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无窦房结时的心脏起搏器:对运动和自主神经阻滞的反应

Cardiac pacemakers in absence of the SA node: responses to exercise and autonomic blockade.

作者信息

Randall W C, Talano J, Kaye M P, Euler D, Jones S, Brynjolfsson G

出版信息

Am J Physiol. 1978 Apr;234(4):H465-70. doi: 10.1152/ajpheart.1978.234.4.H465.

DOI:10.1152/ajpheart.1978.234.4.H465
PMID:25585
Abstract

Surgical excision of the sinoatrial node, verified histologically, is followed by a supraventricular (atrial) rhythm in both resting and exercising dog whether anesthetized or conscious. The ECG is characterized by a definitive P wave and associated atrial electrograms. Waxing and waning in heart rate, generally referred to as sinus arrhythmia continues in the awake animal after complete excision of the SA node. This arrhythmia is responsive to both adrenergic and cholinergic interventions, thus indicating the presence of both sympathetic and parasympathetic regulation of subsidiary atrial pacemaking tissues.

摘要

经组织学证实,对窦房结进行手术切除后,无论是麻醉还是清醒状态下的犬,在静息和运动时均会出现室上性(心房)节律。心电图的特征是有明确的P波及相关的心房电图。在窦房结完全切除后,清醒动物的心率仍会出现波动,通常称为窦性心律失常。这种心律失常对肾上腺素能和胆碱能干预均有反应,因此表明存在对辅助心房起搏组织的交感神经和副交感神经调节。

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引用本文的文献

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Structural and Functional Properties of Subsidiary Atrial Pacemakers in a Goat Model of Sinus Node Disease.窦房结疾病山羊模型中次级心房起搏器的结构和功能特性
Front Physiol. 2021 Mar 4;12:592229. doi: 10.3389/fphys.2021.592229. eCollection 2021.
2
Heart Rate Acceleration of a Subsidiary Pacemaker by β-Adrenergic Stimulation.β-肾上腺素刺激引起辅助起搏器心率加速。
Korean Circ J. 2011 Nov;41(11):658-65. doi: 10.4070/kcj.2011.41.11.658. Epub 2011 Nov 29.
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Functional anatomy of the murine sinus node: high-resolution optical mapping of ankyrin-B heterozygous mice.
鼠窦房结的功能解剖结构:Ankyrin-B 杂合子小鼠的高分辨率光学标测。
Am J Physiol Heart Circ Physiol. 2010 Aug;299(2):H482-91. doi: 10.1152/ajpheart.00756.2009. Epub 2010 Jun 4.
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A pace-maker-like current in the sheep atrium and its modulation by catecholamines.绵羊心房中类似起搏器的电流及其受儿茶酚胺的调节。
J Physiol. 1983 Sep;342:569-90. doi: 10.1113/jphysiol.1983.sp014869.
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Differential effects of sympathetic activity on AV junctional automaticity and AV conduction.
Basic Res Cardiol. 1986 Sep-Oct;81(5):497-507. doi: 10.1007/BF01907756.
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Cardiac responses to exercise in the dog before and after destruction of the sinoatrial node.
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Properties of the pacemaker current (If) in latent pacemaker cells isolated from cat right atrium.从猫右心房分离的潜在起搏细胞中起搏电流(If)的特性。
J Physiol. 1992;453:503-23. doi: 10.1113/jphysiol.1992.sp019242.