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左侧星状神经节的无创低频电磁刺激可减少心肌梗死诱发的室性心律失常。

Noninvasive low-frequency electromagnetic stimulation of the left stellate ganglion reduces myocardial infarction-induced ventricular arrhythmia.

作者信息

Wang Songyun, Zhou Xiaoya, Huang Bing, Wang Zhuo, Zhou Liping, Wang Menglong, Yu Lilei, Jiang Hong

机构信息

Department of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute of Wuhan University, Wuhan, 430060, Hubei, China.

出版信息

Sci Rep. 2016 Jul 29;6:30783. doi: 10.1038/srep30783.

Abstract

Noninvasive magnetic stimulation has been widely used in autonomic disorders in the past few decades, but few studies has been done in cardiac diseases. Recently, studies showed that low-frequency electromagnetic field (LF-EMF) might suppress atrial fibrillation by mediating the cardiac autonomic nervous system. In the present study, the effect of LF-EMF stimulation of left stellate ganglion (LSG) on LSG neural activity and ventricular arrhythmia has been studied in an acute myocardium infarction canine model. It is shown that LF-EMF stimulation leads to a reduction both in the neural activity of LSG and in the incidence of ventricular arrhythmia. The obtained results suggested that inhibition of the LSG neural activity might be the causal of the reduction of ventricular arrhythmia since previous studies have shown that LSG hyperactivity may facilitate the incidence of ventricular arrhythmia. LF-EMF stimulation might be a novel noninvasive substitute for the existing implant device-based electrical stimulation or sympathectomy in the treatment of cardiac disorders.

摘要

在过去几十年中,无创磁刺激已广泛应用于自主神经功能障碍,但在心脏病方面的研究较少。最近,研究表明低频电磁场(LF-EMF)可能通过介导心脏自主神经系统来抑制心房颤动。在本研究中,在急性心肌梗死犬模型中研究了低频电磁场刺激左侧星状神经节(LSG)对LSG神经活动和室性心律失常的影响。结果表明,低频电磁场刺激可导致LSG神经活动减少以及室性心律失常发生率降低。所得结果表明,抑制LSG神经活动可能是室性心律失常减少的原因,因为先前的研究表明LSG活动亢进可能促进室性心律失常的发生。低频电磁场刺激可能是一种新型的无创替代方法,可替代现有的基于植入装置的电刺激或交感神经切除术来治疗心脏疾病。

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