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美托洛尔对充血性心力衰竭大鼠血浆醛固酮浓度、心肌纤维化和心室重构的影响
引用本文:蔡辉,李筝,焦东东,郭郡浩,郭寒.美托洛尔对充血性心力衰竭大鼠血浆醛固酮浓度、心肌纤维化和心室重构的影响[J].微循环学杂志,2010,20(1):13-15,F0003.
作者姓名:蔡辉  李筝  焦东东  郭郡浩  郭寒
作者单位:南京军区南京总医院中西医结合科,南京,210002
基金项目:南京军区南京总医院科研基金资助项目 
摘    要:目的:探讨美托洛尔对充血性心力衰竭(CHF)大鼠血浆醛固酮(ALD)浓度的影响及防治心肌纤维化及心室重构的作用。方法:雄性SD大鼠30只,随机选择20只皮下注射异丙基肾上腺素二次(170mg/kg/次),6周后左室射血分数≤45%确定造模成功;将模型大鼠随机分为模型组(n=10)和美托洛尔治疗组(n=10,8mg/kg/天,共治疗12周);另10只大鼠作为正常对照组。18周后进行心功能指标、血浆ALD浓度检测,并取心肌观察组织形态学及胶原纤维染色。结果:(1)与对照组相比,模型组心功能指标明显恶化,血浆ALD显著升高(P0.01),心肌纤维化和心室重构明显;(2)与模型组比较,美托洛尔组心功能明显好转,血浆ALD明显下降(P0.01),心肌纤维化和心室重构明显改善。结论:美托洛尔能通过降低CHF大鼠血浆ALD浓度而改善心功能,逆转心室重塑。

关 键 词:充血性心力衰竭  血浆醛固酮  心肌纤维化  美托洛尔  心室重构  肾素一血管紧张素系统  心肌间质纤维化  心血管疾病

Effect of Metoprolol on Change of Plasma Aldosterone,Myocardium Fibrosis and Myocardial in Rats with Remodeling Congestive Heart Failure
Cai Hui,Guo Han,Li Zheng,et al.Effect of Metoprolol on Change of Plasma Aldosterone,Myocardium Fibrosis and Myocardial in Rats with Remodeling Congestive Heart Failure[J].Chinese Journal of Microcirculation,2010,20(1):13-15,F0003.
Authors:Cai Hui  Guo Han  Li Zheng  
Institution:Cai Hui,Guo Han,Li Zheng,et al Department of Integrated Traditional Chinese , Western Medicine,Nanjing General Hospital of Nanjing Military Comm,,Nanjing 210002
Abstract:Objective:To investigate the effect of metoprolol on plasma aldosterone,myocardium fibrosis and reverse ventricular remodeling in rats with corgestive heart failure.Method:Male SD rats were randomly allocated to the Isopreternol(ISO)-induced chronic heart failure group(n=20)receiving two subcutaneous injections of 170mg ISO per kilogram of body and the healthy normal group(n=10)receiving two subcutaneous injections of 0.25ml normal saline.At 6th week,the LVEF was measured by echocardiogram,the remaining rat...
Keywords:Metoprolol  CHF  ALD  Myocardial remodeling  Rat  
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