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肥胖高血压犬血压和心率的自主控制

Autonomic control of blood pressure and heart rate in obese hypertensive dogs.

作者信息

Truett A A, Borne A T, Poincot M A, West D B

机构信息

Obesity, Diabetes and Metabolism Section, Pennington Biomedical Research Center, Louisiana State University, Baton Rouge 70808, USA.

出版信息

Am J Physiol. 1996 Mar;270(3 Pt 2):R541-9. doi: 10.1152/ajpregu.1996.270.3.R541.

Abstract

Autonomic control of cardiovascular function was evaluated in nine dogs before and after a high-fat overfeeding regimen. Body weight increased significantly (from 19.8 +/- 0.9 to 29.5 +/- 2.1 kg; P < 0.01) with overfeeding. Mean arterial pressure (MAP) increased from 94.6 +/- 2.1 to 105.5 +/- 3.7 mmHg (P < 0.05), and heart rate (HR) increased from 94.8 +/- 3.5 to 112.3 +/- 5.6 beats/min (P < 0.01). After ganglionic blockade with chlorisondamine, dose response of MAP and HR to methoxamine (alpha-agonist) or isoproterenol (beta-agonist) was evaluated. Peak MAP response to methoxamine was blunted in obese dogs. HR response to isoproterenol was not different between lean and obese dogs. Atropine in the presence of propranolol increased HR from 80.8 +/- 7 to 202.8 +/- 8.9 beats/min in lean dogs and from 113.8 +/- 12.1 to 131.7 +/- 18.2 in obese dogs. These data suggest the increase in HR observed in obese dogs may be due to a decrease in parasympathetic inhibition rather than an increase in sympathetic stimulation. The blunted response to methoxamine in obese hypertensive dogs suggests that the sympathetic control of peripheral vascular resistance is altered in obesity.

摘要

在高脂过量喂养方案前后,对9只犬的心血管功能自主控制情况进行了评估。过量喂养后体重显著增加(从19.8±0.9千克增至29.5±2.1千克;P<0.01)。平均动脉压(MAP)从94.6±2.1毫米汞柱升至105.5±3.7毫米汞柱(P<0.05),心率(HR)从94.8±3.5次/分钟增至112.3±5.6次/分钟(P<0.01)。在用氯异吲哚胺进行神经节阻断后,评估了MAP和HR对甲氧明(α激动剂)或异丙肾上腺素(β激动剂)的剂量反应。肥胖犬对甲氧明的MAP峰值反应减弱。瘦犬和肥胖犬对异丙肾上腺素的HR反应无差异。在普萘洛尔存在的情况下,阿托品使瘦犬的HR从80.8±7次/分钟增至202.8±8.9次/分钟,使肥胖犬的HR从113.8±12.1次/分钟增至131.7±18.2次/分钟。这些数据表明,肥胖犬中观察到的HR增加可能是由于副交感神经抑制减少而非交感神经刺激增加所致。肥胖高血压犬对甲氧明的反应减弱表明,肥胖状态下外周血管阻力的交感神经控制发生了改变。

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