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麻醉犬中通过时间模式化迷走神经刺激对心率的调节。

Modulation of heart rate by temporally patterned vagus nerve stimulation in the anesthetized dog.

作者信息

Yoo Paul B, Liu Haoran, Hincapie Juan G, Ruble Stephen B, Hamann Jason J, Grill Warren M

机构信息

Department of Biomedical Engineering, Duke University, Durham, North Carolina Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Canada Department of Electrical and Computer Engineering, University of Toronto, Toronto, Canada

Department of Biomedical Engineering, Duke University, Durham, North Carolina.

出版信息

Physiol Rep. 2016 Feb;4(2). doi: 10.14814/phy2.12689.

Abstract

Despite current knowledge of the myriad physiological effects of vagus nerve stimulation (VNS) in various mammalian species (including humans), the impact of varying stimulation parameters on nerve recruitment and physiological responses is not well understood. We investigated nerve recruitment, cardiovascular responses, and skeletal muscle responses to different temporal patterns of VNS across 39 combinations of stimulation amplitude, frequency, and number of pulses per burst. Anesthetized dogs were implanted with stimulating and recording cuff electrodes around the cervical vagus nerve, whereas laryngeal electromyogram (EMG) and heart rate were recorded. In seven of eight dogs, VNS-evoked bradycardia (defined as ≥10% decrease in heart rate) was achieved by applying stimuli at amplitudes equal to or greater than the threshold for activating slow B-fibers. Temporally patterned VNS (minimum 5 pulses per burst) was sufficient to elicit bradycardia while reducing the concomitant activation of laryngeal muscles by more than 50%. Temporal patterns of VNS can be used to modulate heart rate while minimizing laryngeal motor fiber activation, and this is a novel approach to reduce the side effects produced by VNS.

摘要

尽管目前已了解迷走神经刺激(VNS)在各种哺乳动物物种(包括人类)中产生的无数生理效应,但不同刺激参数对神经募集和生理反应的影响仍未得到充分理解。我们研究了在39种刺激幅度、频率和每次脉冲串的脉冲数组合下,不同时间模式的VNS对神经募集、心血管反应和骨骼肌反应的影响。将麻醉后的狗的颈迷走神经周围植入刺激和记录袖带电极,同时记录喉肌电图(EMG)和心率。在八只狗中的七只中,通过施加等于或大于激活慢B纤维阈值的幅度的刺激,实现了VNS诱发的心动过缓(定义为心率降低≥10%)。有时间模式的VNS(每次脉冲串至少5个脉冲)足以引发心动过缓,同时将喉肌的伴随激活降低50%以上。VNS的时间模式可用于调节心率,同时将喉运动纤维的激活降至最低,这是一种减少VNS产生的副作用的新方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72bc/4760392/2510498d024f/PHY2-4-e12689-g001.jpg

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