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Beeinflussung des venösen Systems des großen Kreislaufs durch Stimulation und Blockade von Alpha- und Beta-Rezeptoren

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25 Jahre DGAI

Zusammenfassung

Seit mehreren Jahrzehnten ist bekannt, daß adrenerge Pharmaka eine Venokonstriktion bewirken. Dieser Befund wurde erstmals im Jahre 1913 von Gunn und Chavasse [18] erhoben und ist seitdem in einer nicht mehr übersehbaren Zahl von Untersuchungen bestätigt worden [z.B. 3, 14, 32, 33, 38, 46, 49]. Allerdings gibt es einige wichtige Aspekte, die umstritten sind, so z.B. die Differenzierung von alpha-und beta-adrenergen Wirkungen auf das kapazitiv-venöse System. Nach dem Konzept von Ahlquist [1] führt eine Stimulation von Alpha-Rezeptoren zur Vasokonstriktion und eine Stimulation von Beta-Rezeptoren zur Vasodilatation. Dieses Konzept hat zwar das Verständnis der Reaktion des arteriellen Systems auf Katecholamine sehr erleichtert, aber es ist keineswegs klar, inwieweit sich dieses Konzept auch auf das kapazitiv-venöse System übertragen läßt.

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Literatur

  1. Ahlquist, R. P.: A study of the adrenotropic receptors. Am. J. Physiol. 153, 586–600 (1948)

    PubMed  CAS  Google Scholar 

  2. Alexander, R. S.: The influence of constrictor drugs on the distensibility of the splanchnic venous system, analyzed on the basis of an aortic model. Circ. Res. 2, 140–147 (1954)

    PubMed  CAS  Google Scholar 

  3. Alexander, R. S.: The peripheral venous system. In: Handbook of Physiology, Section 2: Circulation, Vol. 2,1075–1098. Washington: Am. Physiol. Soc. 1963

    Google Scholar 

  4. Axelsson, J., Johansson, B., Jonsson, O., Wahlstrom, B.: The effects of adrenergic drugs on electrical and mechanical activity of the portal vein. Bibl. Anat. 8, 16–20 (1966)

    Google Scholar 

  5. Braunwald, E., Kelly, E. R.: The effects of exercise on central blood volume in man. J. Clin. Invest. 39, 413 (1960)

    Article  PubMed  CAS  Google Scholar 

  6. Braunwald, E., Ross, J. jr., Kahler, R. L., Gaffney, T. E., Goldblatt, A., Mason, D. T.: Reflex control of the systemic venous bed. Effects on venous tone of vasoactive drugs, and of baroreceptor and chemoreceptor stimulation. Circ. Res. 12, 539–552 (1963)

    CAS  Google Scholar 

  7. Carruba, M., Mandelli, V., Mantegazza, P.: The effect of angiotensin II and other vasoactive drugs on isolated portal vein preparation. Arch. Int. Pharmacodyn. Ther. 201, 224–233 (1973)

    PubMed  CAS  Google Scholar 

  8. Clement, D., Vanhoutte, P.: Effects of monoamines on the capacity of isolated veins. Arch. Int. Pharmacodyn. Ther. 166, 181–183 (1967)

    PubMed  CAS  Google Scholar 

  9. Collier, J. G., Nachev, C., Robinson, B. F.: Effects of catecholamines and other vasoactive substances on superficial hand veins in man. Clin. Sci. 43, 455–467 (1972)

    PubMed  CAS  Google Scholar 

  10. Coupar, I. M.: The effect of isoprenaline on adrenoceptors in human saphenous vein. Br. J. Pharmacol. 39, 465–475 (1970)

    PubMed  CAS  Google Scholar 

  11. Donald, K. W., Bishop, J. M., Cumming, G., Wade, O. L.: The effect of exercise on the cardiac output and circulatory dynamics of normal subjects. Clin. Sci. 14, 37 (1955)

    PubMed  CAS  Google Scholar 

  12. Fishman, A. P.: Dynamics of the pulmonary circulation. In: Handbook of Physiology, Section 2: Circulation, Vol. 2,1667–1743. Washington: Am. Physiol. Soc. 1963

    Google Scholar 

  13. Folkow, B., Heymans, C., Neil, E.: Integrated aspects of cardiovascular regulation. In: Handbook of Physiology, Section 2: Circulation, Vol. 3,1787–1824. Washington: Am. Physiol. Soc. 1965

    Google Scholar 

  14. Folkow, B., Neil, E.: Circulation. New York: Oxford University Press 1971

    Google Scholar 

  15. Gailer, K. A. J., Hornsey, P. A., Turner, P.: The relative potency of some β-adrenoceptor agonists on isolated human vein. Eur. J. Pharmacol. 16, 136–141 (1971)

    Article  PubMed  CAS  Google Scholar 

  16. Gauer, O. H., Thron, H. L.: Postural changes in the circulation. In: Handbook of Physiology, Section 2: Circulation, Vol. 3, 2409–2439. Washington: Am. Physiol. Soc. 1965

    Google Scholar 

  17. Guimaraes, S., Osswald, W.: Adrenergic receptors in the veins of the dog. Eur. J. Pharmacol. 5, 133–140 (1969)

    Article  PubMed  CAS  Google Scholar 

  18. Gunn, J. A., Chavasse, F. B.: The action of adrenin on veins. Proc. Roy. Soc. London, B 86, 192 (1913)

    Google Scholar 

  19. Guyton, A. C., Lindsey, A. W., Abernathy, B., Langston, J. B.: Mechanism of the increased venous return and cardiac output caused by epinephrine. Am. J. Physiol. 192, 126–130 (1958)

    PubMed  CAS  Google Scholar 

  20. Guyton, A. C.: Venous return. In: Handbook of Physiology, Section 2: Circulation, Vol. 2,1099–1133. Washington: Am. Physiol. Soc. 1963

    Google Scholar 

  21. Guyton, A. C., Coleman, T. G., Granger, H. J.: Circulation: overall regulation. Ann. Rev. Physiol. 34, 13–46 (1972)

    Article  CAS  Google Scholar 

  22. Hagemann, K., Niehues, B., Schwanitz, V., Arnold, G., Lochner, W.: Untersuchungen zur extrakardialen Komponente der Wirkung vasoaktiver Substanzen am Gesamtkreislauf des Hundes. Res. Exp. Med. 161, 203–209 (1973)

    Article  CAS  Google Scholar 

  23. Hagemann, K., Niehues, B., Manoli, S. H., Arnold, G., Lochner, W.: Über die Wirkung von Isoproterenol am Systemkreislauf des Hundes mit kardiopulmonalem Bypass. Z. Kardiol. 63, 542–549 (1974)

    PubMed  CAS  Google Scholar 

  24. Horowitz, J.D., Mashford, M.L.: The action of adrenal steroids on the pharmacological reactivity of the isolated vein of the rabbit ear. Naunyn-Schmiedebergs Arch. Pharmakol. Exp. Path. 263, 324–331 (1969)

    CAS  Google Scholar 

  25. Hughes, J., Vane, J. R.: An analysis of the responses of the isolated portal vein of the rabbit to electri-cal stimulation and to drugs. Br. J. Pharmacol. 30, 46–66 (1967)

    CAS  Google Scholar 

  26. Jeschke, D., Caesar, K., Hensel, G., Schubert, J., Kaufmann, W.: Zentrale hämodynamische Parameter unter dem Einfluß des β-Sympathikolytikums Prindolol. Herz/Kreisl. 6, 263–270 (1974)

    Google Scholar 

  27. Kaiser, G. A., Ross, J. jr., Braunwald, E.: Alpha and beta adrenergic receptor mechanisms in the systemic venous bed. J. Pharmacol. Exp. Ther. 144, 156–162 (1964)

    PubMed  CAS  Google Scholar 

  28. Lochner, W., Schoedel, W.: Die Bedeutung der depressorischen Kreislaufreflexe für die Steuerung des Herzzeitvolumens. Pflügers Arch. 255, 333–338 (1952)

    Article  Google Scholar 

  29. Lubawski, I., Wale, J.: Studies with LB 46, a new β-receptor blocking drug. Eur. J. Pharmacol. 6, 345–348 (1969)

    Article  PubMed  CAS  Google Scholar 

  30. Lyons, B. L., Swaine, C. R.: Effect of adrenergic blocking agents on response of rabbit arterial and venous strips to catecholamines. Proc. Soc. Exp. Biol. Med. 133, 1422–1425 (1970)

    PubMed  CAS  Google Scholar 

  31. Mellander, S.: Comparative effects of acetylcholine, butylnor-synephrine (Vasculat), noradrenaline, and ethyl-adrianol (Effontil) on resistance, capacitance, and precapillary sphincter vessels and capillary filtration rate in cat skeletal muscle. Angiologica 3, 77–79 (1966)

    PubMed  CAS  Google Scholar 

  32. Mellander, S., Johansson, B.: Control of resistance, exchange, and capacitance functions in the peripheral circulation. Pharmacol. Rev. 20, 117–196 (1968)

    PubMed  CAS  Google Scholar 

  33. Mellander, S.: Systemic circulation. Ann. Rev. Physiol. 32, 313 (1970)

    Article  CAS  Google Scholar 

  34. Milnor, W.R. : The cardiovascular control system. In: V.B. Mountcastle (ed.): Medical Physiology, Vol. 2, 958–983. Saint Louis: Mosby 1974

    Google Scholar 

  35. Müller-Ruchholtz, E. R., Lösch, H. M., Grund, E., Lochner, W.: Effect of alpha adrenergic receptor stimulation on integrated systemic venous bed. Pflügers Arch. 370, 241–246 (1977)

    Article  PubMed  Google Scholar 

  36. Müller-Ruchholtz, E. R., Lösch, H. M., Grund, E., Lochner, W.: Effect of beta adrenergic receptor stimulation on integrated systemic venous bed. Pflügers Arch. 370, 247–251 (1977)

    Article  PubMed  Google Scholar 

  37. Müller-Ruchholtz, E. R., Grund, E., Hauer, F., Lapp, E.R.: Effect of carotid pressoreceptor stimulation on integrated systemic venous bed. Pflügers Arch., submitted 1978

    Google Scholar 

  38. Oberg, B.: Overall cardiovascular regulation. Ann. Rev. Physiol. 38, 537–570 (1976)

    Article  CAS  Google Scholar 

  39. Remington, J. W., Hamilton, W. F.: Quantitative calculation of the time course of cardiac ejection from the pressure pulse. Am. J. Physiol. 148, 25–34 (1947)

    PubMed  CAS  Google Scholar 

  40. Ross, J., Frahm, C. J., Braunwald, E.: Influence of carotid baroreceptors and vasoactive drugs on systemic vascular volume and venous distensibility. Circ. Res. 9, 75–82 (1961)

    Google Scholar 

  41. Rushmer, R. F.: Cardiovascular dynamics. Philadelphia: Saunders 1970

    Google Scholar 

  42. Sharpey-Schafer, E. P., Ginsburg, J.: Humoral agents and venous tone. Effects of catecholamones, 5-hydroxytryptamine, histamine, and nitrites. Lancet 1962, 1337–1340

    Google Scholar 

  43. Somlyo, A. V., Somlyo, A. P.: Effect of angiotensin and beta-adrenergic stimulation on venous smooth muscle. Am. Heart J. 71, 568–570 (1966)

    Article  PubMed  CAS  Google Scholar 

  44. Strubelt, O., Prael, E.: Pharmakologische Wirkungen auf die Kontraktionsfrequenz der isolierten Rat- tenpfortader. Arch. Int. Pharmacodyn. Ther. 198, 277–291 (1972)

    PubMed  CAS  Google Scholar 

  45. Struyker Boudier, H., Smeets, G., Brouwer, G., Van Rossum, J.: Central and peripheral alpha adrenergic activity of imidazoline derivates. Life Sci. 15, 887–899 (1974)

    Article  CAS  Google Scholar 

  46. Sutter, M. C.: The pharmacology of isolated veins. Br. J. Pharmacol. 24, 742–751 (1965)

    CAS  Google Scholar 

  47. Thron, H. L.: Das Verhalten peripherer Blutgefäße in vivo bei passiven und aktiven Weitenänderungen. Vergleichende Untersuchungen an kapazitiven und Widerstandsgefäßen. Arch. Kreislaufforsch. 52, 1–63 (1967)

    Article  PubMed  CAS  Google Scholar 

  48. Wiggers, C. J.: The circulation and circulatory research in perspective. In: Handbook of Physiology, Section 2: Circulation, Vol. 1,1–10. Washington: Am. Physiol. Soc. 1962

    Google Scholar 

  49. Wood, J. E.: The veins. Boston: Little, Brown + Co. 1965

    Google Scholar 

  50. Zimmermann, B. G., Abboud, F. M., Eckstein, J. W.: Comparison of the effects of sympathomimetic amines upon venous and total vascular resistance in the foreleg of the dog. J. Pharmacol. Exp. Ther. 139, 290–295 (1963)

    Google Scholar 

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Müller-Ruchholtz, E.R. (1980). Beeinflussung des venösen Systems des großen Kreislaufs durch Stimulation und Blockade von Alpha- und Beta-Rezeptoren. In: Weis, KH., Cunitz, G. (eds) 25 Jahre DGAI. Anaesthesiologie und Intensivmedizin / Anaesthesiology and Intensive Care Medicine, vol 130. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67698-7_3

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  • DOI: https://doi.org/10.1007/978-3-642-67698-7_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-10140-6

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