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中枢介导的抗高血压药物对高血压大鼠颈动脉的影响。

Carotid arterial changes produced by a centrally mediated antihypertensive agent in hypertensive rats.

作者信息

Levy B I, Dabire H, Poitevin P, Safar M E

机构信息

Institut National de la Santé et de la Recherche Médicale, Unité 141, Hôpital Lariboisère, Paris, France.

出版信息

J Cardiovasc Pharmacol. 1995 Oct;26(4):666-73. doi: 10.1097/00005344-199510000-00024.

Abstract

We studied the effects of centrally mediated reduction of sympathetic outflow on the mechanical properties of the carotid arterial wall in spontaneously hypertensive rats (SHR) as compared with matched Wistar-Kyoto rats (WKY). Ascending aortic pressure and flow were recorded in open-chest anesthetized rats, and the systemic arterial compliance (SAC) was calculated. Intravenous injection of rilmenidine induced a transient increase in blood pressure (BP) in WKY and SHR, followed by a long-lasting reduction in SHR, together with a decrease in cardiac output (CO) and heart (HR) and a significant increase in SAC. Serial measurements of internal carotid artery diameter made with a newly described echo-tracking technique showed a significant, rapid, and long-lasting constriction in both strains. In this set of experiments, the carotid compliance was determined from the arterial volume-pressure relation under control conditions and after administration of intravenous (i.v.) rilmenidine. In both WKY and SHR, carotid compliance increased, but the increase was observed only at the higher transmural pressure ranges and not at the operating systemic BP of the corresponding animals. Simultaneous recordings of the carotid arterial diameter made with the echo-tracking technique indicated that these compliance changes occurred in the presence of carotid arterial constriction at any given value of transmural pressure. Distensibility was increased in a higher pressure range: from 100 to 200 mm Hg transmural pressure. The centrally mediated antihypertensive agent rilmenidine produced carotid arterial constriction independent of BP changes and, in in vivo in situ carotid preparations, arterial constriction was associated with a decrease in the stiffness of the arterial wall.

摘要

我们研究了与匹配的Wistar-Kyoto大鼠(WKY)相比,中枢介导的交感神经传出减少对自发性高血压大鼠(SHR)颈动脉壁力学性能的影响。在开胸麻醉的大鼠中记录升主动脉压力和流量,并计算全身动脉顺应性(SAC)。静脉注射利美尼定在WKY和SHR中引起血压(BP)短暂升高,随后SHR中血压长期降低,同时心输出量(CO)和心率(HR)降低,SAC显著增加。用一种新描述的回声跟踪技术对颈内动脉直径进行的连续测量显示,两种品系均出现显著、快速且持久的收缩。在这组实验中,颈动脉顺应性是根据对照条件下和静脉注射(i.v.)利美尼定后的动脉容积-压力关系来确定的。在WKY和SHR中,颈动脉顺应性均增加,但仅在较高的跨壁压力范围内观察到增加,而在相应动物的手术全身血压下未观察到增加。用回声跟踪技术同时记录颈动脉直径表明,在任何给定的跨壁压力值下,这些顺应性变化都发生在颈动脉收缩的情况下。在较高的压力范围内(从100至200 mmHg跨壁压力),可扩张性增加。中枢介导的抗高血压药物利美尼定产生与血压变化无关的颈动脉收缩,并且在体内原位颈动脉制剂中,动脉收缩与动脉壁硬度降低有关。

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