在运动狗的缺血性心肌中冠状动脉血管扩张剂储备
D D Laxson1, X Z Dai, D C Homans
1Department of Medicine, University of Minnesota, Minneapolis 55455.
Circulation
|January 1, 1992
概括
在运动期间,冠状动脉血管扩张器储备在缺血性心肌中持续存在. 这表明,剩余的微血管调会影响冠状动脉狭窄的低 perfusion.
科学领域:
- 心血管生理学心血管生理学
- 心肌缺血的研究研究心肌缺血.
- 冠状动脉循环研究研究
背景情况:
- 以前的研究表明,冠状动脉血管扩张剂储备可能会在低透的心肌中持续存在.
- 这项研究调查了由于冠状动脉狭窄而导致的急性运动诱导心肌缺血症的冠状动脉静脉度.
研究的目的:
- 为了确定在运动期间在急性缺血性心肌中残留的冠状动脉血管扩展体的存在和程度.
- 评估腺对心肌动脉血流和缺血条件下的功能的影响.
主要方法:
- 在跑步机炼期间,在有流量限制冠状动脉狭窄症的仪器犬身上进行的研究.
- 在冠状动脉内腺素输注前和期间,使用放射性微球测量心肌血流量.
- 冠状动脉 perfusion 压力保持一致,以隔离腺的作用.
主要成果:
- 与冠状动脉狭窄的运动相比,与非缺血前部区域相比,缺血后部区域的血流显著减少.
- 冠内腺素显著增加了心肌缺血区域的心肌动脉血流,表明持续的血管扩展剂储备.
- 肌肉干部缩短在缺血区域改善了腺,尽管不变的 perfusion 压力.
结论:
- 在运动诱导的心肌缺血期间,存在腺素反应性冠状动脉血管扩张器储备.
- 其余的微血管血管收缩体度可能会导致冠状动脉狭窄引起的心肌低的严重程度.
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