Relationship Between Perfusion Pressure and Coronary Vasoreactivity in Saline Perfused Hearts Isolated from Normotensive and Spontaneously Hypertensive Rats: Role of Endothelium

H. Mertens, G. Rubanyi
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Abstract

Although reduced endothelium—dependent coronary vasodilation is a consistent finding in patients with hypertension, studies in perfused hearts isolated from spontaneously hypertensive rats (SHR) lead to controversial results. One possible explanation is that coronary vascular reactivity in SHR hearts were studied at different fixed perfusion pressure levels, which were outside the arterial blood pressure range found in these animals. Therefore, the objective of the present experiments was to systematically study the effect of an endothelium-dependent (serotonin) and endothelium—independent (sodium nitroprusside, SNP) vasodilator on coronary flow rate at a wide range of perfusion pressure levels (55 to 130 mmHg) in saline perfused hearts isolated from normotensive (NWR) and SH rats. The pressure-flow relationship showed coronary flow autoregulation at different pressure levels in the two groups (55 to 90 mmHg in NWR hearts and 110 to 130 mmHg in SHR hearts). At a maximally effective concentration (104M) co...
正常和自发性高血压大鼠生理盐水灌注心脏灌注压与冠状动脉血管反应性的关系:内皮的作用
虽然在高血压患者中内皮依赖性冠状动脉血管舒张减少是一致的发现,但在从自发性高血压大鼠(SHR)分离的灌注心脏中进行的研究导致了有争议的结果。一种可能的解释是,SHR心脏的冠状动脉血管反应性是在不同的固定灌注压力水平下研究的,这超出了这些动物的动脉血压范围。因此,本实验的目的是系统地研究内皮依赖性(5 -羟色胺)和内皮非依赖性(硝普钠,SNP)血管扩张剂对正常血压(NWR)和高血压大鼠生理盐水灌注心脏在大范围灌注压力水平(55 ~ 130 mmHg)下冠状动脉血流速率的影响。压力-流量关系显示两组在不同压力水平下冠状动脉血流自动调节(NWR心脏为55 ~ 90 mmHg, SHR心脏为110 ~ 130 mmHg)。在最大有效浓度(104M)下…
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