Voorhees C R, Voorhees W D, Geddes L A, Bourland J D, Hinds M
Hillenbrand Biomedical Engineering Center, Purdue University, West Lafayette, IN 479007.
IEEE Trans Biomed Eng. 1992 Jun;39(6):624-8. doi: 10.1109/10.141200.
The chronaxie (i.e., the duration for a stimulating current having twice the rheobasic, or minimum, value) was determined for ventricular myocardium in 12 pentobarbital-anesthetized dogs. Current was applied transthoracically via chest-surface electrodes located at the optimal axillary site for producing inspiration by stimulation of the phrenic nerve (electroventilation). In four dogs the chronaxie for motor-nerve was determined using electrodes at the same location. After using hand-held electrodes to identify the optimal stimulation site for electroventilation, 4.1 cm diameter electrodes were applied bilaterally to the optimal site on the thorax. In 12 dogs, the threshold current for producing ventricular ectopic beats was determined for single rectangular current pulses ranging from 0.1-10 ms in duration. From these data, strength-duration curves were determined and the average chronaxie for ventricular myocardium was found to be 1.82 ms. In four dogs the relationship between inspired volume and maximum stimulus intensity was determined using a 0.8 s burst of stimuli (60/s) with pulse durations ranging from 20-500 microseconds. From these data, strength-duration curves for current were constructed and the average chronaxie for motor-nerve was found to be 0.17 ms. The results of this study show that, because of the differing chronaxies, the current required to produce inspiration with short-duration stimuli is much less than that required to evoke an ectopic heart beat.
在12只戊巴比妥麻醉的犬身上测定了心室心肌的时值(即具有两倍基强度或最小值的刺激电流的持续时间)。电流通过位于最佳腋部位置的胸壁表面电极经胸施加,以通过刺激膈神经产生吸气(电动通气)。在4只犬中,使用相同位置的电极测定运动神经的时值。在用手持电极确定电动通气的最佳刺激部位后,将直径4.1厘米的电极双侧应用于胸部的最佳部位。在12只犬中,测定了持续时间为0.1 - 10毫秒的单个矩形电流脉冲产生室性早搏的阈值电流。根据这些数据确定强度 - 时间曲线,发现心室心肌的平均时值为1.82毫秒。在4只犬中,使用持续时间为20 - 500微秒的0.8秒刺激串(60次/秒)确定吸气量与最大刺激强度之间的关系。根据这些数据构建电流的强度 - 时间曲线,发现运动神经的平均时值为0.17毫秒。本研究结果表明,由于时值不同,产生吸气所需的短持续时间刺激电流远小于诱发异位心跳所需的电流。