Slangen B F, van Ingen Schenau D S, van Gorp A W, De Mey J G, Peeters L L
Department of Obstetrics and Gynecology, University of Limburg, Maastricht, The Netherlands.
Am J Physiol. 1997 Mar;272(3 Pt 2):H1260-5. doi: 10.1152/ajpheart.1997.272.3.H1260.
In pregnancy, complex hormonal and hemodynamic changes develop. In this study, we tested the hypothesis that these pregnancy-associated changes are accompanied by an alteration of the compliance of central conduit vessels. To this end, we determined in awake, restrained pregnant rats the distensibility (DC) and compliance (CC) coefficients of the descending thoracic aorta. End diastolic aortic diameter (d) and changes in aortic diameter during the cardiac cycle (delta d) were measured noninvasively by ultrasound, simultaneously with diastolic aortic blood pressure (Pdia) and pulse pressure (delta P) through a chronically implanted catheter. From these parameters, DC and CC (expressed as the relative and the absolute increase, respectively, in lumen cross-sectional area for a given increase in P) were calculated. Nine rats were studied before pregnancy and, on days 4, 8, 10, and 18 of pregnancy, were matched for age and days postsurgery with eight nonpregnant rats. On day 20, the animals were killed and the thoracic aorta was isolated for morphometric analysis. In the pregnant group, Pdia decreased from 109 +/- 5 mmHg on day 4 to 98 +/- 9 mmHg on day 18 (means +/- SD), whereas d did not change. delta d increased from 242 +/- 20 microm on day 4 to 271 +/- 29 microm on day 18. delta P did not change. Both DC and CC increased in early pregnancy to a plateau reached by day 10. The increase in DC and CC preceded the fall in Pdia. On day 20, neither cross-sectional area nor thickness of the aortic media had changed significantly, when compared with the nonpregnant group. In the nonpregnant group, none of the variables changed consistently during the study period. On the basis of these results, we conclude that CC of the thoracic aorta increases in early pregnancy. We speculate that the increased aortic CC and DC and the decreased total peripheral resistance develop in early pregnancy in response to the increase in stroke volume, thus preventing a concomitant rise in arterial wall stress.
在孕期会发生复杂的激素和血流动力学变化。在本研究中,我们检验了这样一个假设:这些与妊娠相关的变化伴随着中心传导血管顺应性的改变。为此,我们在清醒、受约束的妊娠大鼠中测定了胸降主动脉的扩张性(DC)和顺应性(CC)系数。通过超声无创测量舒张末期主动脉直径(d)和心动周期中主动脉直径的变化(δd),同时通过长期植入的导管测量舒张期主动脉血压(Pdia)和脉压(δP)。根据这些参数,计算DC和CC(分别表示为给定P增加时管腔横截面积的相对增加和绝对增加)。对9只大鼠在妊娠前进行研究,并在妊娠第4、8、10和18天,将其与8只非妊娠大鼠按年龄和术后天数进行匹配。在第20天,处死动物并分离胸主动脉进行形态计量分析。在妊娠组中,Pdia从第4天的109±5 mmHg降至第18天的98±9 mmHg(均值±标准差),而d未改变。δd从第4天的242±20微米增加到第18天的271±29微米。δP未改变。DC和CC在妊娠早期均增加,并在第10天达到平台期。DC和CC的增加先于Pdia的下降。与非妊娠组相比,在第20天,主动脉中膜的横截面积和厚度均无显著变化。在非妊娠组中,在研究期间没有任何变量持续变化。基于这些结果,我们得出结论:胸主动脉的CC在妊娠早期增加。我们推测,妊娠早期主动脉CC和DC的增加以及总外周阻力的降低是对每搏输出量增加的反应,从而防止动脉壁应力随之升高。