与上腺素诱导的心肌应激的年龄相关反应. 一个功能性和超结构性的研究
J Caspi1, J G Coles, L N Benson
1Division of Cardiovascular Surgery, Hospital for Sick Children, Toronto, Canada.
Circulation
|November 1, 1991
概括
与成年猪相比,新生猪对上腺素心脏毒性敏感性增加,心肌损伤和左心室功能受损. 这突显了与年龄相关的心脏应对压力的差异.
科学领域:
- 心血管生理学心血管生理学
- 新生儿生理学 新生儿生理学
- 药理学 药理学是指药理学的学科.
背景情况:
- 上腺素是一种关键的激素和药物,影响心脏功能.
- 对心血管应激反应的年龄相关差异尚未完全理解.
- 新生儿心肌可能具有独特的脆弱性.
研究的目的:
- 为了比较上腺素对新生儿与成年猪左心室功能和心脏超结构的影响.
- 为了研究由上腺素输注诱导的年龄相关心脏毒性.
主要方法:
- 在新生猪和成年猪中输入静脉注射上腺素 (0.5和2.0微克/千克/分钟).
- 使用压力-体积数据 (导电导管) 评估左心室的抽缩和放缩功能.
- 功能变化与心脏超结构和血上腺素水平的相关性.
主要成果:
- 新生儿在高剂量的上腺素时,与成年人不同,表现出末缩弹性降低和心室体积弹性增加.
- 新生儿心脏超结构检查显示,在用上腺后发生了膜破裂和线粒体Ca2+沉积.
- 成年猪在低剂量时表现出增加的末缩弹性,在高剂量时没有显著的功能变化.
结论:
- 新生儿心肌比成人心肌更容易受到上腺素引起的心脏毒性.
- 上腺素可以在新生儿中引起显著的心肌损伤,影响心脏收缩性和弹性.
- 年龄是决定循环上腺素的心脏毒性潜力的关键因素.
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