Jaju D S, Dikshit M B, Purandare V R, Raje S
Department of Physiology, MIMER Medical College, Telegaon Dabhade, Distt., Pune--410 507.
Indian J Physiol Pharmacol. 2004 Jan;48(1):31-40.
We hypothesized that cerebral dominance may contribute to differences in cardio-vascular responses of right-handers (RH) and left-handers (LH) to autonomic stressors. We tested this hypothesis by exposing 14 RH, and 14 LH males to category I tests in which the hand and cerebral cortex were involved in performing the test viz.--i) Cold pressor test (CPT), ii) Handgrip dynamometry (HGD) and; category II (no use of hand)--i) Orthostatic Tolerance Test (OTT), ii) Valsalva Manuever (VM), iii) Controlled Breathing Test for sinus arrhythmia (SA) in a random sequence, and measured their heart rate (HR/min) and blood pressure (MAP mmHg). All subjects had similar resting HR and MAP values, and responded to the category I interventions with increased HR and BP. The absolute HR values of LH and RH did not differ significantly during the interventions. However, the increase in HR from control induced by the CPT, and the HGD was greater for LH (P<0.05). Also, LH showed a greater decrease in HR and MAP in the recovery phase (P<0.05). The VAS scores for degree of discomfort during the CPT were similar for both the groups. During the OTT, the increase in HR was more in RH (P<0.05). The Valsalva ratios for LH and RH were similar. Our findings suggest that the autonomic control over the cardio-vascular system may be different in LH and RH, and that this imbalance could be attributable to a variation in cerebral dominance.
我们假设大脑优势可能导致右利手(RH)和左利手(LH)对自主应激源的心血管反应存在差异。我们通过让14名右利手男性和14名左利手男性进行I类测试来验证这一假设,在这些测试中,手和大脑皮层参与测试,即:i)冷加压试验(CPT),ii)握力计测量(HGD);以及II类测试(不使用手),即:i)直立耐力试验(OTT),ii)瓦尔萨尔瓦动作(VM),iii)窦性心律失常控制呼吸试验(SA),测试顺序随机,并测量他们的心率(次/分钟)和血压(平均动脉压,mmHg)。所有受试者的静息心率和平均动脉压值相似,并且对I类干预的反应是心率和血压升高。在干预过程中,左利手和右利手的绝对心率值没有显著差异。然而,CPT和HGD引起的心率相对于对照组的升高,左利手更大(P<0.05)。此外,左利手在恢复阶段心率和平均动脉压的下降幅度更大(P<0.05)。两组在CPT期间不适程度的视觉模拟评分(VAS)相似。在OTT期间,右利手的心率升高更多(P<0.05)。左利手和右利手的瓦尔萨尔瓦比值相似。我们的研究结果表明,左利手和右利手对心血管系统的自主控制可能不同,这种失衡可能归因于大脑优势的差异。