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对跳动的犬类心脏壁内小动脉和小静脉的体内观察。

In vivo observations of the intramural arterioles and venules in beating canine hearts.

作者信息

Hiramatsu O, Goto M, Yada T, Kimura A, Chiba Y, Tachibana H, Ogasawara Y, Tsujioka K, Kajiya F

机构信息

Department of Medical Engineering and Systems Cardiology, Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama, 701-0192, Japan.

出版信息

J Physiol. 1998 Jun 1;509 ( Pt 2)(Pt 2):619-28. doi: 10.1111/j.1469-7793.1998.619bn.x.

Abstract
  1. To evaluate the effects of cardiac contraction on intramyocardial (midwall) microvessels, we measured the phasic diameter change of left ventricular intramural arterioles and venules using a novel needle-probe videomicroscope with a CCD camera and compared it with the diameter change in subepicardial and subendocardial vessels. 2. The phasic diameter of the intramural arterioles decreased from 130 +/- 79 ìm in end-diastole to 118 +/- 72 micron (mean +/- S.D.) in end-systole by cardiac contraction (10 +/- 6 %, P < 0.001, n = 21). 3. The phasic diameter in the intramural venules was almost unchanged from end-diastole to end-systole (85 +/- 44 vs. 86 +/- 42 micron, respectively, 2 +/- 6 %, n. s., n = 14). 4. Compared with intramural vessels, the diameters of subendocardial arterioles and venules decreased by a similar extent (arterioles: 10 +/- 8 %, P < 0. 001; venules: 12 +/- 10 %, P < 0.001) from end-diastole to end-systole, respectively, whereas the diameter of the subepicardial arterioles changed little during the cardiac cycle, and subepicardial venule diameter increased by 9 +/- 8 % (P < 0.01) from end-diastole to end-systole. These findings are consistent with our previous report. 5. We suggest that the almost uniform distribution of the cardiac contractility effect and arteriolar transmural pressure between the subendocardium and the midmyocardium, which together constitute the systolic vascular compressive force, accounts for the similarity in the arteriolar diameter changes in both myocardial layers. The smaller intravascular pressure drop from deep to superficial myocardium relative to the larger intramyocardial pressure drop explains the difference in the phasic venular diameter changes across the myocardium.
摘要
  1. 为评估心脏收缩对心肌内(中层)微血管的影响,我们使用配有电荷耦合器件(CCD)相机的新型针式探头视频显微镜测量了左心室壁内小动脉和小静脉的阶段性直径变化,并将其与心外膜下和心内膜下血管的直径变化进行比较。2. 心脏收缩时,壁内小动脉的阶段性直径从舒张末期的130±79μm降至收缩末期的118±72μm(平均值±标准差)(10±6%,P<0.001,n=21)。3. 壁内小静脉的阶段性直径从舒张末期到收缩末期几乎没有变化(分别为85±44μm和86±42μm,2±6%,无统计学意义,n=14)。4. 与壁内血管相比,心内膜下小动脉和小静脉的直径从舒张末期到收缩末期分别下降了相似的幅度(小动脉:10±8%,P<0.001;小静脉:12±10%,P<0.001),而心外膜下小动脉的直径在心动周期中变化很小,心外膜下小静脉直径从舒张末期到收缩末期增加了9±8%(P<0.01)。这些发现与我们之前的报告一致。5. 我们认为,心内膜下和心肌中层之间心脏收缩力效应和小动脉跨壁压力的几乎均匀分布,共同构成了收缩期血管压缩力,这解释了两层心肌中小动脉直径变化的相似性。相对于较大的心肌内压力降,从心肌深部到浅部较小的血管内压力降解释了整个心肌中阶段性小静脉直径变化的差异。

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