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Noninvasive Assessment of Pulse-Wave Velocity and Flow-Mediated Vasodilation in Anesthetized Göttingen Minipigs

机译:麻醉的哥廷根小型猪的脉搏波速度和流量介导的血管舒张的非侵入性评估

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摘要

Few methods for noninvasive assessment of arterial stiffness and endothelial dysfunction in porcine models are available. The aim of this study was to evaluate methods for assessment of arterial stiffness and endothelial dysfunction in anesthetized Göttingen minipigs. Pulse-wave velocity (PWV) was assessed in male Göttingen minipigs (n = 8; age approximately 60 wk) by using applanation tonometry of the carotid and femoral arteries. In addition, flow-mediated vasodilation (FMD) was assessed by using vascular ultrasonography of the brachial artery to evaluate endothelial dysfunction. To evaluate the reproducibility of the methods, minipigs were anesthetized by intravenous infusion of ketamine and midazolam and examined every other day for a total of 3 trials. Neither examination day nor systolic, diastolic, or mean arterial blood pressure statistically influenced PWV or FMD. The median interexamination coefficient of variation was 17% for PWV and 59% for FMD. Measured values of PWV corresponded largely to those in clinically healthy humans, but FMD values were lower than expected for lean, young animals. Although the ketamine–midazolam anesthesia we used has been associated with minor hemodynamic effects in vivo, in vitro studies suggest that both drugs are vasodilatory. Therefore anesthesia might have influenced the endothelial response, contributing to the modest FMD response and the concurrent high coefficients of variation that we noted. We conclude that PWV—but not FMD—showed acceptable interexamination variation for its potential application in porcine models.
机译:很少有方法可用于非侵入性评估猪模型中的动脉僵硬度和内皮功能障碍。这项研究的目的是评估评估麻醉的哥廷根小型猪的动脉僵硬度和内皮功能障碍的方法。使用颈动脉和股动脉的压平眼压计评估雄性哥廷根小型猪(n = 8;年龄约60 wk)的脉搏波速度(PWV)。另外,通过使用肱动脉的血管超声检查来评估内皮功能障碍,从而评估血流介导的血管舒张(FMD)。为了评估方法的重现性,通过静脉输注氯胺酮和咪达唑仑麻醉小猪,每隔一天检查3次试验。检查日和收缩压,舒张压或平均动脉压均无统计学影响PWV或FMD。 PWV的中位检验间变异系数中位数为17%,FMD的中位数为59%。 PWV的测量值在很大程度上与临床健康的人相对应,但FMD值低于瘦小动物的预期值。尽管我们使用的氯胺酮-咪达唑仑麻醉在体内具有较小的血液动力学效应,但体外研究表明这两种药物均具有血管舒张作用。因此,麻醉可能已经影响了内皮反应,导致了温和的FMD反应以及我们注意到的并发的高变异系数。我们得出的结论是,PWV(但不是FMD)在其在猪模型中的潜在应用方面显示出可接受的检验间变异。

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