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清醒犬体内肾素-血管紧张素系统对血压变异性的缓冲作用。

Buffering of blood pressure variability by the renin-angiotensin system in the conscious dog.

作者信息

Just A, Kirchheim H R, Ehmke H

机构信息

I. Physiologisches Institut, Ruprecht-Karls-Universitat Heidelberg, D-69120 Heidelberg, Germany.

出版信息

J Physiol. 1998 Oct 15;512 ( Pt 2)(Pt 2):583-93. doi: 10.1111/j.1469-7793.1998.583be.x.

Abstract
  1. The renin-angiotensin system (RAS) participates in the compensation of major blood pressure disturbances such as haemorrhage and is involved in the tonic long-term (> 1 day) maintenance of mean arterial blood pressure (MABP). Since its contribution to the short-term (< 1 h) buffering of normal blood pressure variability is not known, this was investigated in resting conscious dogs. 2. The regulatory efficiency and the response time of the RAS were studied by an acute step reduction of renal artery pressure to 70 mmHg for 1 h using a suprarenal aortic cuff. After a delay of at least 100 s, MABP rose exponentially by 22 +/- 5 mmHg in normal dogs (n = 4), by 6 +/- 3 mmHg after angiotensin converting enzyme (ACE) inhibition (n = 4), and by 25 +/- 5 mmHg after ganglionic blockade (n = 4). MABP returned to control after release of the cuff with similar time courses. The time constants of the MABP responses were in the range of 20 min. Thus, possible feedback oscillations of the RAS would be expected around 0.0025 Hz (1/(4 x 100 s)); a buffering effect would be possible below this frequency. 3. Blood pressure variability was investigated by spectral analysis of MABP from 3.75 h recordings in the frequency ranges of 0.002-0.003 Hz (feedback oscillations) and below 0.002 Hz (buffering effect). 4. ACE inhibition (n = 7) decreased MABP by 11 +/- 2 mmHg (P < 0.05), but in both frequency ranges integrated spectral density was not affected. ACE inhibition also failed to significantly change spectral density in either of the two frequency ranges under the following conditions: (1) during ganglionic blockade (n = 7), (2) during a low-sodium diet (except for a very slight elevation below 0.002 Hz) (n = 7), and (3) when the fall of MABP induced by ACE inhibition was compensated by an angiotensin II infusion (n = 7). 5. It is concluded that in spite of its high regulatory efficiency with an adequate response time the RAS does not directly contribute to the short-term buffering of blood pressure variability, nor does it give rise to feedback oscillations under normal resting conditions. Even if the RAS is stimulated by sodium restriction its contribution to short-term blood pressure buffering is only marginal.
摘要
  1. 肾素-血管紧张素系统(RAS)参与诸如出血等主要血压紊乱的代偿过程,并参与平均动脉血压(MABP)的长期(>1天)稳态维持。由于其对正常血压波动的短期(<1小时)缓冲作用尚不清楚,因此在清醒的静息犬中对此进行了研究。2. 通过使用肾上腺上主动脉套囊将肾动脉压力急性阶跃降低至70 mmHg并持续1小时,研究了RAS的调节效率和反应时间。在至少延迟100秒后,正常犬(n = 4)的MABP呈指数上升22±5 mmHg,血管紧张素转换酶(ACE)抑制后(n = 4)上升6±3 mmHg,神经节阻断后(n = 4)上升25±5 mmHg。松开套囊后,MABP以相似的时间进程恢复至对照水平。MABP反应的时间常数在20分钟范围内。因此,预计RAS可能的反馈振荡频率约为0.0025 Hz(1/(4×100秒));在该频率以下可能存在缓冲作用。3. 通过对3.75小时MABP记录进行频谱分析,研究了0.002 - 0.003 Hz频率范围(反馈振荡)和0.002 Hz以下频率范围(缓冲作用)的血压变异性。4. ACE抑制(n = 7)使MABP降低11±2 mmHg(P < 0.05),但在两个频率范围内的积分谱密度均未受影响。在以下情况下,ACE抑制也未能在两个频率范围中的任何一个显著改变谱密度:(1)神经节阻断期间(n = 7),(2)低钠饮食期间(0.002 Hz以下有非常轻微的升高除外)(n = 7),以及(3)当ACE抑制引起的MABP下降通过输注血管紧张素II得到代偿时(n = 7)。5. 得出结论:尽管RAS具有较高的调节效率和适当的反应时间,但它并不直接参与血压波动的短期缓冲,在正常静息条件下也不会引起反馈振荡。即使RAS因钠限制而受到刺激,其对短期血压缓冲的贡献也仅为边际作用。

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