest a load-revealed (or length-revealed) difference in the dose dependence of the various biochemical processes involved in the effects of isoproterenol during myocardial relaxation.

摘要

开展本研究以验证以下假说

心肌所承受的负荷水平会影响异丙肾上腺素对舒张速率的作用。在29℃、细胞外钙浓度为0.5 mM的条件下,以每分钟12次的频率刺激大鼠左心室乳头肌,并将其预负荷至对应长度-活性张力曲线顶点的初始肌肉长度(Lmax;第1组,n = 20)或Lmax的95%(第2组,n = 9),研究其对累积剂量异丙肾上腺素(从10^(-10)至10^(-6) M)的反应。对照组(第3组,n = 8)每15分钟进行一次研究,共75分钟。我们测量了最大无负荷缩短速度(Vmax)、完全等长收缩的归一化正峰力导数和负峰力导数(分别为+dF和-dF)以及仅在有预负荷情况下的等张收缩的峰延长速度(Vlmax)。在第1组中,Vmax和+dF分别在10^(-10) M和10^(-9) M异丙肾上腺素作用下增加,-dF在10^(-9) M异丙肾上腺素作用下增加(115±13与96±12 mN·s^(-1)·mm^(-2),P = 0.01)。相反,Vlmax仅在10^(-7) M异丙肾上腺素作用下增加(2.34±0.19与1.45±0.18 Lmax/s,P < 0.001)。在第2组中,-dF和Vlmax均仅在10^(-7) M异丙肾上腺素作用下增加(分别为P = 0.015和0.011)。在第3组中,-dF和Vlmax随时间无变化。我们的结果表明,在心肌舒张过程中,异丙肾上腺素作用所涉及的各种生化过程的剂量依赖性存在负荷揭示(或长度揭示)差异。

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