Hemodynamic effects of endothelin-1 in the newborn piglet: influence on pulmonary and systemic vascular resistance.

Hemodynamic effects of endothelin-1 in the newborn piglet: influence on pulmonary and systemic vascular resistance.
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内皮素 1 对新生仔猪的血流动力学影响:对肺和全身血管阻力的影响。

DOI:
10.1097/00005344-199100177-00092
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发表时间:
1991
影响因子:
3
通讯作者:
Henry,W
Henry,W
中科院分区:
医学4区
文献类型:
--
作者:
Krzeski,R;Long,W;Katayama,H;Henry,W

文献摘要

被引文献

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本研究旨在探讨内皮素-1(ET-1)对新生仔猪肺循环和体循环的影响。用氯醛糖-氨基甲酸乙酯麻醉12头仔猪(平均年龄6.8天,范围1-12天),并在FiO 2 = 1.0下通气。测量心输出量(CO)、肺动脉压(PAP)、主动脉压(AoP)、左心房压(AoP)和右心房压(RAP)。6头仔猪经肺动脉注入生理盐水(对照组)和ET-1(500 ng/kg),同时每隔20 s测定PAP、AoP、MAP、RAP、CO和心率(HR),计算肺血管阻力(PVR)和体循环阻力(SVR)。PA中给予ET-1导致(a)平均PAP([DELTA] max为-4 +/-2 mm Hg)短暂降低。p< 0.001);(B)PVR的双相反应(初始下降,随后显著增加)([DELTA] max为-760 +/-460 dyn cm/s,p< 0.01)。和[DELTA] max为+ 1.490+/-1,360 dyn cm/s5 p< 0.05)和AoP([DELTA] max为-12 +/-7 mmHg,p< 0.005,[DELTA] max为+ 11+/-6 mmHg,p< 0.005):(c)SVR增加([DELTA]最大值为+5,930 +/-2,330达因cm/s5 p< 0.05);和(d)CO的初始增加([DELTA] max为+0.06 +/-0.03 L/min,p< 0.05),随后降低([DELTA] max为-0.09 +/-0.05 L/min,p< 0.05)。这些反应尚未在成年物种中观察到,可能表明肺循环对ET-1给药的反应存在发育差异。
The aim of this study was to investigate the influence of endothelin-1 (ET-1) on the pulmonary and systemic circulations in newborn piglets. Twelve piglets (mean age of 6.8 days, range of 1-12 days) were anesthetized with chloralose-urethane and ventilated at FiO2= 1.0. Animals were instrumented to measure cardiac output (CO), pulmonary artery pressure (PAP), aortic pressure (AoP), left atrial pressure (LAP), and right atrial pressure (RAP). Six piglets received a control saline injection into the pulmonary artery (PA), and six piglets received one injection of ET-1 (500 ng/kg) into the PA while PAP, AoP, LAP, RAP, CO, and heart rate (HR) were measured simultaneously at 20-s intervals with pulmonary vascular resistance (PVR) and systemic vascular resistance (SVR) calculated by computer. Administration of ET-1 into the PA led to (a) a transient decrease in mean PAP ([DELTA] max of-4+/-2 mm Hg. p< 0.001);(b) a biphasic response (an initial decline followed by a substantial increase) in PVR ([DELTA] max of-760+/-460 dyn cm/s5 p< 0.01. and [DELTA] max of+ 1.490+/-1,360 dyn cm/s5 p< 0.05) and in AoP ([DELTA] max of-12+/-7 mm Hg, p< 0.005, and [DELTA] max of+ 11+/-6 mm Hg, p< 0.005):(c) an increase in SVR ([DELTA] max of+ 5,930+/-2,330 dyn cm/s5 p< 0.05); and (d) an initial increase in CO ([DELTA] max of+ 0.06+/-0.03 L/min, p< 0.05) followed by a decrease ([DELTA] max of-0.09+/-0.05 L/min, p< 0.05). These responses have not been observed in adult species and may indicate a developmental difference in the response of the pulmonary circulation to ET-1 administration.