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主动脉压力感受器对低血压和高血压重调定的粘弹性机制。

Viscoelastic mechanisms of aortic baroreceptor resetting to hypotension and to hypertension.

作者信息

Xavier-Neto J, Moreira E D, Krieger E M

机构信息

Unidade de Hipertensao, Instituto do Coracao, Faculdade de Medicina, Sao Paulo, Brazil.

出版信息

Am J Physiol. 1996 Oct;271(4 Pt 2):H1407-15. doi: 10.1152/ajpheart.1996.271.4.H1407.

Abstract

Viscoelastic and electrophysiological mechanisms have been implicated in the resetting of baroreceptors in hypertension, but resetting in response to hypotension has been less studied. To evaluate the temporal relationship between viscoelastic mechanisms and acute resetting, we examined the "in vivo" behavior of aortic caliber and aortic baroreceptor activity during step changes in pressure. Fifteen-minute hemorrhage in Wistar rats produced stable hypotension (30 mmHg) and viscoelastic contraction (111 +/- 14.2 microns systolic caliber; P < 0.01). Integrated aortic activity fell to 19.8 +/- 3.9% of control (P < 0.001) after 3 s of hypotension but recovered to 64 +/- 4.1% 15 min later (P < 0.01 from 3 s). Recovery of baroreceptor activity was linearly correlated to viscoelastic contraction (r = 0.963; P < 0.0001). Thirty-minute phenylephrine infusion (1.0-4.0 micrograms/min) produced stable hypertension (30 mmHg) and viscoelastic dilation (211 +/- 37.0 microns systolic caliber). Integrated aortic activity increased to 218.0 +/- 18% of control values (P < 0.001) 30 s after hypertension and was reduced to 164.0 +/- 12.0% (P < 0.001 from 3 s) within 30 min. Reduction of baroreceptor activity correlated linearly with viscoelastic relaxation (r = 0.963; P < 0.0001). The results indicate that in the in vivo rat aorta, viscoelastic mechanisms parallel and may contribute to the baroreceptor resetting during hypotension and hypertension.

摘要

粘弹性和电生理机制与高血压压力感受器的重置有关,但对低血压反应时的重置研究较少。为了评估粘弹性机制与急性重置之间的时间关系,我们在压力阶跃变化期间检查了主动脉管径和主动脉压力感受器活动的“体内”行为。Wistar大鼠15分钟的出血产生了稳定的低血压(30 mmHg)和粘弹性收缩(收缩期管径111±14.2微米;P<0.01)。低血压3秒后,主动脉综合活动降至对照值的19.8±3.9%(P<0.001),但15分钟后恢复至64±4.1%(与3秒时相比P<0.01)。压力感受器活动的恢复与粘弹性收缩呈线性相关(r = 0.963;P<0.0001)。30分钟输注去氧肾上腺素(1.0 - 4.0微克/分钟)产生了稳定的高血压(30 mmHg)和粘弹性扩张(收缩期管径211±37.0微米)。高血压30秒后,主动脉综合活动增加至对照值的218.0±18%(P<0.001),并在30分钟内降至164.0±12.0%(与3秒时相比P<0.001)。压力感受器活动的降低与粘弹性松弛呈线性相关(r = 0.963;P<0.0001)。结果表明,在体内大鼠主动脉中,粘弹性机制与低血压和高血压期间的压力感受器重置平行且可能起作用。

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