Hotta Harumi, Koizumi Kiyomi, Stewart Mark
Departments of Physiology & Pharmacology, State University of New York Downstate Medical Center, Brooklyn, New York 11203, USA.
Epilepsia. 2009 Apr;50(4):923-7. doi: 10.1111/j.1528-1167.2008.01860.x. Epub 2008 Dec 4.
We sought to define changes in cardiac sympathetic nerve activity that occur during seizures. We studied kainic acid-induced limbic cortical seizures in urethane-anesthetized rats using cardiac sympathetic nerve, blood pressure, and electrocardiography (ECG) recordings. We studied changes in ventilation rate before and during seizures. Cardiac sympathetic nerve activity was increased during limbic cortical seizures. The modest increases were similar to changes induced by nitroprusside infusion. The normal relation of cardiac sympathetic nerve activity to ventilation rate was lost during seizure activity. Changes in cardiac sympathetic nerve activity caused by changes in ventilation rate became unpredictable, and could be extreme. We conclude that the modest changes in cardiac sympathetic nerve activity contribute to the predominantly parasympathetic effects on the heart during limbic cortical seizures and periods of asphyxia. Further, ventilation rate changes might be associated with large sudden increases or decreases in cardiac sympathetic outflow during seizures.
我们试图明确癫痫发作期间心脏交感神经活动的变化。我们使用心脏交感神经、血压和心电图(ECG)记录,研究了在氨基甲酸乙酯麻醉的大鼠中,由海藻酸诱导的边缘叶皮质癫痫发作。我们研究了癫痫发作前和发作期间通气率的变化。在边缘叶皮质癫痫发作期间,心脏交感神经活动增强。这种适度的增加类似于硝普钠输注所引起的变化。在癫痫发作活动期间,心脏交感神经活动与通气率之间的正常关系丧失。通气率变化所引起的心脏交感神经活动变化变得不可预测,且可能非常显著。我们得出结论,心脏交感神经活动的适度变化导致了在边缘叶皮质癫痫发作和窒息期间对心脏主要的副交感神经效应。此外,通气率变化可能与癫痫发作期间心脏交感神经输出的大幅突然增加或减少有关。