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清醒大鼠急性出血后短期心血管振荡的自主神经调节

Autonomic mediation of short-term cardiovascular oscillations after acute hemorrhage in conscious rats.

作者信息

Gonzalez Gonzalez J, Cordero Valeriano J J, Feria Rodriguez M

机构信息

Department of Physiology, University of La Laguna, Tenerife, Spain.

出版信息

J Auton Nerv Syst. 1995 Oct 5;55(1-2):123-30. doi: 10.1016/0165-1838(95)00038-y.

Abstract

The role of the autonomic and the renin-angiotensin (R-A) activities in short-term cardiovascular control during the bradycardic phase following severe hemorrhage was investigated in conscious rats. Spectral analysis of beat-to-beat fluctuations of the R-R interval (RRI), systolic (SBP) and diastolic (DBP) blood pressure in the 0.01-5-Hz range was carried out under control conditions and following a bleeding of 30% of total blood volume, with and without i.v. injection of atropine (2 mg/kg), prazosin (2 mg/kg), propranolol (5 mg/kg) or captopril (7 mg/kg). The bradycardic stage was characterized by: (i) an increase of the three oscillatory components exhibited by RRI variability which appears driven by vagal activity and buffered by beta-adrenergic activity, while the increase of the slower LF (0.01-0.2 Hz) oscillations seems driven by the slow alpha-adrenergic control; (ii) a decrease of SBP and DBP oscillations and absence of SBP-RRI correlation in the MF band (0.2-0.6 Hz) possibly related to a decrease in the sympathetic drive of SBP-MF and DBP-MF oscillations and in RRI baroreflex control; (iii) an increase in LF oscillations of SBP and even more of DBP that seems driven by the slow alpha-and beta-adrenergic control and buffered by the R-A control, responses possibly related to an increase of LF oscillations of peripheral resistance; (iv) the persistence of high SBP-RRI correlation in the LF band and in the respiratory band (1-3 Hz); the former seem to reflect the existence of a slow baroreflex control mediated by beta-adrenergic activity, the latter appears to be caused by feedforward mechanical effects of RRI changes on SBP.

摘要

在清醒大鼠中研究了自主神经和肾素 - 血管紧张素(R - A)活动在严重出血后心动过缓阶段短期心血管控制中的作用。在对照条件下以及在失血占总血容量的30%后,静脉注射或不注射阿托品(2mg/kg)、哌唑嗪(2mg/kg)、普萘洛尔(5mg/kg)或卡托普利(7mg/kg),对0.01 - 5Hz范围内的RR间期(RRI)、收缩压(SBP)和舒张压(DBP)的逐搏波动进行频谱分析。心动过缓阶段的特征为:(i)RRI变异性所表现出的三种振荡成分增加,这似乎由迷走神经活动驱动并由β - 肾上腺素能活动缓冲,而较慢的低频(0.01 - 0.2Hz)振荡增加似乎由缓慢的α - 肾上腺素能控制驱动;(ii)SBP和DBP振荡减少,且在中频带(0.2 - 0.6Hz)中SBP - RRI无相关性,这可能与SBP - MF和DBP - MF振荡的交感神经驱动以及RRI压力反射控制的降低有关;(iii)SBP的低频振荡增加,DBP的低频振荡增加得更多,这似乎由缓慢的α - 和β - 肾上腺素能控制驱动并由R - A控制缓冲,这些反应可能与外周阻力的低频振荡增加有关;(iv)低频带和呼吸带(1 - 3Hz)中高SBP - RRI相关性持续存在;前者似乎反映了由β - 肾上腺素能活动介导的缓慢压力反射控制的存在,后者似乎是由RRI变化对SBP的前馈机械效应引起的。

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