Kashtanov Sergei I, Mezentseva Larisa V, Zvyagintseva Marina A, Kosharskaja Irina L, Sudakov Konstantin V
P.K. Anokhin Institute of Normal Physiology, Russian Academy of Medical Sciences, Mokhovaya street 11, corpus 4, 125009 Moscow, Russia.
Stress. 2004 Sep;7(3):189-94. doi: 10.1080/10253890400010713.
The influence of stress on cardiac electrical stability (CES) and chaotic dynamics of the electrical activity of the heart was studied in acute and chronic experiments in rabbits. Stress was caused by 2-3 h daily immobilization of the animals with electrical stimulation of emotiogenic centers of the hypothalamus through implanted electrodes. CES was estimated by the thresholds for ventricular arrhythmia: paroxysmal ventricular tachycardia, repeated ventricular extrasystoles and ventricular fibrillation (VF). The results showed: (i) CES in stressed rabbits was decreased significantly compared with controls; (ii) the level of chaos at the onset of VF in stressed rabbits was increased significantly compared with controls; (iii) heart rate of stressed rabbits was significantly greater than in controls; (iv) changes in CES parameters depended on whether stress was acute or chronic; (v) acute stress promoted transition of spontaneously reversible VF into spontaneously irreversible VF. Thus, stress increased the degree of disorganization of heart electrical activity and also decreased its electrical stability. The experiments indicate that stress is a destabilizing factor influencing the reversibility of heart rate disorders. The probability of such reversibility depends on whether stress is acute or chronic: acute stress is more likely to lead to irreversible spontaneous VF.
在兔的急性和慢性实验中,研究了应激对心脏电稳定性(CES)以及心脏电活动混沌动力学的影响。通过植入电极对下丘脑情感发生中枢进行电刺激,使动物每天固定2 - 3小时来引发应激。通过室性心律失常的阈值来评估CES:阵发性室性心动过速、反复室性早搏和心室颤动(VF)。结果显示:(i)与对照组相比,应激兔的CES显著降低;(ii)与对照组相比,应激兔VF发作时的混沌水平显著增加;(iii)应激兔的心率显著高于对照组;(iv)CES参数的变化取决于应激是急性还是慢性;(v)急性应激促使自发可逆性VF转变为自发不可逆性VF。因此,应激增加了心脏电活动的紊乱程度,同时也降低了其电稳定性。实验表明,应激是影响心率紊乱可逆性的一个不稳定因素。这种可逆性的概率取决于应激是急性还是慢性:急性应激更有可能导致不可逆的自发VF。