Adachi Yushi, Nakajima Yoshiki, Satomoto Maiko, Morita Koji, Doi Matsuyuki, Sato Shigehito
Intensive Care Unit, University Hospital, Hamamatsu University School of Medicine, Hamamatsu 431-3192.
Masui. 2006 Apr;55(4):436-40.
Recently, the knowledge regarding all types of shock has increased. In the critical period, the maintenance of perfusion to important organs and of autonomic cardiovascular control is a clue to improve outcome. The current investigation studied the effects of endotoxin shock on the heart rate variability (HRV), which might be an early marker of multiple organ dysfunction syntion.
CL 57 BL/6 J mice (30-32 g) were implanted with intra-abdominal telemetry transmitters and data collection began 7 days after surgery and continued for 5 hours after the treatment. In endotoxin group, 3 mg x kg(-1) of E. coli lipopylysaccharide (0127 : B 8) was administered intraperitoneally and the same dose of saline was administered in control group. From the beat-by-beat values, heart rate (HR), standard deviation and coefficients of variation (RMSSD) were calculated. Integrated values of power spectral density were derived by summing depending on the frequency ranges, which were chosen with respect to the results of the previous investigation as follows: very low frequency (VLF) < 0.15 Hz; low frequency (LF), 0.15-1.5 Hz; and high frequency (HF), 1.5-5.0 Hz.
HR showed no difference between the groups. RMSSD, Total Power, VLF, LF and HF increased in control group throughout the experiments, but, decreased in endotoxin group even 5 hr after the treatment.
There has been scarce information on mice HRV, but we have demonstrated that endotoxin administration significantly decreases RMSSD and spectral density at low and high frequencies.
最近,关于各类休克的知识有所增加。在关键时期,维持对重要器官的灌注以及自主心血管控制是改善预后的一个线索。本研究探讨内毒素休克对心率变异性(HRV)的影响,HRV可能是多器官功能障碍综合征的早期标志物。
将体重30 - 32克的C57BL/6J小鼠植入腹腔遥测发射器,术后7天开始收集数据,并在治疗后持续5小时。在内毒素组中,腹腔注射3毫克/千克的大肠杆菌脂多糖(0127 : B8),对照组注射相同剂量的生理盐水。根据逐搏值计算心率(HR)、标准差和变异系数(RMSSD)。功率谱密度的积分值通过根据频率范围求和得出,频率范围根据先前研究结果选定如下:极低频(VLF)<0.15赫兹;低频(LF),0.15 - 1.5赫兹;高频(HF),1.5 - 5.0赫兹。
两组之间HR无差异。在整个实验过程中,对照组的RMSSD、总功率、VLF、LF和HF均增加,但在内毒素组中,即使在治疗后5小时这些指标仍下降。
关于小鼠HRV的信息较少,但我们已证明给予内毒素会显著降低RMSSD以及低频和高频的频谱密度。