急性高氧对外周动脉疾病患者自主功能和冠状动脉度的影响
Mami Hamaoka1, Urs A Leuenberger1, Zhaohui Gao1
1Penn State Heart and Vascular Institute, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, United States.
概括
患有外周动脉疾病 (PAD) 的患者表现出降低的副交感活动和对氧化应激因子高氧化反应的自主反应. 在PAD患者中,冠状动脉血流也会在过氧期间受到损害.
科学领域:
- 心血管生理学心血管生理学
- 自主神经系统功能 自主神经系统功能
- 氧化压力研究研究 氧化压力研究
背景情况:
- 周围动脉疾病 (PAD) 与氧化应激和自主功能障碍有关.
- 以前的研究表明,PAD患者的自主反应受损.
研究的目的:
- 在急性高氧症期间,研究PAD患者的自主神经系统反应和冠状动脉音调.
- 确定高氧化作为氧化压力因素是否会影响PAD患者的自主功能和冠状动力学,与健康对照人群相比.
主要方法:
- 在室内空气和高氧化时,逐一监测心率和血压.
- 评估心血管巴罗反射灵敏度和心率变化 (HRV).
- 胸外回声心脏成像用于测量冠状动脉血流速度 (CBV).
主要成果:
- 患有PAD的患者在休息时心血管巴罗反射敏感度和副交感活动较低.
- 过氧在PAD患者中增加了血压,但在对照人群中没有.
- 健康对照组在过氧时表现出增加的副交感活动,而PAD患者没有. 冠状动脉静脉收缩发生在两组中,但冠状动脉输液时间在PAD中较低.
结论:
- 患有PAD的患者表现出对氧化过度 (氧化应激) 的麻木的副交感反应.
- 在PAD患者中,心血管巴洛反射敏感性和冠状动脉输液受损.
- 过氧期间的自主反应在PAD中发生变化,表明潜在的心血管风险.
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