清醒小牛主动脉收缩时的心脏和窦主动脉反射。

J E Chimoskey, B A Breuhaus, S W Ely
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引用次数: 1

摘要

研究了清醒犊牛在双侧颈迷走神经冷却前和冷却过程中对左心室后负荷增加的血流动力学反应。长期测量(或得出)小牛心率、脑卒中量、心输出量、髂、肠系膜上和肾的流量和阻力,平均主动脉、右心房、肺动脉和左心房压力,全身和肺压力梯度,以及全身和总肺阻力。小牛也被用来产生可逆的升主动脉部分收缩和颈部迷走神经的冷却。在双侧颈迷走神经冷却至6-7℃之前和过程中,对后负荷增加的血流动力学反应进行了表征。主动脉收缩导致卒中容量、心输出量和主动脉脉压降低。左房压和总外周电阻升高。平均主动脉压在主动脉收缩期间是恒定的,尽管脉压持续下降,由于窦主动脉反射(试图增加动脉压以应对脉压下降)和心肺反射(试图降低动脉压以应对左心房和心肺压力增加)之间的平衡。迷走神经冷却消除了窦主动脉反射的心肺反射调节。在主动脉收缩和迷走神经冷却时,颈动脉窦反射单独作用,导致肾和总外周阻力和平均主动脉压的大幅增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cardiac and sinoaortic reflexes during aortic constriction in awake calves.

The hemodynamic responses to increased afterload of the left ventricle were studied in conscious calves before and during cooling of the cervical vagus nerves bilaterally. The calves were chronically instrumented to measure (or derive) heart rate, stroke volume, cardiac output, iliac, superior mesenteric and renal flows and resistances, mean aortic, right atrial, pulmonary artery, and left atrial pressures, the systemic and pulmonary pressure gradients, and total systemic and total pulmonary resistances. The calves were also instrumented to produce reversible partial constriction of the ascending aorta and for cooling of the cervical vagus nerves. The hemodynamic responses to increased afterload were characterized before and during bilateral cervical vagus nerve cooling to 6-7 degrees C. Aortic constriction causes stroke volume, cardiac output and aortic pulse pressure to decrease. Left atrial pressure and total peripheral resistance increase. Mean aortic pressure is constant during aortic constriction alone, despite a continued decrease in pulse pressure, due to a balance between sinoaortic reflexes which attempt to increase arterial pressure in response to the decreased pulse pressure and cardiopulmonary reflexes which attempt to decrease arterial pressure in response to the increased left atrial and cardiopulmonary pressures. Vagal cooling removes cardiopulmonary reflex modulation of the sinoaortic reflexes. During aortic constriction and vagal cooling, the carotid sinus reflex, acting alone, causes large increases in renal and total peripheral resistance and mean aortic pressure.

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