Kimura T, Uchida W, Satoh S
J Pharmacol Exp Ther. 1985 Dec;235(3):793-7.
The amplitude of reduction in heart rate induced by vagal stimulation is greater when the background level of sympathetic tone is increased (accentuated antagonism). Both pre- and postsynaptic muscarinic mechanisms have been proposed to account for this phenomenon. We attempted to clarify the relative importance of each mechanism by comparing the magnitude of vagal bradycardia during neurally induced tachycardia with that during nonneurally induced tachycardia in the anesthetized dog. Graded tachycardia was induced by raising the stimulus frequency of cardiac sympathetic nerve stimulation stepwise from 1 to 3 and 5 and 10 Hz, and it was also induced by norepinephrine infusion (0.3-10 micrograms/min into the right coronary artery), isoproterenol infusion (0.1 and 0.3 micrograms/kg/min i.v.) and glucagon injection (3-30 micrograms/kg i.v.). The magnitude of the bradycardia produced by vagal nerve stimulation at 3 Hz was determined during the resting state and during the tachycardic state produced by cardiac nerve stimulation and by drug administration. The magnitude of vagal bradycardia was greater during tachycardic state than during the resting state regardless of the means through which tachycardia was produced. Vagal bradycardia during norepinephrine or isoproterenol infusion was of the same magnitude as that during the cardiac sympathetic nerve stimulation when they were compared at the same heart rate. Vagal bradycardia during the glucagon-induced tachycardia was greater than that which occurred during sympathetic tachycardia. Temporary bradycardia resulting from a single-pulse vagal nerve stimulation was augmented markedly during the cardiac sympathetic nerve stimulation, whereas a 2-sec interruption of the cardiac sympathetic nerve stimulation did not alter the sustained tachycardia.(ABSTRACT TRUNCATED AT 250 WORDS)
当交感神经张力的背景水平升高时,迷走神经刺激所引起的心率降低幅度更大(增强性拮抗作用)。突触前和突触后毒蕈碱机制均被认为可解释这一现象。我们试图通过比较麻醉犬在神经源性心动过速期间与非神经源性心动过速期间迷走性心动过缓的程度,来阐明每种机制的相对重要性。通过将心脏交感神经刺激的刺激频率从1Hz逐步提高到3Hz、5Hz和10Hz来诱发分级心动过速,还通过静脉输注去甲肾上腺素(0.3 - 10微克/分钟注入右冠状动脉)、异丙肾上腺素(0.1和0.3微克/千克/分钟静脉注射)和注射胰高血糖素(3 - 30微克/千克静脉注射)来诱发心动过速。在静息状态以及由心脏神经刺激和药物给药所产生的心动过速状态下,测定3Hz迷走神经刺激所产生的心动过缓程度。无论心动过速是通过何种方式产生的,心动过速状态下的迷走性心动过缓幅度均大于静息状态。当在相同心率下进行比较时,去甲肾上腺素或异丙肾上腺素输注期间的迷走性心动过缓幅度与心脏交感神经刺激期间相同。胰高血糖素诱发的心动过速期间的迷走性心动过缓幅度大于交感神经心动过速期间。单次脉冲迷走神经刺激所导致的短暂心动过缓在心脏交感神经刺激期间显著增强,而心脏交感神经刺激中断2秒并未改变持续性心动过速。(摘要截短于250字)