慢性快速心室节奏对总血管容量的影响
R I Ogilvie1, D Zborowska-Sluis
1Clinical Pharmacology Service, Toronto Hospital, Ontario, Canada.
Circulation
|April 1, 1992
概括
快速右心室节奏 (RRVP) 通过减少无压力体积而降低血管容量,导致心力衰竭. 这项对狗的研究揭示了RRVP如何影响循环动态和血液体积调节.
科学领域:
- 心血管生理学心血管生理学
- 心脏衰竭病理生理学 病理生理学
背景情况:
- 快速右心室节奏 (RRVP) 在每分钟250次,持续3-6周,诱导慢性心力衰竭.
- 这种情况的特点是心脏输出量减少和心血管压力升高.
研究的目的:
- 为了研究慢性RRVP对血管容量,无压力体积和犬类模型的遵守的影响.
- 了解在节奏诱导心力衰竭期间循环功能障碍背后的机制.
主要方法:
- 用麻醉狗的压力-体积曲线测量了血管容量,非压力体积和服从性.
- 过渡性循环停止是由乙胆引起的.
- 狗接受了RRVP,并在心力衰竭和恢复阶段进行了研究.
主要成果:
- RRVP导致平均循环填充压力的显著增加,并减少了无压力体积.
- 总血液体积显著减少,主要是由于细胞体积减少.
- 动脉和肺血管顺应性减少,而中央血液体积比例增加.
结论:
- 慢性RRVP诱导心力衰竭与减少的总血管容量,主要来自减少的无压力体积.
- 平均循环充填压的增加被总血液体积的减少所抵消.
相关概念视频
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