Franchini K G, Oliveira V L, Krieger E M
Hypertension Unit, Heart Institute, University of São Paulo, Brazil.
Hypertension. 1997 Sep;30(3 Pt 2):699-703. doi: 10.1161/01.hyp.30.3.699.
Experiments were performed on unanesthetized rats (n=6) to determine the systemic hemodynamics during chemoreflex activation by intravenous KCN. Rats chronically instrumented with ultrasonic flow probes in the ascendant aorta were submitted to KCN injections (30 microg/kg) before and after sequential administration of the autonomic blockers atropine and propranolol. In the control period KCN injections produced a 60% reduction in heart rate (HR) and a 46% elevation in blood pressure (BP), while cardiac output (CO) decreased 76%, stroke volume (SV) decreased 40%, and calculated total peripheral resistance (TPR) increased 900%. Atropine administration increased resting HR, whereas no change was observed in CO or BP. Chemoreflex-induced bradycardia was markedly attenuated (26%), and the pressor response was potentiated (59%) after atropine administration. CO and TPR responses were both attenuated after atropine administration (68% and 718%, respectively). Sequential administration of propranolol decreased HR but did not change the cardiovascular responses to KCN injections compared with the responses observed after atropine administration. In conclusion, CO is greatly reduced during KCN-evoked chemoreflex. Besides the intense bradycardia, a decrease in SV contributed to this reduction. Bradycardic response was most dependent on the cardiac parasympathetic activation, and the reduction in SV was probably most dependent on the increased cardiac afterload due to the sudden increase in BP.
对未麻醉的大鼠(n = 6)进行实验,以确定静脉注射氰化钾(KCN)激活化学反射时的全身血流动力学。对在升主动脉长期植入超声流量探头的大鼠,在先后给予自主神经阻滞剂阿托品和普萘洛尔之前和之后进行KCN注射(30微克/千克)。在对照期,KCN注射使心率(HR)降低60%,血压(BP)升高46%,而心输出量(CO)降低76%,每搏输出量(SV)降低40%,计算得出的总外周阻力(TPR)增加900%。给予阿托品后静息心率增加,而CO或BP未见变化。给予阿托品后,化学反射诱发的心动过缓明显减弱(26%),升压反应增强(59%)。给予阿托品后CO和TPR反应均减弱(分别为68%和718%)。与给予阿托品后观察到的反应相比,先后给予普萘洛尔使心率降低,但未改变对KCN注射的心血管反应。总之,在KCN诱发的化学反射过程中CO大幅降低。除了强烈的心动过缓外,SV的降低也导致了这种降低。心动过缓反应最依赖于心脏副交感神经的激活,而SV的降低可能最依赖于BP突然升高导致的心脏后负荷增加。