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迷走神经刺激会降低左心室舒张速率。

Vagal stimulation decreases rate of left ventricular relaxation.

作者信息

Henning R J, Cheng J, Levy M N

机构信息

Division of Investigative Medicine, Mt. Sinai Medical Center, Cleveland, Ohio.

出版信息

Am J Physiol. 1989 Feb;256(2 Pt 2):H428-33. doi: 10.1152/ajpheart.1989.256.2.H428.

DOI:10.1152/ajpheart.1989.256.2.H428
PMID:2916675
Abstract

We determined the effects of vagal stimulation on the time constant (tau) of left ventricular isovolumic pressure decay and on the maximum rates of left ventricular pressure change (dP/dt) during contraction and relaxation in anesthetized dogs. In each dog, the atria were paced at a constant rate of 150 beats/min. We recorded left ventricular pressure waveforms in the absence (control) and in the presence of vagal stimulation at frequencies of 1, 2, and 3 Hz. During the control periods and during vagal stimulation at each frequency, we determined tau, the maximal rate of contraction, and the maximal rate of relaxation from left ventricular pressure waveforms recorded at medium (100 mmHg), high (130 mmHg), and low (73 mmHg) afterloads. Vagal stimulation at a frequency of 3 Hz increased tau by 23%. This effect of vagal stimulation on tau was most pronounced at the high afterload. Vagal stimulation at 3 Hz decreased the maximal rate of relaxation by 19%, but it decreased the maximal rate of contraction by only 8%. Thus vagal stimulation significantly decreased the rate of left ventricular relaxation and had a greater depressant effect on ventricular relaxation than on contraction.

摘要

我们测定了迷走神经刺激对麻醉犬左心室等容压力衰减时间常数(tau)以及收缩和舒张过程中左心室压力变化最大速率(dP/dt)的影响。在每只犬中,心房以150次/分钟的恒定速率起搏。我们记录了在无迷走神经刺激(对照)以及迷走神经刺激频率为1、2和3Hz时的左心室压力波形。在对照期以及每个频率的迷走神经刺激期间,我们从中等(100mmHg)、高(130mmHg)和低(73mmHg)后负荷下记录的左心室压力波形中测定tau、最大收缩速率和最大舒张速率。3Hz频率的迷走神经刺激使tau增加了23%。迷走神经刺激对tau的这种影响在高后负荷时最为明显。3Hz的迷走神经刺激使最大舒张速率降低了19%,但仅使最大收缩速率降低了8%。因此,迷走神经刺激显著降低了左心室舒张速率,并且对心室舒张的抑制作用大于对收缩的抑制作用。

相似文献

1
Vagal stimulation decreases rate of left ventricular relaxation.迷走神经刺激会降低左心室舒张速率。
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2
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引用本文的文献

1
Sensitivity Analysis of Vagus Nerve Stimulation Parameters on Acute Cardiac Autonomic Responses: Chronotropic, Inotropic and Dromotropic Effects.迷走神经刺激参数对急性心脏自主反应的敏感性分析:变时性、变力性和变传导性效应
PLoS One. 2016 Sep 30;11(9):e0163734. doi: 10.1371/journal.pone.0163734. eCollection 2016.
2
Muscarinic receptor modulation of basal and beta-adrenergic stimulated function of the failing human left ventricle.毒蕈碱受体对衰竭人类左心室基础功能及β-肾上腺素能刺激功能的调节
J Clin Invest. 1996 Dec 15;98(12):2756-63. doi: 10.1172/JCI119101.
3
Baroreflex control of stroke volume in man: an effect mediated by the vagus.
压力反射对人体每搏输出量的控制:一种由迷走神经介导的效应。
J Physiol. 1992 Mar;448:539-50. doi: 10.1113/jphysiol.1992.sp019056.