Ravi K, Singh M
Department of Physiology, V.P. Chest Institute, University of Delhi, India.
Can J Physiol Pharmacol. 1999 Oct;77(10):787-95.
The changes in heart rate induced by the stimulation of arterial chemoreceptors by apneic asphyxia and left atrial - intracarotid injections of sodium cyanide were investigated in anesthetized artificially ventilated and paralysed monkeys. Apneic asphyxia and sodium cyanide injection caused tachycardia, bradycardia, or both in monkeys paralysed with decamethonium bromide and tachycardia only, in monkeys paralysed with gallamine. In both groups, the tachycardia was abolished by prior administration of propranolol and the bradycardia, by atropine. Prior ventilation with 100% O2 abolished the heart rate responses produced by apnea. Recording of phrenic efferent activity showed that the neural discharge increased in response to apneic asphyxia and sodium cyanide injections. It remained so during the manifestation of tachycardia, bradycardia, or no change in heart rate, suggesting that even though "higher centres" may have an important influence in the heart rate responses elicited, central respiratory drive may not be the only mechanism. The present results show that in the nonhuman primate, arterial chemoreceptor stimulation elicits both cardioacceleratory and cardioinhibitory reflexes, and the net effect of their stimulation on heart rate depends upon the balance between these opposing mechanisms.
在人工通气和麻痹的麻醉猴中,研究了呼吸暂停窒息和左心房 - 颈内动脉注射氰化钠刺激动脉化学感受器所引起的心率变化。呼吸暂停窒息和注射氰化钠在被溴化十烃季铵麻痹的猴中引起心动过速、心动过缓或两者皆有,而在被加拉明麻痹的猴中仅引起心动过速。在两组中,预先给予普萘洛尔可消除心动过速,预先给予阿托品可消除心动过缓。预先用100%氧气通气可消除呼吸暂停所产生的心率反应。膈传出活动记录显示,对呼吸暂停窒息和注射氰化钠,神经放电增加。在心动过速、心动过缓或心率无变化的表现过程中,这种情况持续存在,这表明即使“高级中枢”可能对所引发的心率反应有重要影响,但中枢呼吸驱动可能不是唯一的机制。目前的结果表明,在非人灵长类动物中,动脉化学感受器刺激引发心脏加速和心脏抑制反射,其刺激对心率的净效应取决于这些相反机制之间的平衡。