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迷走神经冷却对正常及β受体阻滞剂处理的运动犬心输出量的影响。

Influence of vagal cooling on cardiac output in normal and beta-blocked exercising dogs.

作者信息

Versteeg P G, Borgdorff P

出版信息

Eur J Appl Physiol Occup Physiol. 1986;54(6):617-23. doi: 10.1007/BF00943350.

Abstract

To study the relative influence of parasympathetic and sympathetic innervation on the early adaptation of cardiac output (CO) to exercise, we determined the time constant and amplitude of the CO change in dogs following a stepwise increase in treadmill velocity. The animals were studied during control conditions, beta-blockade, vagal blockade and combined beta-blockade and vagal blockade. To measure CO, an electromagnetic flow probe was implanted around the ascending aorta. Vagal activity was blocked with coolers, implanted around the cervical vagosympathetic trunks. The time constant during beta-blockade (12.1 s) was not different from the control situation (11.4 s), but during vagal cooling it increased significantly (16.2 s), and with combined vagal cooling and beta-blockade it rose to 20.7 s. Thus the increase in cardiac output with exercise is accelerated most by the loss of vagal tone and to a lesser degree by sympathetic activation. The amplitude of the change in CO during control was 112%. Heart rate (HR) rose by 74% and stroke volume (SV) by 22%. Beta-blockade lowered the initial CO but did not alter the percentage increase. Vagal cooling, with or without beta-blockade, caused an increased initial HR but did not influence basal CO because of a concomitant reduction in SV. Exercise now increased HR less (21% and 30%, respectively) and SV more (52% and 52%) but the increase in CO did not change significantly (87% and 97%).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

为研究副交感神经和交感神经支配对心输出量(CO)运动早期适应性的相对影响,我们测定了犬在跑步机速度逐步增加后CO变化的时间常数和幅度。在对照条件、β受体阻滞剂、迷走神经阻滞以及联合β受体阻滞剂和迷走神经阻滞的情况下对动物进行研究。为测量CO,在升主动脉周围植入电磁流量探头。用冷却器环绕颈迷走交感干以阻断迷走神经活动。β受体阻滞剂作用期间的时间常数(12.1秒)与对照情况(11.4秒)无差异,但在迷走神经冷却时显著增加(16.2秒),联合迷走神经冷却和β受体阻滞剂时升至20.7秒。因此,运动时心输出量的增加在很大程度上因迷走神经张力丧失而加速,交感神经激活的加速作用较小。对照期间CO变化的幅度为112%。心率(HR)上升74%,每搏输出量(SV)上升22%。β受体阻滞剂降低了初始CO,但未改变增加的百分比。无论有无β受体阻滞剂,迷走神经冷却均导致初始HR增加,但由于SV同时降低,未影响基础CO。此时运动使HR增加较少(分别为21%和30%),SV增加较多(均为52%),但CO增加未显著改变(分别为87%和97%)。(摘要截短于250字)

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