Kuo T B, Yang C C, Chan S H
Institute of Pharmacology, National Yang-Ming University, Taipei, Taiwan, Republic of China.
Am J Physiol. 1996 Nov;271(5 Pt 2):H2108-15. doi: 10.1152/ajpheart.1996.271.5.H2108.
We evaluated the hypothesis that fluctuations in systemic arterial pressure (SAP) are under the influence of the respiratory pumping mechanism subjected to a modulatory action by the autonomic nervous system that is exerted primarily on the heart. Computer-generated broad-band mechanical ventilation (0-3 Hz) was applied to Sprague-Dawley rats that were anesthetized with ketamine and paralyzed with pancuronium. We observed excellent coherence between lung volume and SAP signals at ventilatory rates between 0.5 and 2.5 Hz; this coherence was unaffected by phentolamine, propranolol, atropine, bilateral vagotomy, or ventilatory stroke volume at 2-4 ml. Whereas bilateral vagotomy exerted no discernible effect, propranolol elicited a significant frequency-dependent (0.5-1.5 Hz) reduction in the magnitude of lung volume-SAP and lung volume-pulse pressure transfer functions. There was also a shift toward 0 degree for the phase of the lung volume-SAP transfer function over the same frequency range. We conclude that the high-frequency component (0.8-2.4 Hz) of the SAP spectrum may be generated by the respiratory pumping mechanism. However, the lower-frequency end of this mechanical influence is subjected to additional amplification by the autonomic nervous system, in which the beta-adrenergic system played a major role via its influence on the heart.
我们评估了这样一种假说,即体循环动脉压(SAP)的波动受呼吸泵机制的影响,而呼吸泵机制受到自主神经系统的调节作用,这种调节作用主要作用于心脏。对用氯胺酮麻醉并用泮库溴铵麻痹的Sprague-Dawley大鼠应用计算机生成的宽带机械通气(0 - 3 Hz)。我们观察到在0.5至2.5 Hz的通气频率下,肺容积与SAP信号之间具有良好的相关性;这种相关性不受酚妥拉明、普萘洛尔、阿托品、双侧迷走神经切断术或2 - 4 ml潮气量的影响。虽然双侧迷走神经切断术没有产生明显影响,但普萘洛尔在0.5 - 1.5 Hz频率范围内使肺容积 - SAP和肺容积 - 脉压传递函数的幅度显著降低。在相同频率范围内,肺容积 - SAP传递函数的相位也向0度偏移。我们得出结论,SAP频谱的高频成分(0.8 - 2.4 Hz)可能由呼吸泵机制产生。然而,这种机械影响的低频端会受到自主神经系统的额外放大,其中β - 肾上腺素能系统通过其对心脏的影响发挥了主要作用。