Kostreva D R
Department of Anesthesiology, Medical College of Wisconsin, Milwaukee.
Basic Res Cardiol. 1991 Nov-Dec;86(6):523-33. doi: 10.1007/BF02190702.
Sixteen dogs were anesthetized with pentobarbital sodium and placed on positive pressure ventilation. Twelve animals were cardiac paced and four animals were non-paced controls. In four of the paced animals, the left cut peripheral end of the cervical vagus was stimulated electrically. In another four animals, the decentralized left stellate ganglion was stimulated efferently. The four remaining paced animals were controls. The animals were injected i.v. with a single bolus of [14C]2-deoxyglucose, 100 microCi/kg. After 45 minutes of periodic stimulation, the hearts were removed, sectioned and prepared for autoradiography. Cardiac pacing significantly (p less than 0.02) decreased systolic blood pressure, and significantly increased (p less than 0.05) glucose utilization by all regions of the heart, with the exception of the left ventricular endocardium and the left ventricular papillary muscles. Vagal efferent stimulation elicited significant (p less than 0.05) decreases in glucose utilization in both the right atrium and right ventricle. Conversely, efferent stellate ganglion stimulation had no effect on the glucose utilization of any regions of the myocardium studied. This study demonstrates that both cardiac pacing and cardiac vagal efferent neuronal stimulation can produce distinct changes in regional myocardial glucose utilization.
16只狗用戊巴比妥钠麻醉,并进行正压通气。12只动物进行心脏起搏,4只动物作为非起搏对照。在4只起搏动物中,电刺激颈迷走神经的左侧切断外周端。在另外4只动物中,传出刺激去神经支配的左侧星状神经节。其余4只起搏动物为对照。给动物静脉注射单次推注[14C]2-脱氧葡萄糖,剂量为100微居里/千克。经过45分钟的周期性刺激后,取出心脏,切片并准备进行放射自显影。心脏起搏显著(p<0.02)降低收缩压,并显著增加(p<0.05)心脏所有区域的葡萄糖利用,但左心室内膜和左心室乳头肌除外。迷走神经传出刺激引起右心房和右心室葡萄糖利用显著(p<0.05)降低。相反,星状神经节传出刺激对所研究的心肌任何区域的葡萄糖利用均无影响。本研究表明,心脏起搏和心脏迷走神经传出神经元刺激均可引起局部心肌葡萄糖利用的明显变化。