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通过适应间歇性高海拔低氧来预防和消除心律失常

Prevention and elimination of heart arrhythmias by adaptation to intermittent high altitude hypoxia.

作者信息

Meerson F Z, Ustinova E E, Orlova E H

机构信息

Institute of General Pathology and Pathological Physiology, Moscow, Union of Soviet Socialist Republics.

出版信息

Clin Cardiol. 1987 Dec;10(12):783-9. doi: 10.1002/clc.4960101202.

Abstract

It was shown that adaptation to intermittent hypoxia in altitude chamber prevented the poststress fall of the electrical threshold of heart fibrillation. In acute ischemia, the number of fibrillation episodes and the death rate of preadapted animals were 2-3 fold lower than in controls. The adaptation to hypoxia resulted in a significant increase in concentration of opioid peptide beta-endorphin in adrenal glands while stress-induced changes in beta-endorphin in brain structures of adapted animals were much less pronounced. In animals with postinfarction cardiosclerosis, the course of hypoxic actions resulted in restoration of the decreased heart fibrillation threshold, reduced the heart ectopic activity which had developed on the background of vagal bradycardia, and eliminated depression of the heart contractile function. Simultaneously, the adaptation induced a decrease of the postinfarction scar by one-third and an increase of vascularization of the myocardial zone adjacent to the scar.

摘要

研究表明,在高原舱中适应间歇性低氧可防止应激后心脏颤动电阈值的下降。在急性缺血时,预适应动物的颤动发作次数和死亡率比对照组低2至3倍。低氧适应导致肾上腺中阿片肽β-内啡肽浓度显著增加,而应激诱导的适应动物脑结构中β-内啡肽的变化则不太明显。在心肌梗死后心脏硬化的动物中,低氧作用过程导致降低的心脏颤动阈值恢复,减少了在迷走性心动过缓背景下出现的心脏异位活动,并消除了心脏收缩功能的抑制。同时,这种适应使心肌梗死后的瘢痕减少了三分之一,并增加了瘢痕附近心肌区域的血管化。

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